An infant is prescribed oxybutynin chloride (Ditropan) for ...

[student77]

An infant is prescribed oxybutynin chloride (Ditropan) for neurogenic bladder. What should the nurse instruct the parents about this medication?
 
  A) This medication has no adverse effects.
  B) Check the child frequently for sweating.
  C) Schedule appointments with the health care provider when necessary.
  D) Provide the child with the medication when urinary output is sluggish.

Question 2

A woman with preterm labor is receiving magnesium sulfate. Which finding would require the nurse to intervene immediately?
 
  A) Respiratory rate of 16 breaths per minute
  B) Diminished deep tendon reflexes
  C) Urine output of 45 mL/hour
  D) Alert level of consciousness

[cpetit11]

Answer to Question 1

B
Feedback:
: One adverse effect of oxybutynin chloride (Ditropan) is sweating. Sweating can cause a rise in body temperature. The parents should be encouraged to restrict the child from being exposed to high temperatures. Adverse effects of this medication include drowsiness, dizziness, blurred vision, and sweating. Appointments with the health care provider should be frequent so the effects of this medication can be evaluated. The medication should be taken as prescribed and not only when the child's urinary output is sluggish.

Answer to Question 2

B
Feedback:
Diminished deep tendon reflexes suggest magnesium toxicity, which requires immediate intervention. Additional signs of magnesium toxicity include a respiratory rate less than 12 breaths/minute, urine output less than 30 mL/hour, and a decreased level of consciousness.