Page 2068 - Saunders Comprehensive Review For NCLEX-RN

interfere with medication availability
to the CNS.
n. When administering carbidopa-
levodopa, instruct the client to avoid
excessive vitamin B intake to prevent
6
medication reactions.
C. Anticholinergic medications
1. Description
a. Anticholinergic medications block the
cholinergic receptors in the CNS,
thereby suppressing acetylcholine
activity.
b. They reduce the tremors and drooling
but have a minimal effect on the
bradykinesia, rigidity, and balance
abnormalities.

c. They are contraindicated in

clients with glaucoma.
d. The client with chronic obstructive lung
disease can develop dry, thick mucous
secretions.
2. Medications (see Box 59-5)

3. Side and adverse effects

a. Blurred vision
b. Dryness of the nose, mouth, throat, and
respiratory secretions
c. Increased pulse rate, palpitations, and
dysrhythmias
d. Constipation
e. Urinary retention
f. Restlessness, confusion, depression, and
hallucinations
g. Photophobia

4. Interventions

a. Monitor vital signs.
b. Assess for risk of injury.
c. Monitor the client for improvement in
signs and symptoms.
d. Assess the client’s bowel and urinary
function and monitor for urinary
retention, constipation, and paralytic
ileus.
e. Monitor for involuntary movements.
f. Encourage the client to avoid alcohol,

2068