A man with a neurogenic bladder secondary to a spinal tumor has been taking bethanechol. The patient has illuminated his call light, and the nurse has found him anxious, diaphoretic, and visibly flushed
Following a safety assessment, what action should the nurse take? A) Prepare to administer an IV dose of epinephrine to mitigate the effects of acetylcholine.
B) Contact the physician as the patient may be experiencing a cholinergic crisis.
C) Insert a Foley catheter as the patient may have excessive urine in his bladder.
D) Assess the volume of the patient's bladder contents using a bladder ultrasound.
B
Feedback:
The presence of sweating and skin flushing in a patient taking bethanechol is suggestive of a cholinergic crisis. This is a medical emergency that warrants prompt intervention by the care team. This problem is not treated with epinephrine. Assessing the patient's bladder or inserting a Foley catheter is not sufficient.
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