Deck 34: Drugs for Urinary Incontinence and Urinary Analgesia

Question 1

A primary care NP prescribes oxybutynin chloride for an 80-year-old patient to treat urinary incontinence.When teaching this patient about this medication,the NP should tell the patient:

A) to increase intake of fluids and fiber.
B) that alcohol may be consumed in moderation.
C) that drowsiness may be a transient adverse effect.
D) that hypertension may occur and to report headaches.

Answer 1

to increase intake of fluids and fiber.

Question 2

A patient reports having urinary frequency and discomfort associated with urination.After a careful physical examination and history to determine the cause,the NP should prescribe a medication from which drug class?

A) Cholinergics
B) Antispasmodics
C) Anticholinergics
D) Urinary tract analgesics

Answer 2

Antispasmodics

Question 3

A patient has a UTI and will begin treatment with an antibiotic.The patient reports moderate to severe suprapubic pain.The primary care NP should prescribe:

A) ibuprofen as needed.
B) bethanechol (Urecholine).
C) phenazopyridine (Pyridium).
D) increased oral fluid intake to dilute urine.

Answer 3

phenazopyridine (Pyridium).

Question 4

A parent brings an 8-year-old child to the clinic because the child continues to wet the bed despite using cognitive-behavioral measures and a bed alarm system.The NP should prescribe:

A) solifenacin (VESIcare).
B) tolterodine (Detrol LA).
C) desmopressin (DDAVP).
D) phenazopyridine (Pyridium).

Question 5

A serious side effect associated with desmopressin is:

A) dehydration.
B) hypotension.
C) hyponatremia.
D) urinary retention.

Question 6

The primary care nurse practitioner (NP)sees a 50-year-old woman who reports frequent leakage of urine.The NP learns that this occurs when she laughs or sneezes.She also reports having an increased urge to void even when her bladder is not full.She is not taking any medications.The NP should:

A) perform a dipstick urinalysis.
B) prescribe desmopressin (DDAVP).
C) prescribe oxybutynin chloride (Ditropan XL).
D) teach exercises to strengthen the pelvic muscles.

Question 7

A patient reports dribbling small amounts of urine but also has difficulty initiating a urine stream.The primary care NP should prescribe:

A) solifenacin (VESIcare).
B) bethanechol (Urecholine).
C) phenazopyridine (Pyridium).
D) oxybutynin chloride (Ditropan XL).

Question 8

A patient who has diabetes reports intense discomfort when needing to void.A urinalysis is normal.To treat this,the primary care NP should consider prescribing:

A) flavoxate (Urispas).
B) bethanechol (Urecholine).
C) phenazopyridine (Pyridium).
D) oxybutynin chloride (Ditropan XL).