Author Question: A man with a neurogenic bladder secondary to a spinal tumor has been taking bethanechol. The patient ... (Read 34 times)

Sportsfan2111 · **on:** Jul 23, 2018

A man with a neurogenic bladder secondary to a spinal tumor has been taking bethanechol. The patient has illuminated his call light, and the nurse has found him anxious, diaphoretic, and visibly flushed.

Following a safety assessment, what action should the nurse take? A) Prepare to administer an IV dose of epinephrine to mitigate the effects of acetylcholine.
B) Contact the physician as the patient may be experiencing a cholinergic crisis.
C) Insert a Foley catheter as the patient may have excessive urine in his bladder.
D) Assess the volume of the patient's bladder contents using a bladder ultrasound.

Question 2

It is important for the nurse to stay informed of the most current recommendations for immunizations. Which of the following sources is most accurate regarding immunization guidelines?

A) American Academy of Pediatrics
B) American Academy of Family Physicians
C) American Academy of Infectious Disease Physicians
D) Centers for Disease Control and Prevention

BAOCHAU2803 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
The presence of sweating and skin flushing in a patient taking bethanechol is suggestive of a cholinergic crisis. This is a medical emergency that warrants prompt intervention by the care team. This problem is not treated with epinephrine. Assessing the patient's bladder or inserting a Foley catheter is not sufficient.

Answer to Question 2

D
Feedback:
The best source of information for current recommendations is the Centers for Disease Control and Prevention. The American Academy of Pediatrics, American Academy of Family Physicians, and American Academy of Infectious Disease Physicians are all sources of immunization information, but their information is based on the CDC's information.