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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale
Nausea and vomiting are common symptoms associated with migraines. Asking about these symptoms can help confirm a diagnosis of a migraine.
Choice B rationale
Sensitivity to light, also known as photophobia, is a common symptom of migraines. However, the question “Are the lights in here bothering you?” is less specific to migraines as it could be indicative of several other conditions as well.
Choice C rationale
While confusion or clouded thinking can occur with migraines, it is not as common as other symptoms such as nausea, vomiting, and sensitivity to light.
Choice D rationale
Unusual smells, known as olfactory hallucinations, are not typically associated with migraines. They are more commonly associated with conditions such as epilepsy.
Choice E rationale
Weakness before the headache started or currently feeling weak now is not a typical symptom of migraines. It could be indicative of a more serious condition, such as a stroke.

A. The client should maintain systolic BP between 141 and 145 mm Hg B. The client should maintain systolic BP between 120 and 129 mm Hg C. The client should maintain systolic BP between 130 and 135 mm Hg D. The client should maintain systolic BP between 136 and 140 mm Hg .

Correct Answer is B

Explanation

Choice A rationale
Maintaining systolic BP between 141 and 145 mm Hg is considered high and can increase the risk of stroke.
Choice B rationale

The client should maintain systolic BP between 120 and 129 mm Hg. This is considered a normal blood pressure range and can help reduce the risk of stroke.
Choice C rationale
Maintaining systolic BP between 130 and 135 mm Hg is considered elevated and can increase the risk of stroke.
Choice D rationale
Maintaining systolic BP between 136 and 140 mm Hg is considered high and can increase the risk of stroke.

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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?

Nursing Test Bank

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Correct Answer is B

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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?