Which would be important to perform for a client who has received an anticholinergic agent? (Select all that apply.)

Auscultating bowel sounds

Monitoring urine output

Monitoring heart rate

Administering an antidiarrheal agent

Assessing deep tendon reflexes

Answer and Explanation

Correct Answer : A,B,C

A. Auscultating bowel sounds is important because anticholinergic agents can decrease gastrointestinal motility, leading to reduced bowel sounds and potential constipation.

B. Monitoring urine output is crucial as anticholinergics can cause urinary retention, and assessing output helps identify any adverse effects on bladder function.

C. Monitoring heart rate is necessary since anticholinergic agents can cause tachycardia as a side effect, making it important to assess the client’s cardiovascular status.

D. Administering an antidiarrheal agent is not typically indicated, as anticholinergic agents often cause constipation rather than diarrhea.

E. Assessing deep tendon reflexes is not directly relevant to the effects of anticholinergic medications and is not typically prioritized in this context.

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Correct Answer is C

Explanation

A. Metformin does not stimulate the pancreas to produce more insulin; that action is characteristic of sulfonylureas.

B. Metformin does not increase the absorption of glucose in the intestines; rather, it works by reducing the amount of glucose released into the bloodstream.

C. Metformin primarily decreases glucose production in the liver and improves insulin sensitivity in peripheral tissues, which helps lower blood sugar levels. This makes it effective for managing type 2 diabetes.

D. While metformin can have effects on fat metabolism, its primary action is not to decrease fat breakdown but to manage blood glucose levels.

A. heart rate B. blood pressure C. cognition D. assessment for signs of bleeding

Correct Answer is B

Explanation

A. heart rate is not the primary concern when assessing the interaction between NSAIDs and loop diuretics.

B. blood pressure is correct; the combination of an NSAID and a loop diuretic can lead to fluid retention, potentially elevating blood pressure. Monitoring blood pressure is crucial in this context.

C. cognition is not directly impacted by the combination of these medications.

D. assessment for signs of bleeding is important when taking NSAIDs due to their effect on platelet function, but the more immediate concern is the potential fluid retention affecting blood pressure.

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Which would be important to perform for a client who has received an anticholinergic agent? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient asks how metformin works to control blood sugar. What is the nurse's best response?

Correct Answer is C

Explanation

A client's current drug regimen includes a nonsteroidal antiinflammatory drug (NSAID) and a loop diuretic. What assessment should the nurse consequently prioritize?

Correct Answer is B

Explanation

A client exhibits muscular tremors, drooling, gait changes, and spasms. When reviewing the client's medication history, which would the nurse most likely find?

Which patient should be advised by the nurse to avoid over-the-counter cold and allergy preparations that contain phenylephrine?

What measure protects the nurse when preparing cytotoxic drugs?

A patient receiving metoclopramide is also taking an antidepressant. What should the nurse monitor for?

A nurse is educating a patient about the use of famotidine. Which statement by the patient indicates the need for further teaching?

The nurse provides a client with a dose of the beta-selective adrenergic agonist isoproterenol. Which assessment finding indicates the medication is effective?

An older adult client with hypertension has recently been prescribed a beta-adrenergic blocker and a thiazide diuretic. When educating the client about preventing and managing adverse effects, the nurse will provide which instruction?

A client taking diltiazem, a calcium channel blocker, for hypertension has come to the clinic for a follow-up appointment. The nurse will assess the client for which adverse effects?