Author Question: A client has been diagnosed with Urinary Retention secondary to scarring from repeated urinary tract ... (Read 94 times)

dmcintosh · **on:** Jul 22, 2018

A client has been diagnosed with Urinary Retention secondary to scarring from repeated urinary tract infections as evidenced by a bladder scan. Which of the following does the nurse anticipate the physician will order for this client?

1. An anticholinergic medication
2. Intermittent straight catheterization
3. Removal of bladder stones
4. Antibiotic therapy

Question 2

A client asks the nurse, My doctor said I need cardioversion for my dysrhythmia. Why can't I just take medication? Which of the following should the nurse respond to this client?

1. Antidysrhythmic medications have many side effects; cardioversion is considered safer..
2. Antidysrhythmic medications don't really work very well for most dysrhythmias..
3. Special diets are necessary with antidysrhythmic medications, and they are hard to follow..
4. There is a high risk of seizures when you take antidysrhythmic medications..

duy1981999 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2. Intermittent straight catheterization

Rationale:
The doctor may order straight catheterization so the client can be taught to self catheterize and manage the problem at home. Anticholinergic medications can cause urinary retention. Bladder stones are not the problem; scarring is. Antibiotic therapy is not indicated as the client does not have an infection now.

Answer to Question 2

1. Antidysrhythmic medications have many side effects; cardioversion is considered safer..

Rationale:
Antidysrhythmic medications can cause serious side effects and are normally reserved for clients with overt symptoms or for clients whose condition cannot be controlled by other means, such as cardioversion. Medications are effective for dysrhythmias; however they have many side effects. There is no need for a special diet when a client is taking an antidysrhythmic drug. Antidysrhythmic drugs do not commonly cause seizures.