A client prescribed an anticholinergic treatment for Parkinson disease reports he has benign prostatic hyperplasia (BPH) with urinary retention. Which intervention by the nurse is the most appropriate?
1. Instruct the client that the medication will not have an effect on BPH symptoms.
2. Instruct the client to drink less caffeine.
3. Instruct the client to drink more water.
4. Notify the health care provider about the client's report of BPH.
Correct Answer: 4
Rationale 1: An anticholinergic agent would be likely to have an effect on symptoms of BPH.
Rationale 2: Drinking less caffeine would have no effect on anticholinergic treatment.
Rationale 3: Drinking more water would worsen urinary retention.
Rationale 4: It is important for the health care provider to know about a history of BPH, since an anticholinergic agent would be likely to worsen BPH symptoms.
Global Rationale: It is important for the health care provider to know about a history of BPH, since an anticholinergic agent would be likely to worsen BPH symptoms. Drinking less caffeine would have no effect on anticholinergic treatment. Drinking more water would worsen urinary retention.
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