When monitoring a patient who is taking a cholinergic drug, the nurse will watch for which cardiovascular effect?

Tachycardia

Palpitations

Vasoconstriction

Bradycardia

Answer and Explanation

The Correct Answer is D

A.   Tachycardia is not typically associated with cholinergic drug effects. Cholinergic stimulation tends to slow down the heart rate rather than increase it.
B.   Palpitations may occur with certain cardiac arrhythmias or in response to sympathetic stimulation, but they are not typically associated with cholinergic drug effects.
C.   Cholinergic drugs are more likely to cause vasodilation rather than vasoconstriction.

Therefore, vasoconstriction is not a common cardiovascular effect of cholinergic drug therapy.

D. Bradycardia is a common cardiovascular effect of cholinergic drug therapy. Cholinergic stimulation slows down the heart rate by increasing parasympathetic activity, particularly at the

sinoatrial (SA) node. Therefore, bradycardia is the cardiovascular effect that nurses should monitor for when administering cholinergic drugs.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Partial agonists like nalbuphine have a lower dependency potential than full agonists. This means they are less likely to lead to physical dependence or tolerance when used for pain
management.

B. Partial agonists do not necessarily have a higher potency than agonists. Potency refers to the dose of a drug required to produce a specific effect, which can vary among different drugs regardless of their classification as agonists or partial agonists.
C. Partial agonists like nalbuphine are not typically used for their anti-inflammatory effects.

They are primarily used for pain management.

D. Partial agonists like nalbuphine are not typically used to reverse the effects of opiates. They may be used in certain situations to manage opioid-induced side effects or in cases of opioid overdose, but their primary indication is for pain management.

A. Assessment of the patient's pain level B. Close observation of signs of opioid tolerance C. Immediate intubation and artificial ventilation D. Administration of naloxone

Correct Answer is D

Explanation

A. Assessment of the patient's pain level: While pain assessment is important, the patient's lethargy and shallow respirations indicate a potential opioid overdose, which takes priority.
B. Close observation of signs of opioid tolerance: The patient's symptoms are indicative of opioid overdose, not tolerance.
C. Immediate intubation and artificial ventilation: While respiratory support may eventually be necessary if the patient's condition deteriorates further, administering naloxone to reverse the opioid effects is the initial priority.
D. Administration of naloxone: Naloxone is an opioid antagonist used to reverse opioid overdose by blocking opioid receptors, which can rapidly restore normal respiratory function and
consciousness in patients experiencing opioid-induced respiratory depression.

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When monitoring a patient who is taking a cholinergic drug, the nurse will watch for which cardiovascular effect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The drug nalbuphine is an agonist-antagonist (partial agonist). The nurse understands that which is a characteristic of partial agonists?

Correct Answer is A

Explanation

Correct Answer is D

Explanation

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