A nurse administers an antimuscarinic to a patient. A decrease in which findings indicate the patient is having therapeutic effects from this medication? (Select all that apply.)
(Select All that Apply.)
Urgency
Frequency
Dysuria
Prostate size
Bladder infection
Correct Answer : A,B,C
A. Urgency: Antimuscarinic medications reduce bladder contractions, thereby decreasing the sudden urge to urinate.
B. Frequency: These medications help by increasing bladder capacity and reducing the need to urinate frequently.
C. Dysuria: Some antimuscarinics can alleviate bladder irritation, which may improve dysuria (painful urination) in certain conditions.
D. Prostate size: Antimuscarinics do not reduce prostate size. Medications like 5-alpha reductase inhibitors (e.g., finasteride) are used for this purpose.
E. Bladder infection: Antimuscarinics do not treat infections. Antibiotics are required to treat bladder infections (UTIs).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Intravenous pyelogram: IVP is a specialized X-ray with contrast dye that visualizes the kidneys, ureters, and bladder, helping detect kidney stones, obstructions, or abnormalities. Calcium phosphate crystals suggest nephrolithiasis (kidney stones).
B. Cystoscopy examines the bladder and urethra, but it does not visualize the kidneys or ureters, where stones typically originate.
C. Mid-stream urinalysis alone does not confirm kidney stones, though it may show hematuria, infection, or crystal types.
D. Bladder scan assesses urinary retention or post-void residual volume, not kidney stones.
Correct Answer is C
Explanation
A. Hold the penis at a 30° to 45° angle when inserting the catheter. The penis should be held at a 90° angle to straighten the urethra and facilitate catheter insertion.
B. Perform catheterization when you recognize the urge to void. Clients with BPH may not sense the urge due to urinary retention. Catheterization should be performed at scheduled intervals to prevent bladder overdistention.
C. Use soap and water to wash the catheter after each use. Proper cleaning of the catheter with soap and water helps prevent infection and prolongs the catheter’s usability.
D. Inflate the balloon when the urine flow stops. Self-catheterization uses a straight catheter, which does not have a balloon for inflation (balloons are used in indwelling catheters).
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