Which type of medication may be used in the treatment of a
patient with incontinence to inhibit contraction of the bladder?
a) Anticholinergic agent
Anticholinergic agents are considered first-line medications for urge
incontinence.
b) Estrogen hormone
Estrogen decreases obstruction to urine flow by restoring the mucosal,
vascular, and muscular integrity of the urethra.
c) Tricyclic antidepressants
Tricyclic antidepressants decrease bladder contractions as well as
increase bladder neck resistance.
d) Over-the-counter decongestant
Stress incontinence may be treated using pseudoephedrine and
phenylpropanolamine, ingredients found in over-the-counter
decongestants.

1 Answer

Answer :

a) Anticholinergic agent
Anticholinergic agents are considered first-line medications for urge
incontinence.

Related questions

Description : Through which of the following activities does the patient learn to consciously contract excretory sphincters and control voiding cues? a) Biofeedback Cognitively intact patients who have stress or urge ... functional incontinence. d) Bladder training Habit training is a type of bladder training.

Last Answer : a) Biofeedback Cognitively intact patients who have stress or urge incontinence may gain bladder control through biofeedback.

Description : When the nurse observes the patient's urine to be orange, she further assesses the patient for a) intake of medication such as phenytoin (Dilantin). Urine that is orange may be caused by intake ... white urine may indicate infection, pyruria, or in the female patient, the use of vaginal creams.

Last Answer : a) intake of medication such as phenytoin (Dilantin). Urine that is orange may be caused by intake of Dilantin or other medications. Orange to amber colored urine may also indicate concentrated urine due to dehydration or fever.

Description : For which of the following medications must the nurse contact the pharmacist in consultation when the patient receives all oral medications by feeding tube? a) Enteric-coated tablets Enteric-coated ... make an opening in the capsule and squeeze out contents for administration by feeding tube.

Last Answer : a) Enteric-coated tablets Enteric-coated tablets are meant to be digested in the intestinal tract and may be destroyed by stomach acids. A change of form of medication is required by patients with tube feedings.

Description : Choose the relatively vasicoselective anticholinergic drug used for urinary frequency and urge incontinence due to detrusor instability: A. Pirenzepine B. Oxybutynin C. Oxyphenonium D. Glycopyrolate

Last Answer : B. Oxybutynin

Description : Choose the relatively vasicoselective anticholinergic drug used for urinary frequency and urge incontinence due to detrusor instability: A. Pirenzepine B. Oxybutynin C. Oxyphenonium D. Glycopyrolate

Last Answer : B. Oxybutynin

Description : Which of the following medications used for the treatment of obesity prevents the absorption of triglycerides? a) Orlistat (Xenical) Orlistat (Xenical) prevents the absorption of triglycerides. Side effects of ... (Prozac) has not been approved by the FDA for use in the treatment of obesity.

Last Answer : a) Orlistat (Xenical) Orlistat (Xenical) prevents the absorption of triglycerides. Side effects of Xenical may include increased bowel movements, gas with oily discharge, decreased food absorption, decreased bile flow, and decreased absorption of some vitamins.

Description : Which of the following medications are used to reverse the effects of heparin? a) Protamine sulfate Protamine sulfate is known as the antagonist to heparin. b) Streptokinase Streptokinase is a ... placement. d) Aspirin The antiplatelet effect of aspirin does not reverse the effects of heparin.

Last Answer : a) Protamine sulfate Protamine sulfate is known as the antagonist to heparin.

Description : Of the following classifications of medications, which is known to inhibit prostaglandin synthesis or release? a) Nonsteroidal anti-inflammatory drugs (NSAIDs) in large doses NSAIDs ... to cause immunosuppression. d) Antineoplastic agents Antineoplastic agents are known to cause immunosuppression.

Last Answer : a) Nonsteroidal anti-inflammatory drugs (NSAIDs) in large doses NSAIDs include aspirin and ibuprofen.

