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
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Prednisone is a corticosteroid used in the management of inflammatory disorders like gouty arthritis, rheumatoid arthritis and connective tissue disorders. Prednisone, like other corticosteroids have a counter regulatory effect in glucose metabolism and increases insulin resistance in the peripheral tissues leading to hyperglycemia
A- Cimetidine is a histamine receptor antagonist used in management of gastric ulcers. It has no effect of glucose tolerance.
B. Dextromethorphan is a cough suppressant use in upper respiratory infections and has no effect on glucose tolerance.
D. Atorvastatin is a lipid lowering agent used to reduce the risk of cardiovascular event such as myocardial infarction and stroke. It has no effect on glucose
Correct Answer is D
Explanation
Tolerance refers to where there is reduced responsiveness to a drug due to prolonged exposure to the drug requiring higher doses to achieve the same effect. This effect requires progressive increment in dosages of the medication which may increase the risk for toxicity.
A. Addiction is characterized by compulsive efforts to acquire the drug despite being aware of its adverse consequences
C and D are not related to the continuous need for higher doses of morphine
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