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A client is taking cyclobenzaprine (Flexeril) for acute muscle spasms of the back. The nurse educates the client on which possible anticholinergic side effects associated with this medication? (Select all that apply)

A.

Decreased Urination

B.

Diarrhea

C.

Dry Mouth

D.

Tachycardia

E.

Excessive Lacrimation

F.

Excessive Sweating

Question Solution

Correct Answer : A,C,D

A. Decreased urination is an anticholinergic side effect due to the medication's action on the bladder.  

 

B. Diarrhea is not an anticholinergic side effect; in fact, anticholinergics typically cause constipation.  

 

C. Dry mouth is a common anticholinergic side effect, resulting from reduced saliva production.  

 

D. Tachycardia can occur as an anticholinergic effect due to decreased vagal tone.  

 

E. Excessive lacrimation is not associated with anticholinergic effects; it is the opposite, as anticholinergics usually lead to dry eyes.  

 

F. Excessive sweating is contrary to anticholinergic effects, which often result in decreased sweating.


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Correct Answer is C

Explanation

A. A BMI greater than 30 is a consideration, but it is not an absolute contraindication for the use of POPs.

B. Ginger does not interact adversely with progestin-only pills and is not a contraindication.

C. A history of hypertension can increase the risk of cardiovascular events, and while POPs are generally safer than combined hormonal contraceptives for women with hypertension, it should still be monitored and reported to the healthcare provider.

D. Having no intention of conceiving is not a contraindication; in fact, it is a common reason for using contraceptive methods like POPs.

Correct Answer is A

Explanation

A. Ciprofloxacin is a fluoroquinolone antibiotic that is effective against Bacillus anthracis, the bacterium that causes anthrax. It is often used as a first-line treatment for exposure to anthrax, especially in its inhalational form.

B. While amoxicillin/clavulanate can treat certain infections, it is not the preferred treatment for anthrax. It is less effective against anthrax compared to ciprofloxacin.

C. Nystatin is an antifungal medication used to treat fungal infections and is not indicated for anthrax treatment.

D. Metronidazole is primarily used for anaerobic bacterial and protozoal infections, making it inappropriate for treating anthrax.

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