The nurse is caring for a patient taking a cholinergic agent. When auscultating lung sounds, the nurse notes inspiratory and expiratory wheezing bilaterally. The best action for the nurse to take would be to
a. provide the next dose of the cholinergic agent immediately.
b. assess heart rate and blood pressure.
c. reposition the patient.
d. withhold the next dose and notify the physician.
ANS: D
Serious respiratory adverse effects of cholinergic agents include bronchospasm and wheezing. If these symptoms present, the next dose of the cholinergic agent should be withheld until the patient is evaluated by a health care provider.
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