Which electrolyte imbalance would the nurse expect to find in a client receiving acetazolamide?

Metabolic acidosis

Metabolic alkalosis

Hyperbicarbontemia

Hypercalcemia

Answer and Explanation

The Correct Answer is A

A. Metabolic acidosis: Acetazolamide is a carbonic anhydrase inhibitor that promotes the excretion of bicarbonate, leading to a decrease in bicarbonate levels and resulting in metabolic acidosis.

B. Metabolic alkalosis: Acetazolamide causes a decrease in bicarbonate, which would lead to acidosis, not alkalosis.

C. Hyperbicarbonatemia: Acetazolamide reduces bicarbonate reabsorption, leading to a decrease in bicarbonate levels, not an increase.

D. Hypercalcemia: Acetazolamide does not cause hypercalcemia; it affects acid-base balance and bicarbonate levels.

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Correct Answer is C

Explanation

A. Hypotension: Hypotension is not a common interaction between oxybutynin and haloperidol.

B. Lowered plasma concentrations: There is no significant interaction that would lead to lowered plasma concentrations of either medication.

C. Increased effect of the antispasmodic drug: Both oxybutynin and haloperidol have anticholinergic properties. When combined, these properties can increase the risk of anticholinergic side effects, such as dry mouth, constipation, and urinary retention, enhancing the effect of oxybutynin.

D. Decreased effect of the antipsychotic drug: There is no evidence that oxybutynin would decrease the effect of haloperidol.

A. Dopamine receptors B. Beta adrenergic receptors C. Muscarinic receptors D. Alpha adrenergic receptors

Correct Answer is C

Explanation

A. Dopamine receptors: Dopamine receptors are involved in the regulation of movement and mood but are not the primary receptors affected by oxybutynin.

B. Beta adrenergic receptors: Beta adrenergic receptors are involved in smooth muscle relaxation, but oxybutynin targets the muscarinic receptors.

C. Muscarinic receptors: Oxybutynin works by blocking muscarinic receptors in the bladder, thereby reducing overactive bladder symptoms like urgency and frequency.

D. Alpha adrenergic receptors: These receptors are involved in vasoconstriction and are not the primary target of oxybutynin.

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Which electrolyte imbalance would the nurse expect to find in a client receiving acetazolamide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is taking oxybutynin for overactive bladder and haloperidol (Haldol) for antipsychotic treatment. What possible side effect should the nurse monitor for due to the interaction of these medications?

Correct Answer is C

Explanation

The nurse is describing how oxybutynin exerts its effect to a client receiving it as treatment for overactive bladder. An understanding of which receptor would the nurse integrate into the description?

Correct Answer is C

Explanation

A client with a urinary tract infection is experiencing intense burning and pain. The nurse reviews the client's electronic medical record after the client is prescribed phenazopyridine. What finding would contraindicate the safe and effective use of this medication?

A client is prescribed oxybutynin in a transdermal form. The nurse would instruct the client to apply the patch to which area? Select all that apply.

Which of the following is an important teaching point for a patient prescribed oxybutynin?

Which electrolyte imbalance would the nurse expect to find in a client receiving acetazolamide?

Why is the nurse obtaining a urine sample for culture and sensitivity?

The nurse priority assessment for a child with recurrent UTI will include: (Select All that Apply.)