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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 A

Explanation

Choice A rationale:

“Inject the medication into the subcutaneous tissue of your abdomen.” This is correct because exenatide is a type of medication that needs to be injected subcutaneously for it to be absorbed into the body properly.

Choice B rationale:

“Discard excess medication after 60 days.” This statement is incorrect because exenatide pens are usually good for 30 days after the first use.

Choice C rationale:

“Take the medication at bedtime.” This is incorrect because exenatide should be taken within 60 minutes before the morning and evening meal.

Choice D rationale:

“Contact the provider if you experience unexplained muscle pain.” While this is generally good advice when starting any new medication, muscle pain is not a common side effect of exenatide.

A. Hypotension. B. Drowsiness. C. Anorexia. D. Tremors.

Correct Answer is D

Explanation

Choice A rationale:

Hypotension is not typically a symptom of withdrawal from diazepam. Withdrawal from diazepam, a benzodiazepine, usually results in symptoms opposite to its therapeutic effects.

Choice B rationale:

Drowsiness is not a symptom of withdrawal from diazepam. In fact, insomnia or difficulty sleeping may occur during withdrawal.

Choice C rationale:

Anorexia or loss of appetite may occur during withdrawal from some substances but it’s not typically associated with benzodiazepine withdrawal.

Choice D rationale:

Tremors are a common symptom of withdrawal from diazepam. Other symptoms can include anxiety, restlessness, irritability, and even seizures in severe cases.

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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 reinforcing discharge teaching with a client who has a new diagnosis of type 2 diabetes mellitus and a prescription for exenatide.Which of the following instructions should the nurse include in the teaching?

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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?