Author Question: The nurse administers a prescribed oral dose of bethanechol to a client with urinary retention at ... (Read 26 times)

krzymel · **on:** Jul 23, 2018

The nurse administers a prescribed oral dose of bethanechol to a client with urinary retention at 9:30 a.m. The nurse would notify the primary health care provider if the client has not voided by which time?

A) 9:45 a.m.
B) 10 a.m.
C) 10:30 a.m.
D) 11 a.m.

Question 2

A client with myasthenia gravis who is prescribed pyridostigmine comes to the emergency department complaining of abdominal cramping, excessive diarrhea, and severe muscle weakness. The nurse would suspect which of the following?

A) Underdosage of the drug
B) Tolerance to the drug
C) Cholinergic crisis
D) Underlying infection

xoxo123 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: D
Feedback:
When bethanechol is administered orally, the client should void within 30 to 90 minutes. Therefore, if the client has not yet voided by 11 a.m., the nurse should notify the primary health care provider.

Answer to Question 2

Ans: C
Feedback:
Cholinergic crisis (cholinergic drug toxicity) symptoms include severe abdominal cramping; diarrhea; excessive salivation; muscle weakness, rigidity, and spasms; and clenching of the jaw. Signs of drug underdosage are signs of the disease itself, namely, rapid fatigability of the muscles, drooping of the eyelids, and difficulty breathing. Tolerance would be indicated by a reduction in the adverse reactions to the drug that the client was experiencing. There is no information to suggest that the client has an underlying infection.