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Author Question: A patient reports dribbling small amounts of urine but also has difficulty initiating a urine ... (Read 48 times)

corkyiscool3328

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on: Jul 24, 2018
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.


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gasdhashg

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Reply #1 on: Jul 24, 2018
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

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Reply 2 on: Jul 24, 2018
Thanks for the timely response, appreciate it

isabelt_18

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Reply 3 on: Yesterday
Excellent

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