When a patient is taking an anticholinergic such as benztropine as part of the treatment for Parkinson's disease, the nurse should include which information in the teaching plan?
Minimize the amount of fluid taken while on this drug.
Discontinue the medication if adverse effects occur.
Take the medication on an empty stomach to enhance absorption.
Use artificial saliva, sugarless gum, or hard candy to counteract dry mouth.
The Correct Answer is D
A. Minimize the amount of fluid taken while on this drug: Increasing fluid intake is actually recommended to manage potential constipation, another common side effect of anticholinergic medications.
B. Discontinue the medication if adverse effects occur: Discontinuing medication without consulting a healthcare provider is not advisable. Patients should be educated to report any adverse effects to their healthcare provider for appropriate management.
C. Take the medication on an empty stomach to enhance absorption: Benztropine is typically taken with food to minimize gastrointestinal side effects. Taking it on an empty stomach may increase the risk of nausea or stomach upset.
D. Use artificial saliva, sugarless gum, or hard candy to counteract dry mouth: Anticholinergic medications such as benztropine commonly cause dry mouth as a side effect. Stimulating saliva production with these measures can help alleviate dry mouth symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Constricted pupils: Adrenergic agonist drugs typically cause pupil dilation (mydriasis), not constriction.
B. Increased heart rate: Adrenergic agonists stimulate the sympathetic nervous system, leading to increased heart rate (positive chronotropic effect) and increased cardiac contractility (positive
inotropic effect).
C. Bronchial constriction: Adrenergic agonists typically cause bronchodilation, not constriction.
D. Increased GI peristalsis: Adrenergic agonists usually inhibit GI motility, leading to decreased GI peristalsis and potentially constipation
Correct Answer is A
Explanation
A. The last dose of medication should be given 4 to 6 hours before bedtime to diminish insomnia: Methylphenidate is a stimulant medication commonly used to treat ADHD.
Administering it at bedtime may interfere with sleep onset and lead to insomnia. It's important to follow the prescribed dosing schedule to optimize symptom control during waking hours while minimizing adverse effects on sleep.
B. The medication should be taken with meals for optimal absorption: While taking
methylphenidate with meals may help reduce gastrointestinal side effects, the timing of administration relative to bedtime is more relevant to address in this scenario.
C. The medication should not be taken until he is at school: Delaying medication until the child is at school may result in inadequate symptom control during the morning when ADHD
symptoms are often most problematic.
D. She is giving him the medication dosage appropriately: Administering methylphenidate at bedtime is not appropriate and may lead to insomnia rather than optimizing symptom control during the day.
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