An Alzheimer's patient has been taking a cholinesterase inhibitor for a week. What anticipated side effects (signs and symptoms) related to the medication would the nurse anticipate in the patient?
a. Numbness and tingling in the extremities
b. Headache and confusion
c. Nausea, vomiting, and diarrhea
d. Tinnitus, vertigo, and hearing loss
ANS: C
By elevating acetylcholine in the periphery, all cholinesterase inhibitors can cause typical cholinergic side effects, including nausea, vomiting, dyspepsia, and diarrhea.
Numbness and tingling of the extremities are not expected side effects of cholinesterase inhibitors.
Headache and confusion are not expected side effects of cholinesterase inhibitors.
Tinnitus, vertigo, and hearing loss are not expected effects of cholinesterase inhibitors.
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