Description : Prostaglandins are chemical substances thought to a) increase sensitivity of pain receptors. Prostaglandins are believed to increase sensitivity to pain receptors by enhancing the pain-provoking ... opioid medications inhibit the transmission of noxious stimuli by mimicking enkephalin and endorphin.

Last Answer : a) increase sensitivity of pain receptors. Prostaglandins are believed to increase sensitivity to pain receptors by enhancing the pain-provoking effect of bradykinin.

Description : 40. The nurse should ensure that all components of medications are documented. Identify all these components. 1. Dosage, route and frequency 2. Name of client and medication 3. Date and time ... and strength 5. Physician's signature and specialty 6. Physician's signature and PRC license number

Last Answer : C. All except 5 and 6

Description : The patient receiving mitoxantrone (Novantrone) for treatment of secondary progressive multiple sclerosis (MS) is closely monitored for a) leukopenia and cardiac toxicity. Mitoxantrone is an ... d) hypoxia. Patients receiving mitoxantrone are closely monitored for leukopenia and cardiac toxicity.

Last Answer : a) leukopenia and cardiac toxicity. Mitoxantrone is an antineoplastic agent used primarily to treat leukemia and lyphoma but is also used to treat secondary progressive MS. Patients need to have ... ordered and the results closely monitored due to the potential for leukopenia and cardiac toxicity.

Description : Which of the following types of incontinence refers to involuntary loss of urine through an intact urethra as a result of a sudden increase in intra-abdominal pressure? a) Stress Stress ... the involuntary loss of urine due to involuntary urethral relaxation in the absence of normal sensations.

Last Answer : a) Stress Stress incontinence may occur with sneezing and coughing.

Description : Three medications referred to as the ABC drugs' are currently the main pharmacological therapy for multiple sclerosis. Which of the following statements reflects information to be included in patient ... on an empty stomach. Glatiramer acetate is administed by intramuscular injection once a week.

Last Answer : a) Flu-like symptoms can be controlled with nonsteroidal antiinflammatory drugs (NSAIDs) and usually resolve after a few months of therapy. Seventy-five percent of patients taking one of the ... symptoms that can be controlled with NSAIDS and usually resolve after a few months of therapy.

Description : Which of the following categories of medications increases aqueous fluid outflow in the patient with glaucoma? a) Cholinergics Cholinergics increase aqueous fluid outflow by contracting ... production. d) Carbonic anhydrase inhibitors Carbonic anhydrase inhibitors decrease aqueous humor production.

Last Answer : a) Cholinergics Cholinergics increase aqueous fluid outflow by contracting the ciliary muscle, causing miosis, and opening the trabecular meshwork.

Description : Bladder retraining following removal of an indwelling catheter begins with instructing the patient to follow a 2-3 hour timed voiding schedule. Immediately after the removal of the indwelling ... in the bladder after voiding, straight catheterization may be performed for complete bladder emptying.

Last Answer : a) encouraging the patient to void immediately. Immediate voiding is not usually encouraged. The patient is commonly placed on a timed voiding schedule, usually within two to three hours.

Description : Which of the following medications is categorized as a loop diuretic? a) Furosemide (Lasix) Lasix is commonly used in the treatment of cardiac failure. b) Chlorothiazide (Diuril) ... thiazide diuretic. d) Spironolactone (Aldactone) Spironolactone is categorized as a potassium-sparing diuretic.

Last Answer : a) Furosemide (Lasix) Lasix is commonly used in the treatment of cardiac failure.

Description : Nonadherence to therapeutic regimens is a significant problem for which of the following age groups? a) Adults 65 and over Elderly people frequently have one or more chronic illnesses that are ... -aged adults Middle-aged adults, in general, have fewer health problems, thus promoting adherence.

Last Answer : a) Adults 65 and over Elderly people frequently have one or more chronic illnesses that are managed with numerous medications and complicated by periodic acute episodes, making adherence difficult.

