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A nurse is reviewing the medication history of a client who reports urinary retention.
The nurse should recognize that which of the following medications can cause this adverse reaction?

Donepezil.

Scopolamine.

Metoprolol.

Acetaminophen.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Donepezil is a medication used to treat symptoms of Alzheimer’s disease and does not typically cause urinary retention.

Choice B rationale:

Scopolamine, an anticholinergic drug, can cause urinary retention. Anticholinergic drugs block the action of acetylcholine, a neurotransmitter that helps to contract the bladder muscles and relax the urinary sphincters to allow urination.

Choice C rationale:

Metoprolol is a beta-blocker used to treat high blood pressure and heart problems. It does not typically cause urinary retention.

Choice D rationale:

Acetaminophen is a common over-the-counter pain reliever and does not typically cause urinary retention.

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Correct Answer is D

Explanation

Choice A rationale:

Spreading the ointment in a 10 cm² (4 in) area is not the recommended method for nitroglycerin ointment application. The ointment should be applied over a 6x inch area in a thin, uniform layer.

Choice B rationale:

Massaging the ointment into the skin is not advised. The ointment should be applied in a thin layer and left to absorb into the skin.

Choice C rationale:

Applying the ointment in a thick layer is not recommended. A thin, uniform layer is sufficient for therapeutic effect.

Choice D rationale:

Covering the administration area with plastic wrap is the correct action. This helps to keep the ointment in place and enhances absorption.

A. "Take the medication with a sip of water.” B. "Take one tablet before a strenuous activity.” C. "Take up to four tablets in 15 minutes.” D. "Chew each tablet completely before swallowing.”

Correct Answer is B

Explanation

Choice A rationale:

Sublingual nitroglycerin should be taken without water. The tablet should be placed under the tongue and allowed to dissolve.

Choice B rationale:

It is recommended to take sublingual nitroglycerin before activities that might cause angina.

Choice C rationale:

The maximum recommended dosage is three tablets within 15 minutes, not four.

Choice D rationale:

Sublingual nitroglycerin should not be chewed. It should be allowed to dissolve under the tongue.

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A nurse is reviewing the medication history of a client who reports urinary retention.The nurse should recognize that which of the following medications can cause this adverse reaction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has angina and a new prescription for nitroglycerin ointment.Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client who has chronic stable angina and a new prescription for sublingual nitroglycerin.Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

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A nurse is reviewing the medication history of a client who reports urinary retention.
The nurse should recognize that which of the following medications can cause this adverse reaction?