The nurse is teaching a patient who will begin taking bethanechol (Urecholine). Which statement by the patient indicates a need for further teaching?
a. "Excessive sweating is a normal reaction to this medication."
b. "Excess salivation is a serious side effect."
c. "I should get out of bed slowly while taking this drug."
d. "I will not take the drug if my heart rate is less than 60 beats per minute."
ANS: A
Patients taking bethanechol should be instructed to report increased salivation and diaphoresis since they can be early signs of overdosing. They should also be taught to rise slowly to avoid orthostatic hypotension and to hold the drug if their heart rate is low.
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