A nurse is counseling a client who is experiencing urinary incontinence and has a new prescription for oxybutynin extended-release tablets. Which of the following statements should the nurse make?
"Avoid consuming high fiber foods while taking this medication."
"Limit the amount of water you drink during the day when taking this medication."
"Your urine will become orange colored while taking this medication."
"Avoid strenuous activities in warm environments while taking this medication."
The Correct Answer is D
A. "Avoid consuming high fiber foods while taking this medication.": Oxybutynin can cause constipation, but high-fiber foods help prevent this side effect. Advising the client to avoid fiber would worsen gastrointestinal issues rather than improve safety or efficacy.
B. "Limit the amount of water you drink during the day when taking this medication.": Oxybutynin has anticholinergic effects that can cause dry mouth, but restricting fluid intake can increase the risk of dehydration and urinary retention. Clients should maintain adequate hydration.
C. "Your urine will become orange colored while taking this medication.": Oxybutynin does not typically change urine color. This statement is inaccurate and may cause unnecessary concern for the client.
D. "Avoid strenuous activities in warm environments while taking this medication.": Oxybutynin inhibits sweating due to its anticholinergic properties, increasing the risk of heatstroke during exercise or in hot environments. Clients should be advised to avoid strenuous activity in heat and stay hydrated.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Metabolic acidosis: Magnesium hydroxide is an antacid and laxative that typically does not exacerbate metabolic acidosis. This condition does not require immediate notification.
B. Renal failure: Magnesium is excreted by the kidneys, and impaired renal function increases the risk of hypermagnesemia, which can cause serious cardiac and neuromuscular complications. The provider should be notified before administration.
C. Gastroesophageal reflux: Magnesium hydroxide is often used to relieve symptoms of gastroesophageal reflux. This condition is an appropriate indication, not a contraindication.
D. Constipation: Constipation is another common indication for magnesium hydroxide use, and it does not require notifying the provider before administration.
Correct Answer is A
Explanation
A. Meloxicam: Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID) that can reduce fever and relieve inflammation and pain associated with influenza. It is safe for adults and does not carry the same risk of Reye’s syndrome as aspirin in viral illnesses.
B. Diclofenac: Diclofenac is also an NSAID that reduces inflammation and pain, but it is not typically the first choice for fever management in outpatient influenza due to its higher gastrointestinal and cardiovascular risk profile.
C. Celecoxib: Celecoxib is a selective COX-2 inhibitor used primarily for chronic inflammatory conditions. It is less commonly prescribed for acute fever management in influenza.
D. Aspirin: Aspirin is generally avoided in children and adolescents with viral infections due to the risk of Reye’s syndrome. While safer in adults, other NSAIDs like meloxicam are preferred for fever management.
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