A nurse is caring for a client who is receiving mydriatic eye drops. Which of the following manifestations indicate to the nurse that the client has developed a systemic anticholinergic effect?
Hypothermia
Bradycardia
Seizures
Constipation
The Correct Answer is D
Mydriatic eye drops can cause systemic anticholinergic effects 1. Anticholinergic drugs block the action of acetylcholine, a neurotransmitter that transfers signals between cells to affect how your body functions 2. This can lead to side effects such as decreased digestion 2, which can result in constipation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
According to Mayo Clinic, if you are using more than one eye product, you should apply these medicines at least 5 minutes apart1. None of the other options are listed as instructions for administering timolol and pilocarpine eye drops.
Correct Answer is B
Explanation
The correct answer is choiceb. Monitor the serum medication levels.
Choice A rationale:
Administering gentamicin with food is not necessary and does not minimize the risk of adverse effects. Gentamicin is typically given intravenously or intramuscularly, and food does not impact its administration or absorption.
Choice B rationale:
Monitoring the serum medication levels is crucial when administering gentamicin. Gentamicin has a narrow therapeutic index, meaning the difference between a therapeutic dose and a toxic dose is small. Regular monitoring helps ensure the drug remains within the safe and effective range, reducing the risk of nephrotoxicity and ototoxicity.
Choice C rationale:
Limiting the client’s fluid intake is not recommended. Adequate hydration is important to help prevent nephrotoxicity, a known adverse effect of gentamicin. Ensuring the client has sufficient fluid intake can help protect kidney function.
Choice D rationale:
Instructing the client to report agitation is not directly related to minimizing the risk of adverse effects of gentamicin. While it is important for clients to report any unusual symptoms, agitation is not a common adverse effect of gentamicin. Monitoring for signs of nephrotoxicity (e.g., decreased urine output) and ototoxicity (e.g., hearing loss, tinnitus) is more relevant.
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