A nurse is caring for a client Who is postoperative following a transurethral resection of the prostate (TURP). The nurse should plan to administer the client's PRN bethanechol when the client reports Which of the following manifestations?
Bladder spasms
Frequent episodes of painful urination
Severe pain.
Inability to void
The Correct Answer is D
Bethanechol is a cholinergic agonist used to stimulate contraction of the bladder to help in the expulsion of urine. It is used in the management of urinary retention by promoting bladder emptying. Therefore, it should be administered when the client reports an inability to void, as this indicates urinary retention
A. Bladder spasms are treated with Oxybutynin
B. Frequent painful urination is a feature of UTI requiring antibiotics
C. Bethanechol has no analgesic property
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Acute shortness of breath in a client with a central venous catheter could be secondary to various respiratory complications such as pulmonary embolism and pneumothorax. Taking the appropriate action requires a quick assessment through auscultation as the emergency management of the various complications is different.
A. This is the immediate action to prevent more air from entering the venous system.
B. The left lateral trendelenburg position is relevant in hypotension but not a priority action.
C.uscultating breath sounds is an important assessment, especially if the cause of the shortness of breath is unclear. It can help identify wheezing, crackles, or absence of breath sounds, which may suggest conditions like pneumothorax, pulmonary embolism, or infection. However, while auscultation is an important diagnostic step, it is typically done after initial interventions (such as positioning or administering oxygen) to stabilize the client.
D. Initiating oxygen therapy is important in cases of respiratory distress but assessment is priority in this case
Correct Answer is B
Explanation
Aspirin has multiple properties which include antiplatelet, anti- inflammatory and analgesic properties. Any client on aspirin should be monitored for bleeding as aspirin interferes with the formation of the primary plug increasing the risk on bleeding. The nurse should monitor for dark stool, hematuria or any other overt bleeding.
A, C, D- Aspirin does not cause blurred vision, insomnia or constipation.
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