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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Inﬂuenza vaccine production involves growing the virus in eggs. Therefore, the vaccine may contain trace amounts of egg proteins. Some individuals may be allergic to egg proteins and may experience an allergic reaction after receiving the vaccine. For this reason, healthcare providers should always ask their patients about egg allergies before administering the inﬂuenza vaccine.

Yeast, gelatin, and shellfish are not typically present in the seasonal inactive inﬂuenza vaccine, so allergy to these substances is not a concern when administering the vaccine. However, if a person has a known allergy to any of the ingredients in the vaccine, they should inform their healthcare provider before receiving it.

A. Return the medication to the pharmacy. B. Notify the provider. C. Give the medication. D. Discard the medication.

Correct Answer is A

Explanation

The correct answer is choice a. Return the medication to the pharmacy.

Choice A rationale:

Returning the medication to the pharmacy is the correct action. Medications past their expiration date may not be safe or effective, and the pharmacy can provide a replacement.

Choice B rationale:

Notifying the provider is not necessary in this situation. The nurse should handle the expired medication according to protocol, which typically involves returning it to the pharmacy.

Choice C rationale:

Giving the medication is incorrect. Administering expired medication can be unsafe and ineffective.

Choice D rationale:

Discarding the medication is not the best option. The pharmacy should handle the disposal of expired medications to ensure proper procedures are followed.

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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?

Nursing Test Bank

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