The nurse is preparing the discharge for a client being prescribed scopolamine (Scopace) for motion sickness. Which potential side effects would the nurse inform the client regarding this particular medication class? Select All that Apply.
Excessive sweating
Bradycardia
Diarrhea
Urinary retention
Constipation
Dry Mouth
Correct Answer : D,E,F
A. Excessive sweating is not typically associated with anticholinergic medications like scopolamine; in fact, these medications can lead to decreased sweating.
B. Bradycardia can occur with certain medications but is more commonly associated with other drug classes rather than scopolamine, which typically causes tachycardia.
C. Diarrhea is not a common side effect of scopolamine; instead, anticholinergics often cause constipation.
D. Urinary retention is a known side effect of scopolamine due to its anticholinergic properties, which can affect bladder function.
E. Constipation is a common side effect of anticholinergic medications, including scopolamine.
F. Dry mouth is another common side effect due to decreased salivary secretions resulting from anticholinergic activity.
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Correct Answer is A
Explanation
A. Diphenhydramine is an H1 antihistamine that works by blocking the effects of histamine at H1 receptor sites, thus alleviating allergy symptoms.
B. H2 receptor sites are primarily involved in gastric acid secretion, and diphenhydramine does not affect these receptors.
C. Diphenhydramine does not stimulate histamine effects; it blocks them instead.
D. The medication does not occupy all H receptor sites; it specifically targets H1 receptors to exert its effects.
Correct Answer is B
Explanation
A. Tardive dyskinesia is primarily associated with long-term use of antipsychotics, not SSRIs like sertraline.
B. Serotonin syndrome is a serious condition that can occur with overdose or interaction of SSRIs, leading to symptoms such as agitation, confusion, rapid heart rate, and increased muscle tone.
C. Hypertensive emergency is not typically associated with SSRIs; it is more related to the use of MAOIs and certain foods.
D. Extrapyramidal syndrome is also primarily linked to antipsychotics rather than SSRIs and would not be a concern with sertraline use.