A client is prescribed amitriptyline, an antidepressant for incontinence. The nurse understands which of the following reasons that this drug is an effective treatment?
A) Increases contraction of the detrusor muscle
B) Increases bladder neck resistance
C) Reduces bladder spasticity
D) Decreases involuntary bladder contractions
B, D
Feedback:
Some tricyclic antidepressant medications (amitriptyline, nortriptyline, and amoxapine) are useful in treating incontinence because they decrease bladder contractions and increase bladder neck resistance. Anticholinergic drugs such as oxybutynin chloride (Ditropan) reduce bladder spasticity and involuntary bladder contractions. Bethanechol (Urecholine) helps to increase contraction of the detrusor muscle, which assists with emptying of the bladder.
You might also like to view...
A patient arrives at the emergency room after attempting suicide by taking an entire bottle of diazepam. What antidote will the nurse most likely administer?
A) Phenobarbital (Luminal) B) Dexmedetomidine (Precedex) C) Flumazenil (Romazicon) D) Ramelteon (Rozerem)
The client comes to the clinic to obtain the results from the test to determine if he is infected with HIV. The physician informs the client that he has a CD4 cell count of 300 cells/mm3 and a high viral load
What does the nurse anticipate the physician will discuss with the client? A) Retroviral therapy is not warranted at this time. B) The initiation of antibiotic therapy to prevent the development of an opportunistic infection C) The administration of an antifungal medication to prevent the development of an opportunistic fungal infection D) The initiation of antiretroviral therapy
As a component of health teaching for the family whose child is to be discharged following chemotherapy, the pediatric nurse reinforces that a delayed reaction including nausea and vomiting can occur in:
A) 1 to 5 days. B) 3 to 5 days. C) 5 to 10 days. D) 4 to 7 days.
Nurses use the nursing process to focus care on human responses to what?
A) interactions with the environment B) physical effects of disease C) outcomes of medical or surgical treatment D) actual or potential health problems