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 D
Explanation
Choice A rationale:
Fexofenadine can be taken with or without food, and there are no specific interactions with magnesium hydroxide. However, it’s always important to consult a healthcare provider before combining medications.
Choice B rationale:
While staying hydrated is generally good advice, there’s no specific requirement to drink up to one liter of fluid per day while taking fexofenadine.
Choice C rationale:
Fexofenadine should not be taken with fruit juices such as orange juice because they can decrease the absorption of the medication, making it less effective.
Choice D rationale:
Fexofenadine can cause side effects such as dizziness or drowsiness in some people. Therefore, it’s important to avoid driving or operating heavy machinery until you know how this medication affects you.
Correct Answer is C
Explanation
Choice A rationale:
Donepezil does not decrease urinary output. It works by increasing the amount of a certain naturally occurring substance in the brain.
Choice B rationale:
Donepezil does not improve pulmonary function. Its primary function is to improve mental function.
Choice C rationale:
Donepezil improves cognitive function. It can improve thinking ability and slow the loss of these abilities in people who have Alzheimer’s disease.
Choice D rationale:
Donepezil does not decrease the incidence of seizures. In fact, patients should inform their healthcare provider if they have a history of seizures before starting donepezil.
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