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 ["B","D","E","F"]
Explanation
A. Topical estrogen: Estrogen therapy is used for recurrent UTIs in postmenopausal women due to atrophic changes but is not directly for UTI treatment.
B. Urinary tract antiseptics: These are used to prevent and treat UTIs by exerting a local antibacterial effect.
C. Diuretics: Diuretics promote urine production but do not treat infections.
D. Antispasmodic agents: These relieve bladder spasms associated with UTIs.
E. Antibiotics: Antibiotics are the primary treatment for UTIs.
F. Analgesics: Analgesics, such as phenazopyridine, are used to manage pain caused by UTIs.
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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