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 B

Explanation

The correct answer is choice b. Constipation.

Choice A rationale:

While headaches can occur with some medications, they are not a common adverse effect of diphenhydramine. Diphenhydramine's typical side effects are more related to its anticholinergic properties.

Choice B rationale:

Diphenhydramine is an antihistamine with anticholinergic effects, which can lead to dry mouth, urinary retention, and constipation as common adverse effects.

Choice C rationale:

Diphenhydramine typically does not cause bradycardia. In some cases, it may cause tachycardia (increased heart rate) rather than a slower heart rate.

Choice D rationale:

Hypertension is not typically associated with diphenhydramine. In fact, it can sometimes cause hypotension (low blood pressure) rather than high blood pressure.

A. If I get a fever while taking this medication, I will take some aspirin. B. I need to increase my ﬂuid intake while taking this medication. C. I should take this medicine on an empty stomach. D. If I get a rash from this medication, I will take my usual antihistamine.

Correct Answer is B

Explanation

Allopurinol is a medication used to decrease levels of uric acid in people with gout, or kidney stones, or who are receiving certain types of chemotherapy1. Increasing ﬂuid intake while taking this medication can help prevent the formation of kidney stones.

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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

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about taking diphenhydramine. The nurse should explain to the client that which of the following is an adverse eﬀect of this medication?

Correct Answer is B

Explanation

A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

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