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 B

Explanation

Choice A rationale

Teaching preventive measures is important for reducing recurrence of urinary tract infections (UTIs). These measures may include proper hydration, perineal hygiene, and urinating after intercourse. However, addressing preventive strategies is a long-term consideration and not the immediate priority for managing the active infection or preventing acute complications.

Choice B rationale

Preventing progression to complications is the priority in lower UTIs to avoid upper urinary tract involvement, such as pyelonephritis. This involves timely antibiotic administration and monitoring for signs like fever, flank pain, or worsening urinary symptoms. Pyelonephritis can lead to systemic complications like sepsis, making prevention critical to client safety.

Choice C rationale

Educating about treatment, such as the prescribed antibiotics and their potential side effects, ensures adherence and understanding. While valuable, it does not take precedence over immediate measures to halt disease progression or complications. Education supports long-term management but follows urgent clinical priorities.

Choice D rationale

Pain management is essential for comfort, addressing dysuria or pelvic pain associated with UTIs. Methods include analgesics like phenazopyridine. However, it is a supportive measure rather than a critical intervention for preventing complications, making it secondary to stopping the progression of the infection.

A. Teach the client to avoid rectal and injection medications. B. Teach the client about using an electric razor. C. Prepare the client for a prescribed blood transfusion. D. Teach the client to avoid constipation. E. Explain the importance of avoiding taking sulfa-containing medications.

Correct Answer is ["A","B","D","E"]

Explanation

Choice A rationale

Clients with immune thrombocytopenic purpura (ITP) have a low platelet count, increasing the risk of bleeding. Avoiding rectal and injection medications minimizes the risk of mucosal damage and bleeding complications due to trauma caused by insertion or puncture. This precaution is especially critical as bleeding may not be easily controlled in these clients.

Choice B rationale

An electric razor prevents the risks associated with minor cuts or abrasions that could occur during shaving, which would be difficult to control due to low platelet levels. These injuries could lead to prolonged bleeding or bruising in ITP clients, compromising their safety further.

Choice C rationale

Blood transfusions are generally not indicated as routine interventions for ITP because platelet transfusions may not consistently improve platelet count due to antibody-mediated destruction. Treatment often focuses on medication and careful monitoring rather than transfusion.

Choice D rationale

Constipation should be avoided to reduce strain during bowel movements, which can result in rectal bleeding due to vascular damage in the area. The fragile nature of blood vessels in clients with ITP necessitates such preventive measures to avoid complications.

Choice E rationale

Sulfa-containing medications are known to exacerbate thrombocytopenia in some patients. Avoiding these medications minimizes further platelet depletion, which is vital for managing the condition and preventing severe bleeding episodes.

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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

Naxlex Comprehensive Predictor Exams

The nurse is planning care for a female client with a lower urinary tract infection (UTI). Which of the following interventions should be the priority for the nurse to include in the client's plan of care?

Correct Answer is B

Explanation

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Correct Answer is ["A","B","D","E"]

Explanation

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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?