2022/2023 NCLEX-PN Test Prep Exam 3 Questions and Answers with Explanations.

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PRACTICE EXAM QUESTIONS AND ANSWERAS SOLUTION NCLEX RN: 13 A pt w/ Buskittis lymphoma is diagnosed w/ a spinal cord compression & is being tx for a neurogenic bladder. Pt started on chemo & compres... sion resolved plan is to retrain the bladder. Which med does the RN expect to be ordered? 1.) Diphenhydramine 2.) Lorazepam 3.) Dicyclomine 4.) Bethanechol - CORRECT ANSWER 3 => Dicyclomine is an anti-cholinergic med that promotes urinary retention -> helps train bladder *urinary incontinence dripping => doesn't feel urine Explanations: 1 = anti-histamine 2 = anti-anxiety 4 = mimics cholinergic effects: promotes urination (Renal Disorder meds) The indication for this med is the Cholinergic effect is used to tx: => urinary retention => Neurogenic bladder => Gastric reflux - CORRECT ANSWER Bethanechol (Renal Disorder meds) What are the 4 S&S for Bethanechol? - CORRECT ANSWER 1.) Orthostatic hypotension 2.) Flushing 3.) Asthmatic reaction 4.) GI distress (Renal Disorder meds: Nursing care/ pt. teaching for Bethanechol) What is the nursing care/pt. teaching ? (3 things) - CORRECT ANSWER 1.) Do NOT give IV or IM => Might cause circulatory collapse 2.) Monitor vital signs 3.) Preferably give on an Empty stomach (Renal Disorder meds: Nursing care/ pt. teaching for Bethanechol: 3 things) Do NOT give __a.)__ or __b.)__ b/c it might cause __c.)___ - CORRECT ANSWER a.) IV or b.) IM c.) Circulatory collapse [Show More]

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