Description : Which of the following interventions is the single most important aspect for the patient at risk for anaphylaxis? a) Prevention People who have experienced food, medication, idiopathic, or ... alert bracelet will assist those rendering aid to the patient who has experienced an anaphylactic reaction

Last Answer : a) Prevention People who have experienced food, medication, idiopathic, or exerciseinduced anaphylactic reactions should always carry an emergency kit containing epinephrine for injection to prevent the onset of the reaction upon exposure.

Description : The preferred route of administration of medication in the most acute care situations is which of the following routes? a) Intravenous The IV route is the preferred ... ) Intramuscular Intramuscular administration of medication is absorbed more slowly than intravenously administered medication.

Last Answer : a) Intravenous The IV route is the preferred parenteral route in most acute care situations because it is much more comfortable for the patient, and peak serum levels and pain relief occur more rapidly and reliably.

Description : Which of the following is a reversible cause of urinary incontinence in the older adult? a) Constipation. Constipation is a reversible cause of urinary incontinence in the older adult. Other ... level in the menopausal woman is a reversible cause of urinary incontinence in the older woman.

Last Answer : a) Constipation. Constipation is a reversible cause of urinary incontinence in the older adult. Other reversible causes include acute urinary tract infection, infection elsewhere in the body, decreased ... a change in a chronic disease pattern, and decreased estrogen levels in the menopausal women.

Description : Which of the following observations in the patient who has undergone allograft for treatment of burn site must be reported to the physician immediately? a) Crackles in the lungs Crackles in the lungs ... pain at the recipient site is anticipated since the wound has been protected by the graft.

Last Answer : a) Crackles in the lungs Crackles in the lungs may indicate a fluid buildup indicative of congestive heart failure and pulmonary edema.

Description : A 40 years old multiparous woman complains of involuntary loss of urine associated with coughing, laughing, lifting or standing. The history is most suggestive of: a) Fistula. b) Stress incontinence. c) Urge incontinence. d) Urethral diverticulum. e) Urinary tract infection.

Last Answer : b) Stress incontinence.

Description : The treatment of the following patient should include: a. Initial empiric therapy directed against both aerobes and anaerobes b. The addition of anti-fungal therapy in an elderly patient ... therapy is appropriate if the agents selected possess activity against both aerobic and anaerobic bacteria

Last Answer : Answer: a, e The primary treatment for a perforated viscus is surgical, however antimicrobial therapy is an extremely important adjunct. Empiric antibiotic therapy for secondary ... whereas longer periods are indicated for immunosuppressed patients and with patients with extensive contamination

Description : Which of the following categories of medications may result in seizure activity if withdrawn suddenly? a) Tranquilizers Abrupt withdrawal of tranquilizers may result in anxiety, tension, ... may cause excessive respiratory depression during anesthesia due to an associated electrolyte imbalance.

Last Answer : a) Tranquilizers Abrupt withdrawal of tranquilizers may result in anxiety, tension, and even seizures if withdrawn suddenly.

Description : Which of the following clinical characteristics is associated with Type 2 diabetes (previously referred to as non-insulin-dependent diabetes mellitus [NIDDM])? a) Can control blood glucose ... islet cell antibodies Individuals with Type 2 diabetes do not demonstrate islet cell antibodies.

Last Answer : a) Can control blood glucose through diet and exercise Oral hypoglycemic agents may improve blood glucose levels if dietary modification and exercise are unsuccessful.

Description : An opening between the bladder and the vagina is called a a) vesicovaginal fistula. A vesicovaginal fistula may occur because of tissue injury sustained during surgery, vaginal delivery, or a disease ... d) rectovaginal fistula. A rectovaginal fistula is an opening between the rectum and the vagina.

Last Answer : a) vesicovaginal fistula. A vesicovaginal fistula may occur because of tissue injury sustained during surgery, vaginal delivery, or a disease process.

