The nurse has taught a client with urinary incontinence about taking prescribed oxybutynin chloride.
Which of the following statements by the client would indicate a correct understanding of the teaching?

Over-the-counter Sudafed should not be taken while I am taking this medication.

I will stop taking the medication if I have any signs or symptoms of infection.

I will not combine this medication with any type of antidepressant medications.

Retention of urine can occur while taking the medication and should be reported.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Over-the-counter Sudafed contains pseudoephedrine, which can cause urinary retention by stimulating alpha-adrenergic receptors, exacerbating symptoms treated by oxybutynin. Avoiding this combination reduces the risk of adverse effects, indicating correct client understanding.

Choice B rationale

Stopping the medication due to signs of infection is incorrect. Oxybutynin addresses bladder muscle control and is not associated with infection management. Reporting adverse effects is required, but discontinuation must follow medical advice.

Choice C rationale

Antidepressants like tricyclics have anticholinergic effects similar to oxybutynin, potentially increasing adverse effects. However, abrupt contraindication is incorrect unless specified by a healthcare provider, indicating a misunderstanding.

Choice D rationale

Urinary retention is a known side effect of oxybutynin. Reporting symptoms is correct, but this statement lacks broader understanding of the medication’s use and side effect profile. .

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Correct Answer is D

Explanation

Choice A rationale

Exposure to cold climates does not directly prevent or mitigate symptoms of thalassemia. Thalassemia involves abnormalities in hemoglobin production, leading to anemia. Climate factors do not influence this pathophysiology. The emphasis for management lies in optimizing red blood cell health and addressing anemia-related complications.

Choice B rationale

Increasing oral fluid intake does not have a specific effect on the prevention of thalassemia symptoms. While adequate hydration is essential for overall health, it does not target the underlying genetic causes of hemoglobinopathies, such as mutations in alpha or beta-globin chains.

Choice C rationale

Iron and vitamin B12-rich diets may worsen complications in thalassemia. Individuals with thalassemia, especially those receiving frequent blood transfusions, are at risk of iron overload. B12 supplementation is beneficial only when deficiency exists, but routine intake does not manage thalassemia symptoms.

Choice D rationale

Many medications and substances, such as oxidative drugs, can exacerbate hemolysis or interact with blood transfusion protocols in thalassemia patients. Reviewing these lists helps prevent complications, thereby reducing symptom severity and improving management outcomes.

A. Magnesium and bilateral lower extremity ultrasounds. B. Urinalysis, blood chemistry, and 12-lead electrocardiogram. C. Complete blood count and electroencephalogram. D. Troponin, calcium, and partial thromboplastin time.

Correct Answer is B

Explanation

Choice A rationale

Magnesium and bilateral lower extremity ultrasounds are not primary diagnostic tests for hypertension-related target organ damage. Magnesium levels do not directly correlate with hypertension complications, and lower extremity ultrasounds mainly evaluate vascular issues, such as deep vein thrombosis, rather than organs affected by chronic hypertension.

Choice B rationale

Urinalysis assesses kidney function by detecting proteinuria, an indicator of renal damage due to hypertension. Blood chemistry provides electrolytes and renal function metrics, like creatinine (normal range: 0.6–1.2 mg/dL). A 12-lead ECG identifies left ventricular hypertrophy or arrhythmias linked to cardiac strain from persistent high blood pressure, a common sign of target organ damage.

Choice C rationale

Complete blood count evaluates overall health but does not specifically target organ damage related to hypertension. Electroencephalogram measures brain activity and is more relevant for neurological conditions, such as seizures, not complications from high blood pressure.

Choice D rationale

Troponin evaluates myocardial injury in acute settings like myocardial infarction, unrelated to chronic hypertension-induced organ damage. Calcium levels and partial thromboplastin time assess coagulation and bone health but do not directly indicate target organ involvement in hypertension.

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The nurse has taught a client with urinary incontinence about taking prescribed oxybutynin chloride.Which of the following statements by the client would indicate a correct understanding of the teaching?

Nursing Test Bank

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The nurse has taught a client with urinary incontinence about taking prescribed oxybutynin chloride.
Which of the following statements by the client would indicate a correct understanding of the teaching?