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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 C

Explanation

Choice A rationale:

Asking for a home phone number is not an effective method for identifying a patient. Phone numbers can be easily forgotten or mixed up, especially in a hospital setting where a patient may be under stress or experiencing health issues.

Choice B rationale:

Room numbers can change if the patient is moved, and other patients may have previously occupied the same room. Therefore, room numbers are not reliable identifiers.

Choice C rationale:

Asking the patient to confirm their own name is one of the most direct and reliable ways to verify their identity. This method respects patient autonomy and privacy while ensuring accurate identification.

Choice D rationale:

Age alone is not a reliable identifier because it does not distinguish between different patients of the same age.

A. Spread the ointment in a 10 cm² (4 in) area. B. Massage the ointment into the skin. C. Apply the ointment in a thick layer. D. Cover the administration area with plastic wrap.

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.

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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

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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?