A 14-year-old male is taking tolterodine (Detrol). What is the action of this drug?
Decreases the urge to void.
Acidifies urine
Prevents urinary retention.
Restores bladder tone and function.
The Correct Answer is A
A. Decreases the urge to void: Tolterodine (Detrol) is an anticholinergic medication used to treat overactive bladder by reducing bladder contractions, thereby decreasing the urge to void.
B. Acidifies urine: Tolterodine does not alter urine pH. Medications like ascorbic acid are used to acidify urine.
C. Prevents urinary retention: Tolterodine can actually cause or exacerbate urinary retention as a side effect.
D. Restores bladder tone and function: Tolterodine does not restore bladder tone but works by relaxing the bladder muscles to reduce urinary urgency and frequency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Proteus mirabilis: While Proteus species can cause UTIs, they are less common than E. coli and are often associated with catheter-related infections.
B. Pseudomonas aeruginosa: Pseudomonas causes UTIs primarily in hospitalized patients or those with indwelling catheters.
C. Klebsiella pneumoniae: Klebsiella species are less common than E. coli as causes of community-acquired UTIs.
D. E. coli: E. coli is the most common cause of community-acquired UTIs, accounting for approximately 80–90% of cases, due to its presence in the gastrointestinal tract and close proximity to the urethra.
Correct Answer is D
Explanation
A. Hematuria with abdominal bruising: Hematuria refers to blood in the urine but is not directly associated with the bruising characteristic of Grey Turner sign.
B. Bladder spasms on palpation of the abdomen: This does not describe Grey Turner sign, which is related to bleeding.
C. Distended bladder with painful urination: Grey Turner sign is not linked to bladder distension or urination issues.
D. Retroperitoneal bleeding and bruising over the flank: Grey Turner sign indicates retroperitoneal bleeding and is observed as bruising on the flanks, often a result of trauma or pancreatitis.
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