In the postoperative client, the nurse recognizes that bethanechol (Urecholine) might be given to treat which condition?
1. Respiratory atelectasis
2. Postoperative hypotension
3. Ischemic colitis
4. Urinary atony
Correct Answer: 4
Rationale 1: Urecholine could cause worsening atelectasis secondary to respiratory depression.
Rationale 2: Urecholine could cause worsening of the hypotension secondary to bradycardia.
Rationale 3: Urecholine should not be given in any case that is suspicious for GI obstruction or ischemia.
Rationale 4: Bethanechol (Urecholine) might be given to treat a urinary atony in a postoperative client.
Global Rationale: Bethanechol (Urecholine) might be given to treat a urinary atony in a postoperative client. Urecholine could cause worsening atelectasis secondary to respiratory depression and hypotension secondary to bradycardia. Urecholine should not be given in any case that is suspicious for GI obstruction or ischemia.
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