Chapter 12 Drug
Objective: Describe clinical uses and the predictable
adverse effects
of anticholinergic agents.
NCLEX item type: cloze
Cognitive skill: recognize cues
19. The nurse knows that anticholinergic agents are
used clinically for
1
able adverse effects of
2
and
1
and have the predict-
(188)
2
and
Choose the most likely options for the information
missing from
the statements below by selecting
from
the list of options provided.
Opinion 1
Reducing salivation
Decreasing sweating
Decrease heart rate
Reducing urinary retention
Opinion 2
Increased blood pressure
Blurred vision
Dryness of the mucosa of
the nose and mouth
Reduced hearing
NCLEX item type: multiple choice
Cognitive skill: interpret
20. The nurse explains to the patient the expected ac-
tions from anticholinergic agents. Which statement
by the nurse needs to be corrected? (188)
1.
2.
3.
4.
"Anticholinergic agents are medications that
block the action of acetylcholine one of the ma-
jor neurotransmitters in the nervous system."
"The anticholinergic drugs have been associated
with increased heart rate."
"These drugs have the effect of inhibiting cho-
linergic activity result in decreasing secretions
and decreasing the motility of the GI tract."
"One of the effects of the anticholinergic drugs
is that of pupil constriction."
NCLEX item type: multiple choice
Cognitive skill: understanding
21. The nurse is concerned about possible effects of
administering anticholinergic agents to the patient
in the scenario with a known enlarged prostate from
BPH. Which of the following would be an example
of an adverse effect? (189)
1. Anticholinergics may cause an increase in urine
production.
2. Anticholinergics may cause an inability to void.
3. Anticholinergics may cause episodes of inconti-
nence.
4. Anticholinergics may cause burning on urina-
tion.



Answer :

Final answer:

Anticholinergic agents block acetylcholine, with clinical uses including reducing salivation, decreasing sweating, heart rate, and relieving urinary retention. Adverse effects may include increased heart rate, blurred vision, dryness of mucosa, and reduced hearing. In patients with an enlarged prostate, an adverse effect can be an inability to void.


Explanation:

Anticholinergic agents are medications that block the action of acetylcholine, a neurotransmitter in the nervous system. They are clinically used to reduce salivation, decrease sweating, decrease heart rate, and reduce urinary retention. Adverse effects of anticholinergic agents may include increased heart rate, blurred vision, dryness of mucosa, and reduced hearing. In a patient with an enlarged prostate, an adverse effect of anticholinergic agents could be an inability to void.


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