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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Atenolol is a beta-blocker used to treat high blood pressure and heart-related conditions. It’s not used in the treatment of alcohol use disorder.
Choice B rationale:
Lorazepam is a benzodiazepine used to treat anxiety disorders. It can be used in the acute management of alcohol withdrawal, but it doesn’t assist in maintaining abstinence.
Choice C rationale:
Disulfiram is a medication used to support the treatment of chronic alcoholism by producing an acute sensitivity to ethanol (drinking alcohol) If alcohol is consumed when a patient has received disulfiram treatment, they suffer from a disulfiram-alcohol reaction, which can include symptoms like flushing, nausea, vomiting, and headaches. This aversive effect aids in discouraging the consumption of alcohol.
Choice D rationale:
Carbamazepine is an anticonvulsant and mood stabilizer medication used primarily in the treatment of epilepsy and bipolar disorder, not for alcohol use disorder.
Correct Answer is A
Explanation
Choice A rationale:
Hoarseness of voice can be a symptom of an allergic reaction, indicating swelling and inflammation in the throat. If the client’s voice is no longer hoarse after taking diphenhydramine, it suggests that the medication has been effective in reducing this symptom.
Choice B rationale:
Diphenhydramine is an antihistamine and can often cause drowsiness as a side effect. Therefore, feeling more alert would not typically indicate that the medication has been effective.
Choice C rationale:
While headaches can sometimes be associated with allergic reactions, they are not a primary symptom that diphenhydramine targets. Therefore, absence of a headache does not necessarily indicate effectiveness of the medication.
Choice D rationale:
Increased appetite is not typically associated with the effectiveness of diphenhydramine in treating allergic reactions.
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