The nurse administers cholinergic (muscarinic agonist) medication, Bethanechol to a patient. The nurse should assess the patient for which intended effect?
Reduced esophageal motility
Improved bladder emptying
Dilation of the pupils
Decreased gastric secretions
The Correct Answer is B
Choice A rationale: Cholinergic agonists like bethanechol would typically increase esophageal motility, not reduce it.
Choice B rationale: Bethanechol is used to stimulate the bladder, promoting improved emptying in patients with urinary retention.
Choice C rationale: Cholinergic agonists can cause pupillary constriction, not dilation.
Choice D rationale: Cholinergic agonists generally increase, rather than decrease, gastric secretions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
Choice A rationale: A history of anaphylactic reaction to a specific vaccine or its components is a contraindication, as it indicates a severe allergic response.
Choice B rationale: A moderate local reaction to a vaccine is not an absolute contraindication. It may be considered when weighing risks and benefits.
Choice C rationale: The presence of moderate or severe illnesses, with or without a fever, is an absolute contraindication, as vaccines may exacerbate existing illness.
Choice D rationale: Current treatment with antimicrobial medication is not an absolute contraindication to vaccination in children.
Correct Answer is C
Explanation
Choice A rationale: "Nausea is not a common side effect of this drug." may not be accurate, and it is important to acknowledge the patient's symptoms.
Choice B rationale: "You should stop taking the medication immediately." is an extreme response and may not be necessary without further assessment.
Choice C rationale: "The nausea will most likely decrease over time." provides reassurance and acknowledges that nausea can be a common side effect that diminishes with continued use.
Choice D rationale: "Try taking the medication on an empty stomach." is a reasonable suggestion to minimize nausea if the medication can be taken without food.
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