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

Glimepiride is a sulphonylurea. It stimulates the pancreatic beta cells to produce insulin. It has potential for causing hypoglycemiaa. Alcohol intoxication also causes hypoglycemia worsening the risk of hypoglycemia when used with glimepiride
A, B, D- do not have significant interaction with glimepiride.

A. “I’ll be glad when I can stop taking this medicine” B. “I will notify my doctor before taking any other medications” C. "I have made an appointment to see my dentist next week." D. "1 know that I cannot switch brands of this medication."

Correct Answer is A

Explanation

Phenytoin is a lifelong medication for clients presenting with unprovoked seizures. The statement shows that the client has not understood their current management plan or is in denial and requires further counselling to promote adherence.

B.Notifying the doctor before taking any other medication is important as certain drug interactions can lead to toxicity of inadequate blood levels of phenytoin.

C.This is correct as it shows understanding that phenytoin can cause oral adverse effects such as gingival hyperplasia

D.Shows understanding that some drug preparations could have incipient that may cause adverse effects that the originally tolerated agent

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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 Who has diabetes mellitus and a new prescription for glimepiride. The nurse should teach the client to avoid which of the following drinks while taking this medication?

Correct Answer is C

Explanation

A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is A

Explanation

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?

A nurse is teaching a client who has a new prescription for prednisone to treat rheumatoid arthritis. The nurse should inform the client that which of the following is a therapeutic effect of this medication?

A nurse is preparing to administer phenytoin 50 mg IV bolus to a client Who has a seizure disorder. The medication is supplied as a 50 mg/mL vial. Which of the following actions should the nurse take?

A nurse is providing dietary teaching for a client who takes furosemide. The nurse should recommend which of the following foods as the best source of potassium?

A nurse is caring for a client who is experiencing severe nausea and vomiting after a course of chemotherapy. The nurse should monitor the client for which of the following clinical manifestations?

A nurse is assessing a client who is receiving a parental lipid infusion. Which of the following findings is a manifestation of fat overload syndrome?

A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide Will relieve her nausea. Which of the following explanations should the nurse provide?

A nurse is caring for a client who has a traumatic head injury and is exhibiting signs of increasing intracranial pressure. Which Of the following medications should the nurse plan to administer?