Which statement by the client indicates an understanding of the administration of transdermal oxybutynin?

I will apply a new patch every day to ensure continuous medication levels.

I will apply the patch to my abdomen, hips, or buttocks and change it every 3 to 4 days.

I will take this medication orally with a full glass of water.

I will place the patch on my chest or upper arms for best absorption.

Answer and Explanation

The Correct Answer is B

A. I will apply a new patch every day to ensure continuous medication levels: This is incorrect. The patch should be changed every 3 to 4 days, not daily.

B. I will apply the patch to my abdomen, hips, or buttocks and change it every 3 to 4 days: This is correct. Transdermal oxybutynin patches should be applied to the specified areas (abdomen, hips, or buttocks) and changed every 3 to 4 days.

C. I will take this medication orally with a full glass of water: This statement is incorrect as it refers to oral oxybutynin, not the transdermal form.

D. I will place the patch on my chest or upper arms for best absorption: This is incorrect as the patch should be placed on the abdomen, hips, or buttocks for optimal absorption.

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Correct Answer is D

Explanation

A. purple: Phenazopyridine does not cause purple urine.

B. blue: Blue urine is not associated with phenazopyridine.

C. green: Green urine is not a typical side effect of phenazopyridine.

D. orange: Correct. Phenazopyridine is a urinary analgesic that causes a distinctive orange-red discoloration of the urine.

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 statement by the client indicates an understanding of the administration of transdermal oxybutynin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse should advise clients taking phenazopyridine that they may notice a change in urine color. Which color would the nurse identify?

Correct Answer is D

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

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

A client diagnosed with a urinary tract infection (UTI) asks the nurse about how to prevent another infection. Which statement by the client indicates effective teaching by the nurse?

A client comes to the clinic with reports of dysuria and frequency. The nurse practitioner suspects that the client is experiencing a UTI. Which laboratory testing would be most important?

Which statement by the client indicates an understanding of the administration of transdermal oxybutynin?

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 action should a nurse recommend to a patient experiencing dry mouth as a side effect of a urinary antispasmodic medication?

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?