Description : Venlafaxine differs from standard tricyclic antidepressants in that it: A. Does not inhibit 5-HT reuptake B. Does not inhibit noradrenaline reuptake C. Does not have anticholinergic or antiadrenergic property D. Has lower antidepressant efficacy

Last Answer : C. Does not have anticholinergic or antiadrenergic property

Description : Which of the following terms refers to chest pain brought on by physical or emotional stress and relieved by rest or medication? a) angina pectoris Angina pectoris is a symptom of myocardial ischemia. ... d) ischemia Ischemia is insufficient tissue oxygenation and may occur in any part of the body.

Last Answer : a) angina pectoris Angina pectoris is a symptom of myocardial ischemia.

Description : The nurse advises the patient undergoing photodynamic therapy (PDT) for macular degeneration to avoid exposure to direct sunlight or bright lights for a) the first five days after the procedure. ... should avoid exposure to direct sunlight or bright lights for the first five days post-treatment.

Last Answer : a) the first five days after the procedure. Photodynamic therapy includes the use of verteporfin, a light-activated dye. The dye within the blood vessels near the surface of the skin could ... days post-treatment. Inadvertent sunlight exposure can lead to severe blistering of the skin and sunburn.

Description : Which of the following agents and dosage regimens is the best choice of treatment for an asthma patient with rheumatoid arthritis who is considered sensitive to aspirin (experiences bronchospasm with use)? ... once a week (d) Azathioprine, 75 mg daily (e) Cyclophosphamide, 100 mg daily

Last Answer : Ans: C

Description : The term given to the category of triage that refers to lifethreatening or potentially life-threatening injury or illness requiring immediate treatment is a) emergent. The patient triaged as emergent ... . The triage category of immediate refers to non-acute, non-lifethreatening injury or illness.

Last Answer : a) emergent. The patient triaged as emergent must be seen immediately.

Description : Which of the following statements reflects the nursing management of the patient with West Nile Virus infection? There is no treatment for West Nile Virus infection. Patients are supported by fluid replacement ... the virus to animals and humans. There is no human-to-human transmission of virus.

Last Answer : a) The incubation period is three to five days. The incubation period (from mosquito bite until onset of symptoms) is between 5–15 days.

Description : Which of the following statements reflect nursing interventions of a patient with post-polio syndrome? a) Providing care aimed at slowing the loss of strength and maintaining the physical, ... and cold are most appropriate because these patients tend to have strong reactions to medications.

Last Answer : a) Providing care aimed at slowing the loss of strength and maintaining the physical, psychological and social well being of the patient. No specific medical or surgical treatment is available for ... loss of strength and maintaining the physical, psychological and social well being of the patient.

Description : Nursing management of the patient with new variant Creutzfeldt-Jakob Disease (nvCJD) includes a) providing supportive care. The nvCJD is a progressive fatal disease with no treatment available. Due to ... B is used in the treatment of fungal encephalitis; no treatment is available for nvCJD.

Last Answer : a) providing supportive care. The nvCJD is a progressive fatal disease with no treatment available. Due to the fatal outcome of nvCJD, nursing care is primarily supportive.

Description : Antimicrobial barrier?Acticoat dressings used in the treatment of burn wounds can be left in place for five days. a) antimicrobial barrier dressings can be left in place for?Acticoat up to five days ... ) two days. antimicrobial barrier dressings can be left in?Acticoat place for up to five days.

Last Answer : a) antimicrobial barrier dressings can be left in place for?Acticoat up to five days thus helping to decrease discomfort to the patient, decrease costs of dressing supplies, and decrease nursing time involved in burn dressing changes.

Description : Which of the following statements reflect the treatment of HIV infection? a) Treatment of HIV infection for an individual patient is based on the clinical condition of the patient, CD4 T cell count level, and ... CD4+ T cells/mm3 or plasma HIV RNA levels exceeding 55,000 copies/mL (RT-PCR assay).

Last Answer : a) Treatment of HIV infection for an individual patient is based on the clinical condition of the patient, CD4 T cell count level, and HIV RNA (viral load). Although specific therapies vary, treatment of ... : the clinical condition of the patient, CD4 T cell count level, and HIV RNA (viral load).

