Which adverse effect(s) is/are common when a patient is receiving a cholinergic agent? (Select all that apply.)

a. Nausea
b. Hypertension
c. Dizziness
d. Bradycardia
e. Constipation


ANS: A, C, D
Cholinergic agents produce effects similar to those of acetylcholine. Cholinergic actions increase gastrointestinal (GI) motility and secretions that can cause nausea, vomiting, diarrhea, and abdominal cramping. GI symptoms tend to be dose related and may be controlled by decreasing the dosage. Dizziness is a common adverse effect and can be minimized by rising slowly from a sitting or supine position. Cholinergic agents slow the heart rate, have a hypotensive effect, increase GI motility, and result in diarrhea and cramping.

Nursing

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