Page 1915 - Saunders Comprehensive Review For NCLEX-RN

that this medication can cause blood dyscrasias will direct you to the correct option.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Teaching and Learning
Content Area: Pharmacology: Renal and Urinary Medications: Sulfonamides
Health Problem: Adult Health: Renal and Urinary: Inflammation/ Infections
Priority Concepts: Client Education; Infection
Reference: Hodgson, Kizior (2018), pp. 1188-1189.

665. Answer: 2

Rationale: Phenazopyridine is a urinary analgesic. It is effective when it
eliminates pain and burning with urination. It does not eliminate the bacteria
causing the infection, so it would not make the urine clear amber. It does not treat
urge incontinence. It will cause the client to have reddish-orange discoloration of
urine, but this is a side effect of the medication, not the desired effect.
Test-Taking Strategy: Note the strategic word, effective. Focus on the subject,
effectiveness of phenazopyridine. Recalling the classification of this medication and
that it is a urinary analgesic will direct you to the correct option.
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Evaluation
Content Area: Pharmacology: Renal and Urinary Medications: Urinary tract
analgesics
Health Problem: Adult Health: Renal and Urinary: Inflammation/Infections
Priority Concepts: Elimination; Pain
Reference: Ignatavicius, Workman, Rebar (2018), p. 1360.

666. Answer: 2

Rationale: Bethanechol chloride can be hazardous to clients with urinary tract
obstruction or weakness of the bladder wall. The medication has the ability to
contract the bladder and thereby increase pressure within the urinary tract.
Elevation of pressure within the urinary tract could damage or rupture the bladder
in clients with these conditions.
Test-Taking Strategy: Focus on the subject, a contraindication for the use of the
medication. Noting that the medication is used for urinary retention may assist in
directing you to the correct option.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Analysis
Content Area: Pharmacology: Renal and Urinary Medications: Cholinergics
Health Problem: Adult Health: Renal and Urinary: Obstructive problems
Priority Concepts: Elimination; Safety
Reference: Skidmore-Roth (2017), pp. 141-142.

667. Answer: 3

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