Description : When the patient with known angina pectoris complains that he is experiencing chest pain more frequently even at rest, the period of pain is longer, and it takes less stress for the ... or refractory angina produces severe, incapacitating chest pain that does not respond to conventional treatment.

Last Answer : a) unstable angina. Unstable angina is also called crescendo or pre-infarction angina and indicates the need for a change in treatment.

Description : Which stage of shock is best described as that stage when the mechanisms that regulate blood pressure fail to sustain a systolic pressure above 90 mm Hg? a) Progressive In the progressive stage of ... which organ damage is so severe that the patient does not respond to treatment and cannot survive.

Last Answer : a) Progressive In the progressive stage of shock, the mechanisms that regulate blood pressure can no longer compensate, and the mean arterial pressure falls below normal limits.

Description : Which of the following medications represents the category proton (gastric acid) pump inhibitors? a) Omeprazole (Prilosec) Omeprazole decreases gastric acid by slowing the hydrogenpotassium-adenosine ... antagonist. d) Metronidazole (Flagyl) Metronidazole is an antibiotic, specifically an amebicide.

Last Answer : a) Omeprazole (Prilosec) Omeprazole decreases gastric acid by slowing the hydrogenpotassium-adenosine-triphosphatase pump on the surface of the parietal cells.

Description : Of the following categories of medications, which is used in combination with bismuth salts to eradicate Helicobacter pylori? a) Antibiotics Antibiotics and bismuth salts are given to eradicate ... antagonists Histamine-2 receptor antagonists are given to decrease the acid secretion in the stomach.

Last Answer : a) Antibiotics Antibiotics and bismuth salts are given to eradicate H. pylori.

Description : Of the following diuretic medications, which conserves potassium? a) Spironolactone (Aldactone) Aldactone is known as a potassium-sparing diuretic. b) Furosemide (Lasix) Lasix causes loss of ... (Diuril) Diuril causes mild hypokalemia. d) Chlorthalidone (Hygroton) Hygroton causes mild hypokalemia.

Last Answer : a) Spironolactone (Aldactone) Aldactone is known as a potassium-sparing diuretic.

Description : The aim of genomic medicine is a) improving predictions about individuals' susceptibility to diseases Predictions regarding the time of their onset, their extent and eventual severity as well as which ... broader than the cure of disease. d) cloning Genomic medicine is gene-based health care.

Last Answer : a) improving predictions about individuals’ susceptibility to diseases Predictions regarding the time of their onset, their extent and eventual severity as well as which treatments or medications are likely to be most effective or harmful are the focus of genomic medicine.

Description : Which of the following statements reflect what is known about the Ebola and Marburg viruses? a) The diagnosis should be considered in a patient who has a febrile, hemorrhagic illness after ... fever, rash, and encephalitis which progress rapidly to profound hemorrhage, organ destruction, and shock.

Last Answer : a) The diagnosis should be considered in a patient who has a febrile, hemorrhagic illness after traveling to Asia or Africa. The diagnosis should be considered in a patient who has a febrile, ... Asia or Africa, or who has handled animals or animal carcasses from those parts of the world.

Description : When the patient tells the nurse that his vision is 20/200, and asks what that means, the nurse informs the patient that a person with 20/200 vision a) sees an object from 20 feet away that a person ... 20/20 line, the person of normal vision will be standing at a distance of 20 feet from the chart.

Last Answer : a) sees an object from 20 feet away that a person with normal vision sees from 200 feet away. The fraction 20/20 is considered the standard of normal vision.

Description : The patient with which of the follow characteristics is considered high risk for the development of infective endocarditis? a) The patient who has complex cyanotic congenital malformations is ... with acquired valvular dysfunction is at moderate risk for the development of infective endocarditis.

Last Answer : a) The patient who has complex cyanotic congenital malformations is at high risk for the development of infective endocarditis.

Description : In studies of the human body, which of the following terms would be used to describe the lack of voluntary control of urination or voiding of the bladder? Is it a) anuria b) suppression c) incontinence d) none of these

Last Answer : ANSWER: C -- INCONTINENCE