A prescriber has ordered bethanechol (Urecholine) for a postoperative patient who has urinary retention
The nurse reviews the patient's chart before giving the drug. Which part of the patient's history would be a contraindication to using this drug?
a. Asthma as a child
b. Gastroesophageal reflux
c. Hypertension
d. Hypothyroidism
ANS: A
Bethanechol is contraindicated in patients with active or latent asthma, because activation of muscarinic receptors in the lungs causes bronchoconstriction. It increases the tone and motility of the gastrointestinal (GI) tract and is not contraindicated in patients with reflux. It causes vasodilation and would actually lower blood pressure in a hypertensive patient. It causes dysrhythmias in hyperthyroid patients.
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A) Suggest that the client reduce the amount of time spent with her parents. B) Remind the client that she is educated, and has a great career and good marriage. C) Suggest the client turn the tables and express the same dissatisfaction with her parents. D) Tell the client that she is too old to be listening to her parents.
The nurse is caring for a client with inflammation and is doing the morning assessment. Which of the following manifestations indicate a systemic reaction associated with an inflammatory response?
1. Erythema 2. Pain 3. Tachypnea 4. Edema
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Indicate whether the statement is true or false
A person is in cardiac arrest without a heartbeat and you are alone. After calling for help, you need to:
a. Get the AED and emergency equipment. b. Give 2 rescue breaths. c. Check for a pulse. d. Position the person supine.