The nurse is teaching a patient about the anticholinergic agent prescribed for urinary retention. Which statement by the patient indicates a need for further teaching?
“I will limit my fluid intake.”
“I will chew gum to relieve my dry mouth.”
“I will eat fresh fruits.”
“I will not drive if I develop blurred vision.”
The Correct Answer is A
A. "I will limit my fluid intake.": Anticholinergic agents can lead to urinary retention and dehydration, so limiting fluid intake can exacerbate side effects. Patients should be encouraged to maintain adequate hydration.
B. "I will chew gum to relieve my dry mouth.": Dry mouth is a common side effect of anticholinergics, and chewing gum can help alleviate it.
C. "I will eat fresh fruits.": Fresh fruits can help prevent constipation, another common side effect of anticholinergic medications.
D. "I will not drive if I develop blurred vision.": Blurred vision is a side effect of anticholinergics, and patients should avoid driving or operating machinery if it occurs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Eliminate urinary retention: Urinary antimicrobials do not address retention; this would require medications that promote bladder emptying.
B. Have an antiseptic effect on the urine and the urinary tract: Urinary antimicrobials work by reducing bacterial growth within the urinary tract.
C. Enhance output enough to flush out the infection from the urinary tract: Increased output may help prevent infections, but antimicrobials target bacterial pathogens directly.
D. Reduce pain associated with bladder spasms caused by the infection: Analgesics, not antimicrobials, are used for pain relief.
Correct Answer is B
Explanation
A. Multiple life changes and hormone deficiencies: These factors may contribute to psychological stress but do not directly increase the risk of physical injury.
B. Bone demineralization and peripheral neuropathy: Chronic renal failure often leads to bone demineralization (secondary to disrupted calcium-phosphorus metabolism) and peripheral neuropathy (due to uremic toxins), both of which increase injury risk.
C. Impaired immune response and malnutrition: These are common in chronic renal failure but are more related to infection risk than injury.
D. Fatigue and drug side effects: While fatigue and medication effects can contribute to falls, the primary causes are bone and nerve damage.
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