A nurse is caring for a client Who is postoperative following a transurethral resection of the prostate (TURP). The nurse should plan to administer the client's PRN bethanechol when the client reports Which of the following manifestations?

Bladder spasms

Frequent episodes of painful urination

Severe pain.

Inability to void

Answer and Explanation

The Correct Answer is D

Bethanechol is a cholinergic agonist used to stimulate contraction of the bladder to help in the expulsion of urine. It is used in the management of urinary retention by promoting bladder emptying. Therefore, it should be administered when the client reports an inability to void, as this indicates urinary retention
A.   Bladder spasms are treated with Oxybutynin
B.   Frequent painful urination is a feature of UTI requiring antibiotics
C.   Bethanechol has no analgesic property

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Correct Answer is B

Explanation

The client is exhibiting symptoms and signs of anaphylaxis. Anaphylaxis is a severe systemic allergic reaction that occurs due to allergens presenting with (itching) urticaria and sudden onset shortness of breath and/or shock. The first action should be to stop the infusion to prevent worsening the severity of the allergic reaction.

A. Important to allow for further prescription but not a priority

C. Auscultating the lungs allows the nurse to assess for the severity of the reaction but should come after stopping the infusion

D. Elevating the head can improve ventilation but is not a priority

A. "Taking the medication between meals will help you avoid becoming constipated." B. "Taking the medication with food increases the risk of esophagitis." C. "The medication can cause nausea if taken with food." D. "Taking the medication between meals will help you absorb the medication more efficiently."

Correct Answer is D

Explanation

Iron absorption is enhanced when taken between meals as some foods may inhibit absorption especially if the food contains tannins, calcium and fiber. Taking ferrous sulfate tablets between meals helps maximize iron absorption and ensures optimal effectiveness in treating iron deficiency anemia.

A. Taking ferrous sulfate between meals does not prevent constipation.

B. Taking iron supplements with food may help reduce gastrointestinal side effects such as nausea and irritation.

C. Ferrous sulfate can cause nausea regardless of time taken

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A nurse is caring for a client Who is postoperative following a transurethral resection of the prostate (TURP). The nurse should plan to administer the client's PRN bethanechol when the client reports Which of the following manifestations?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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