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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

Answer and Explanation

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).

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Correct Answer is C

Explanation

A. Functional urinary incontinence: This occurs when mobility or cognitive impairments prevent the client from reaching the toilet in time. Since this client has a strong urge to void, functional incontinence is not the best fit.

B. Urinary retention: Urinary retention is the inability to empty the bladder completely, often leading to overflow incontinence. However, this client experiences urgency and leakage, not retention.

C. Urge urinary incontinence: This occurs when a strong, sudden urge to urinate leads to involuntary leakage before reaching the toilet. It is often due to overactive bladder or neurological issues.

D. Impaired skin integrity: While prolonged incontinence can lead to skin breakdown, the primary diagnosis should address the cause of incontinence rather than a secondary complication.

A. After the client feels abdominal cramping B. Immediately before the client has a meal C. Every 2 hr while the client is awake D. When the client has the urge to defecate

Correct Answer is D

Explanation

A. After the client feels abdominal cramping: Too late. Cramping may indicate constipation or excessive straining.

B. Immediately before the client has a meal: Not effective. The gastrocolic reflex occurs after eating, not before.

C. Every 2 hr while the client is awake: This is unnecessary and does not align with the body’s natural elimination pattern.

D. When the client has the urge to defecate: Most effective approach. Encourages natural elimination patterns.

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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.)

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

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