Bethanechol (Urecholine) is used to treat urinary retention but is being investigated for use in which other condition?

a. Gastric ulcers
b. Gastroesophageal reflux
c. Hypotension
d. Intestinal obstruction


ANS: B
Bethanechol is being investigated for treatment for gastroesophageal reflux disease (GERD) because of its effects on esophageal motility and the lower esophageal sphincter. Bethanechol stimulates acid secretion and could intensify ulcer formation. Bethanechol can cause hypotension. Because bethanechol increases the motility and tone of intestinal smooth muscle, the presence of an obstruction could lead to bowel rupture.

Nursing

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The step of the nursing process in which the nurse determines the appropriate interventions for the identified nursing diagnosis is called:

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Which risk factor of her personal and family history most puts her in danger of getting breast cancer?

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The student nurse does an operating room rotation and notes that many patients receive succinylcholine (Anectine). The student nurse asks the nursing instructor how the drug works. What is the best response by the nursing instructor?

1. "It causes the patient to rapidly lose consciousness." 2. "It increases cardiac output by raising the heart rate." 3. "It interferes with impulse transmission, resulting in total anesthesia from the pain of surgery." 4. "It reduces the amount of general anesthetic needed for procedures."

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