A patient reports dribbling small amounts of urine but also has ...

[corkyiscool3328]

A patient reports dribbling small amounts of urine but also has difficulty initiating a urine stream. The primary care NP should prescribe:
 
  a. solifenacin (VESIcare).
  b. bethanechol (Urecholine).
  c. phenazopyridine (Pyridium).
  d. oxybutynin chloride (Ditropan XL).

Question 2

A patient who takes 150 mg of clozapine (Clozaril) twice daily calls the primary care NP at 10:00 AM one day to report forgetting to take the 8:00 AM dose. The NP should counsel the patient to:
 
  a. take the missed dose now.
  b. take 75 mg of clozapine now.
  c. wait and take the evening dose at the usual time.
  d. take the evening dose 2 hours earlier than usual.

[gasdhashg]

Answer to Question 1

B
Bethanechol is a cholinergic agonist and is used to treat voiding dysfunction by increasing the activity of the detrusor muscle. Solifenacin and oxybutynin chloride are anticholinergics. Phenazopyridine is a urinary tract analgesic.

Answer to Question 2

C
Advise patients to take missed doses only if remembered within 1 hour after the time the dose was due.

[corkyiscool3328]

Thanks for the timely response, appreciate it

[cassie_ragen]

YES! Correct, THANKS for helping me on my review