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 C

Explanation

Allopurinol is used to lower uric acid levels in the body in gouty arthritis preventing acute attacks. Increasing fluid intake while taking allopurinol is important because it helps to prevent the formation of kidney stones by flushing out uric acid, a potential side effect of the medication
A. Taking an antihistamine for a rash caused by allopurinol is not recommended without consultation
B. Taking aspirin for a fever while on allopurinol is not recommended without consultation with a physician
D. Allopurinol can be taken with or without food.

A. “Warfarin takes several days to work so the IV heparin will be used until the warfarin therapeutic level is reached” B. “I will tell the provider to get a prescription for discontinuing the IV heparin today. C. "The IV heparin increases the effects of the warfarin and decreases the length of your hospital Stay." D. "Both heparin and warfarin work together to dissolve the clots."

Correct Answer is A

Explanation

Rationale-Warfarin is a coumarin oral anticoagulant. Unlike heparin, warfarin has an onset of action of 4-5 days and requires this duration to give its effect. Before its action takes effect, heparin is required to bridge the gap to prevent clot formation hence the overlap period. IV heparin has no effect on the action of warfarin as an anticoagulant as they have different modes of action

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client Who has gout and a new prescription for allopurinol. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

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