C HAPTER 21: C HOLINERGIC -B LOCKING
D RUGS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. The nurse will monitor for which adverse effect when administering an
anticholinergic drug?
a. Excessive urination
b. Diaphoresis
c. Dry mouth
d. Pupillary constriction
ANS: C
Anticholinergic drugs commonl y cause the adverse effects of dry
mouth, blurred vision, constipation, and urinary retention. They also
cause m ydriasis (pupillary dilation).
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
2. The nurse is reviewing a patient ’s medication history and notes that the
patient is taking the cholinergic blocker tolterodine. Which is an
indication for this medication?
a. Irritable bowel disease
b. Induction of m ydriasis
, c. Urge incontinence
d. Reduction of secretions preoperativel y
ANS: C
Tolterodine (Detrol) is used for urinary frequency, urgency, and urge
incontinence caused by bladder (detrusor) overact ivit y. The conditions
in the other options are not indications.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Planning
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. A patient has been taking tolt erodine, but today her prescriber changed
her to a newer drug, darifenacin. What advantage does darifenacin have
over the tolterodine?
a. The newer cholinergic-blocker drugs are more effective.
b. It helps reduce urinary retention.
c. It can be used in patients wit h narrow-angle glaucoma.
d. The incidence of dry mouth is much lower with darifenacin.
ANS: D
The incidence of dry mouth is much lower with use of the newer
cholinergic-blocker drugs, such as darifenacin, because the actions of
these drugs are more specific for the bladder as opposed to the salivary
glands. These drugs are contraindicated if narrow -angle glaucoma or
urinary retention is present. The newer cholinergic -blocker drugs are
not necessaril y more effective.
DIF: Cognitive Level: Understanding (Compre hension)
TOP: Nursing Process: Implementation
D RUGS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. The nurse will monitor for which adverse effect when administering an
anticholinergic drug?
a. Excessive urination
b. Diaphoresis
c. Dry mouth
d. Pupillary constriction
ANS: C
Anticholinergic drugs commonl y cause the adverse effects of dry
mouth, blurred vision, constipation, and urinary retention. They also
cause m ydriasis (pupillary dilation).
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
2. The nurse is reviewing a patient ’s medication history and notes that the
patient is taking the cholinergic blocker tolterodine. Which is an
indication for this medication?
a. Irritable bowel disease
b. Induction of m ydriasis
, c. Urge incontinence
d. Reduction of secretions preoperativel y
ANS: C
Tolterodine (Detrol) is used for urinary frequency, urgency, and urge
incontinence caused by bladder (detrusor) overact ivit y. The conditions
in the other options are not indications.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Planning
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. A patient has been taking tolt erodine, but today her prescriber changed
her to a newer drug, darifenacin. What advantage does darifenacin have
over the tolterodine?
a. The newer cholinergic-blocker drugs are more effective.
b. It helps reduce urinary retention.
c. It can be used in patients wit h narrow-angle glaucoma.
d. The incidence of dry mouth is much lower with darifenacin.
ANS: D
The incidence of dry mouth is much lower with use of the newer
cholinergic-blocker drugs, such as darifenacin, because the actions of
these drugs are more specific for the bladder as opposed to the salivary
glands. These drugs are contraindicated if narrow -angle glaucoma or
urinary retention is present. The newer cholinergic -blocker drugs are
not necessaril y more effective.
DIF: Cognitive Level: Understanding (Compre hension)
TOP: Nursing Process: Implementation
