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 A

Explanation

The normal appearance of regular insulin should be clear and colorless. Cloudy appearance or presence of particles indicates that the insulin has precipitated and may not be effective.
B. NPH insulin should be gently rolled between the palms to mix it but not shaken as this can lead to foaming and inaccuracy of the dose.
C. Injecting air into regular insulin first is not necessary. This step is typically done when drawing up NPH insulin to prevent the formation of air bubbles in the vial.
D. Regular insulin should be drawn up first to prevent contamination with the intermediate acting form of insulin

A. Bradycardia B. Seizures C. Constipation D. Hypothermia

Correct Answer is C

Explanation

Mydriatic eye drops are used in ophthalmology to dilate the pupil for visualization of the retina and the vitreous humor. Absorption into the system an lead to systemic anticholinergic effect such a s constipation due to reduce gastrointestinal motility.

A. Bradycardia is a cholinergic effect

B and D are not typical anticholinergic effects

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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 teaching a client how to draw up regular insulin and NPH insulin into the same syringe. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

A nurse is caring for a client who is receiving mydriatic eye drops. Which of the following manifestations indicates to the nurse that the client has developed a systemic anticholinergic effect?

Correct Answer is C

Explanation

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