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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale: Dopamine is not the appropriate medication for an allergic reaction. It is a neurotransmitter and is not used in the treatment of anaphylaxis.
Choice B rationale: Epinephrine is the first-line treatment for anaphylaxis, including severe difficulty breathing and swelling of the tongue. It acts quickly to reverse the symptoms of an allergic reaction.
Choice C rationale: Norepinephrine is not the medication of choice for an allergic reaction. It primarily acts as a vasoconstrictor and is used in conditions like septic shock.
Choice D rationale: Pseudoephedrine is a decongestant and is not the appropriate medication for treating an allergic reaction with respiratory distress.

A. Administer the medication when the patient has an empty stomach. B. Instruct the patient to avoid high-protein foods. C. Have the patient increase the intake of vitamin B6. D. Discontinue the drug for 10 days (for a "drug holiday").

Correct Answer is B

Explanation

Choice A rationale: Administering the medication with an empty stomach may enhance absorption but is not the best strategy for addressing "on-off" episodes.
Choice B rationale: The correct answer. High-protein foods can interfere with the absorption of levodopa, leading to "on-off" episodes.
Choice C rationale: Vitamin B6 supplementation is not typically used to address "on- off" episodes associated with levodopa/carbidopa.
Choice D rationale: Discontinuing the drug for 10 days (a "drug holiday") is not recommended and may result in a worsening of symptoms.

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The nurse administers cholinergic (muscarinic agonist) medication, Bethanechol to a patient. The nurse should assess the patient for which intended effect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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