The nurse is preparing to administer tolterodine tartrate (Detrol LA) to a patient who has incontinence. Which symptom would be a contraindication for this drug?
a. Decreased bowel sounds
b. Drooling
c. Gastric upset
d. Pain
ANS: A
A decrease in bowel sounds could signal the beginning of paralytic ileus. Detrol is contraindicated in patients with paralytic ileus.
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A couple who recently married and want to have children ask the nurse what the chances are that their children will inherit thalassemia from them, as they both are carriers. What information from the nurse is most accurate?
A. All of your children will inherit it. B. Each child has a 25% chance of inheriting it. C. None of your children will inherit it. D. Only the boys will inherit it.
A client with chronic angina is ordered to receive nitroglycerin via patch. What is the highest priority nursing action regarding this method of administration?
a. Cut the patch to provide the correct dose of medication. b. Use sterile technique when applying the patch. c. Remove the old patch before applying the new patch. d. Cover the patch with an airtight dressing after application.
A nurse is learning safe administration of controlled substances. Which would be the highest priority action on the part of the nurse when administering controlled substances?
a. Maintain special written records for certain categories of controlled substances. b. Discard wasted controlled substance and countersign with another nurse. c. Ensure that only the charge nurse carries the narcotic keys. d. Ensure that drugs on hand and documentation match at least once weekly.
A teenager is admitted to the medical unit with a significant loss of extracellular fluid (ECF) volume following several sports practices in the extreme heat
Which sign or symptom is most representative of an early significant loss of extracellular fluid volume that the nurse needs to monitor in the client? A) High urine output B) Congestive heart failure C) Hypotension D) Coma