A nurse is reviewing discharge medications with a patient who has Parkinson’s disease. The nurse should include teaching about the patient’s anticholinergic agent.
Which of the following side effects should the nurse advise the patient to report?
Anhidrosis
Tremors
Drooling
Rigidity
The Correct Answer is A
Choice A rationale
Anhidrosis, or the inability to sweat normally, is a potential side effect of anticholinergic agents. These medications block the action of acetylcholine, a neurotransmitter that stimulates sweat glands among other functions. If a patient taking an anticholinergic agent for Parkinson’s disease experiences anhidrosis, they should report it to their healthcare provider as it can lead to overheating and heat stroke.
Choice B rationale
Tremors are a common symptom of Parkinson’s disease, and anticholinergic medications are often used to help control them. Therefore, while tremors should be monitored, they are not typically a side effect that needs to be reported unless they worsen or become unmanageable.
Choice C rationale
Drooling can be a symptom of Parkinson’s disease, but it is not typically a side effect of anticholinergic medications. In fact, these medications can sometimes cause dry mouth.
Choice D rationale
Rigidity, like tremors, is a common symptom of Parkinson’s disease. Anticholinergic medications can help manage rigidity, so it is not typically a side effect that needs to be reported unless it worsens.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Trigeminal neuralgia is a chronic pain condition that affects the trigeminal nerve, which carries sensation from your face to your brain. It does not cause a sensation of tightness around the torso.
Choice B rationale
Lhermitte’s sign is a symptom of multiple sclerosis and other neurological conditions where a person feels an electric shock-like sensation running down the spine and into the limbs. It does not cause a sensation of tightness around the torso.
Choice C rationale
The sensation of tightness around the torso in a patient with multiple sclerosis is often referred to as the “MS hug”. It is caused by a lesion or an area of active inflammation within the spinal cord.
Choice D rationale
Paroxysmal spasms are a type of muscle spasm experienced by some people with multiple sclerosis. These spasms are usually painful and involve the muscles of the legs, but they do not cause a sensation of tightness around the torso.
Correct Answer is A
Explanation
Choice A rationale
Vasogenic cerebral edema is the most common type of cerebral edema associated with stroke. It involves swelling outside of brain cells, and leaky blood vessels cause it.
Choice B rationale
Osmotic cerebral edema is not typically associated with stroke. It is more commonly seen in conditions like diabetes-related ketoacidosis and hyponatremia.
Choice C rationale
Cellular, or cytotoxic, cerebral edema can occur due to traumatic brain injury and stroke. However, it is not the most common type of cerebral edema associated with stroke.
Choice D rationale
Interstitial cerebral edema is not typically associated with stroke. It is more commonly seen in conditions like hydrocephalus and meningitis.
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