The nurse is teaching a patient about the anticholinergic agent prescribed for urinary retention. Which statement by the patient indicates a need for further teaching?
“I will limit my fluid intake.”
“I will chew gum to relieve my dry mouth.”
“I will eat fresh fruits.”
“I will not drive if I develop blurred vision.”
The Correct Answer is A
A. "I will limit my fluid intake.": Anticholinergic agents can lead to urinary retention and dehydration, so limiting fluid intake can exacerbate side effects. Patients should be encouraged to maintain adequate hydration.
B. "I will chew gum to relieve my dry mouth.": Dry mouth is a common side effect of anticholinergics, and chewing gum can help alleviate it.
C. "I will eat fresh fruits.": Fresh fruits can help prevent constipation, another common side effect of anticholinergic medications.
D. "I will not drive if I develop blurred vision.": Blurred vision is a side effect of anticholinergics, and patients should avoid driving or operating machinery if it occurs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Prevent further damage to his kidneys that could lead to renal failure: The primary goal in managing pyelonephritis is to prevent complications such as renal damage or progression to renal failure.
B. Give pain relief with analgesics and antispasmodics: Pain relief is important but secondary to preventing renal damage.
C. Provide adequate nutrition with a stable body weight: Nutrition is important but not the primary goal in acute pyelonephritis.
D. Provide adequate hydration with pulse and blood pressure within patient norms: Hydration is crucial but supports the primary goal of preserving kidney function.
Correct Answer is A
Explanation
A. Decreases the urge to void: Tolterodine (Detrol) is an anticholinergic medication used to treat overactive bladder by reducing bladder contractions, thereby decreasing the urge to void.
B. Acidifies urine: Tolterodine does not alter urine pH. Medications like ascorbic acid are used to acidify urine.
C. Prevents urinary retention: Tolterodine can actually cause or exacerbate urinary retention as a side effect.
D. Restores bladder tone and function: Tolterodine does not restore bladder tone but works by relaxing the bladder muscles to reduce urinary urgency and frequency.
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