This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient will begin using a transdermal preparation of a muscarinic antagonist for overactive ... (Read 20 times)

james9437

  • Hero Member
  • *****
  • Posts: 568
on: Jul 23, 2018
A patient will begin using a transdermal preparation of a muscarinic antagonist for overactive bladder (OAB).
 
  The nurse teaches the patient what to do if side effects occur. Which statement by the patient indicates the need for further teaching?
  a. I can use sugar-free gum for dry mouth.
  b. I may need laxatives for constipation.
  c. I should keep the site covered to prevent other people from getting the medicine.
  d. I will take Benadryl for any itching caused by a local reaction to the patch.

Question 2

An older adult patient who lives alone and is somewhat forgetful has an overactive bladder and reports occasional constipation. Which treatment will the nurse anticipate for this patient?
 
  a. Behavioral therapy
  b. Oxybutynin (Ditropan XL) extended-release tablets
  c. Oxybutynin (Oxytrol) transdermal patch
  d. Percutaneous tibial nerve stimulation (PTNS)


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

brittiany.barnes

  • Sr. Member
  • ****
  • Posts: 321
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
Benadryl is an antihistamine, and even though it is not classified as a muscarinic antagonist, it has anticholinergic effects. Giving it with a muscarinic antagonist greatly enhances these effects, so it should not be used. Muscarinic antagonists cause dry mouth, and patients should be taught to use sugar-free gum or candies to help with this. Muscarinic antagonists can cause constipation, and laxatives may be used. Medication applied topically can be transferred to others who come in contact with the skin, so the site should be covered.

Answer to Question 2

ANS: C
The transdermal patch is applied weekly and may be the best option for a patient who is more likely to forget to take a daily medication. The transdermal preparation has fewer side effects than the systemic dose so is less likely to increase this patient's constipation. Behavioral therapy should be tried first in patients who can participate. However, it is not the best option for a forgetful patient who lives alone, because it requires scheduled voiding and timing of fluid intake. The extended-release tablets must be given daily, and this patient may not remember to take them. PTNS is used after behavioral and drug therapies have failed.


james9437

  • Member
  • Posts: 568
Reply 2 on: Jul 23, 2018
YES! Correct, THANKS for helping me on my review

skipfourms123

  • Member
  • Posts: 343
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

Normal urine is sterile. It contains fluids, salts, and waste products. It is free of bacteria, viruses, and fungi.

Did you know?

It is widely believed that giving a daily oral dose of aspirin to heart attack patients improves their chances of survival because the aspirin blocks the formation of new blood clots.

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates’s recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

The tallest man ever known was Robert Wadlow, an American, who reached the height of 8 feet 11 inches. He died at age 26 years from an infection caused by the immense weight of his body (491 pounds) and the stress on his leg bones and muscles.

Did you know?

All adults should have their cholesterol levels checked once every 5 years. During 2009–2010, 69.4% of Americans age 20 and older reported having their cholesterol checked within the last five years.

The tone of the nurse-patient introduction sets the stage for the patient interview and patient care The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
Nurse-patient interaction; nonverbal communication Nurse-patient interaction; nonverbal communication
Photograph of an occupational therapist assisting a patient with learning independence in activities Photograph of an occupational therapist assisting a patient with learning independence in activities
To cleanse an open wound, begin close to the wound and work outward in full or half circles. To cleanse an open wound, begin close to the wound and work outward in full or half circles.
Patient Physical Status Classification Patient Physical Status Classification
A patient is talking to the nurse about her husband’s abuse and attempt to strangle her. She ... A patient is talking to the nurse about her husband’s abuse and attempt to strangle her. She ...
Video: Frequency of stimulation and force (Recruitment of motor units and force)

For a complete list of videos, visit our video library