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 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. Risk for impaired urinary elimination B. Risk for alteration in body image C. Risk for alteration in bowel elimination D. Risk for altered comfort: dry mouth

Correct Answer is D

Explanation

A. Risk for impaired urinary elimination: Oxybutynin is used to treat urinary urgency, so it is unlikely to impair urinary elimination and may even improve it.

B. Risk for alteration in body image: There is no direct association between oxybutynin use and body image concerns.

C. Risk for alteration in bowel elimination: Oxybutynin can cause constipation, but this is not the highest priority compared to dry mouth.

D. Risk for altered comfort: dry mouth: Dry mouth is a common and bothersome side effect of oxybutynin, making comfort the highest priority concern.

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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

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

What is the highest priority nursing diagnosis for a client with a history of urinary urgency who is taking oxybutynin (Ditropan)?

Correct Answer is D

Explanation

Fluoroquinolones, such as norfloxacin, are commonly prescribed antibiotics given to treat which of the following?

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

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?

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?

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