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 C
Explanation
A. Pyuria: Pyuria (pus in the urine) is a sign of UTI but is not the most common symptom in the elderly.
B. Hematuria: Blood in the urine may occur but is not as common in the elderly as confusion.
C. Confusion: In elderly patients, confusion or altered mental status is often the first and most prominent sign of a UTI due to their atypical presentation of infections.
D. Dysuria: Painful urination is a classic symptom of UTI but may not be as apparent in elderly patients as confusion.
Correct Answer is B
Explanation
A. Specific gravity: Specific gravity measures urine concentration but does not directly assess renal function.
B. Creatinine: Serum creatinine levels provide the most accurate measure of renal function as they reflect the kidney’s ability to filter waste.
C. Phosphates: Phosphate levels are affected by kidney function but are not the most direct measure.
D. BUN: Blood Urea Nitrogen (BUN) can be affected by other factors like hydration and protein intake, making it less reliable than creatinine.
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