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Hey alpha nurses i’m there sandra from oftennessguy.com this is nclex rn review lesson 8 urinary medication questions you can get my notes on etsy be sure to follow my store to get any updates on new notes you can follow me on facebook instagram and tic tac tic any updates all links are in the description without the way let’s get started question one a client who
Has a cold is seen in the emergency department with an inability to void because the client has a history of benign prostatic hyperplasia the nurse determines that the client should be questioned about the use of which medication a diuretics b antibiotics c antilopemics d decongestants the correct answer is d decongestants rationale in the client with benign
Prostatic hyperplasia episodes of urinary retention can be triggered by certain medications such as decongestants anticholinergics and antidepressants these medications lessen the voluntary ability to contract the bladder the client should be questioned about the use of these medications if he has urinary retention diuretics increase urine output antibiotics and
Antelopemics do not affect ability to urinate two nitropharantoid is prescribed for a client with a urinary tract infection the client contacts the nurse and reports a cough chills fever and difficulty breathing the nurse should make which interpretation about the client’s complaints a the client may have contracted the flu b the client is experiencing anaphylaxis
C the client is experiencing expected effects of the medication d the client is experiencing a pulmonary reaction requiring cessation of the medication the correct answer is d the client is experiencing a pulmonary reaction requiring cessation of the medication rationale nitropharantuin can induce two kinds of pulmonary reactions acute and subacute acute reactions
Which are most common manifest with dyspnea chest pain chills fever cough and alveolar infiltrates these symptoms resolve two to four days after discontinuing the medication acute pulmonary responses are thought to be hypersensitivity reactions subacute reactions are rare and occur during prolonged treatment symptoms usually regress over weeks to months following
Nitropharantum withdrawal question three the nurse is providing discharge instructions to a client receiving trimethoprim sulfamethoxazole which instruction should be included in the list a advise that sunscreen is not needed b drink 8 to 10 glasses of water per day c if the urine turns dark brown call the health care provider immediately d decrease the dosage
When symptoms are improving to prevent an allergic response the correct answer is b drink eight to ten glasses of water per day rationale each dose of trimethoprim sulfamethoxazole should be administered with a full glass of water and the client should maintain a high fluid intake to avoid crystal luria the medication is more soluble in alkaline urine the client
Should not be instructed to taper or discontinue the dose clients should be advised to use sunscreen since the skin becomes sensitive to the sun some forms of trimethoprim sulfamethoxazole cause urine to turn dark brown or red this does not indicate the need to notify the hcp question four trimethoprim sulfamethoxazole is prescribed for a client the nurse should
Instruct the client to report which symptom if it develops during the course of this medication therapy a nausea b diarrhea c headache d sore throat the correct answer is d sore throat rationale clients taking trimethoprim sulfamethoxazole should be informed about early signs and symptoms of blood disorders that can occur from this medication these include sore
Throat fever and pallor and the client should be instructed to notify the health care provider if these occur the other options do not require hcp notification question five fenizopyridine is prescribed for a client with a urinary tract infection the nurse evaluates that the medication is effective based on which observation a urine is clear amber b urination is
Not painful c urge incontinence is not present d a reddish orange discoloration of the urine is present the correct answer is b urination is not painful rationale fenezopyridine is a urinary analgesic it is effective when it eliminates pain and burning with urination it does not eliminate the bacteria causing the infection so it would not make the urine clear
Amber it does not treat urge incontinence it will cause the client to have reddish orange discoloration of urine but this is a side effect of the medication not the desired effect question six bethennethal chloride is prescribed for a client with urinary retention which disorder should be a contraindication to the administration of this medication a gastric
Atomy b urinary strictures c neurogenic atomy d gastroesophageal the reflux answer is b urinary strictures rationale bethenechol chloride can be harmful to clients with urinary tract obstruction or weakness of the bladder wall the medication has the ability to contract the bladder and thereby increase pressure within the urinary tract elevation of pressure
Within the urinary tract could rupture the bladder in clients with these conditions that’s all i have for this video please like share let me know if you have any questions if not i’ll see you in the next video thanks for watching
Transcribed from video
NCLEX RN Questions and Answers #08 – Urinary Medications Questions | NCLEX Pharmacology Questions By Alpha Nurse Guide For RN
