Author Question: A nurse is caring for a client with urinary retention who is receiving a cholinergic drug as part of ... (Read 37 times)

crazycityslicker · **on:** Jul 23, 2018

A nurse is caring for a client with urinary retention who is receiving a cholinergic drug as part of the treatment plan. After administering the drug, the nurse would notify the primary health care provider

if the assessment reveals which of the following?

A) Failure to void after drug administration
B) Frequent vomiting after drug administration
C) Increase in abdominal pain after drug administration
D) Occurrence of blood in urine after drug administration

Question 2

A nurse is caring for a client with urinary retention who is prescribed bethanechol. The nurse would administer this drug cautiously if the client has which of the following?

A) Raynaud's disease
B) Bradycardia
C) Coronary artery disease
D) Hyperthyroidism

swimkari · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: A
Feedback:
The nurse should notify the primary health care provider if the client fails to void after drug administration. Frequent vomiting, increase in abdominal pain, and occurrence of blood in urine are not usually observed when urinary retention is treated with cholinergic therapy.

Answer to Question 2

Ans: B
Feedback:
The nurse should administer bethanechol cautiously if a client has bradycardia, hypertension, epilepsy, cardiac arrhythmias, recent coronary occlusion, or megacolon. Cautious use is not necessary if the client has Raynaud's disease, coronary artery disease, or hyperthyroidism.