Author Question: A patient reports dribbling small amounts of urine but also has difficulty initiating a urine ... (Read 71 times)

corkyiscool3328 · **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.

gasdhashg · **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.