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Nursing NSG 360
Week 3 ATI Pharmacology Study Guide
Urinary Incontinence and Benign Prostatic Hypertrophy (BPH)
1. Bethanechol (Urecholine) is a:
A. Peripherally acting muscle relaxant
B. Muscle paralytic agent
C. Muscarinic agonists used for urinary retention *
D. Centrally acting muscle relaxant
2. A nurse is caring for an 80 year-old female client who has a prescription for bethanechol
(Urecholine) 50 mg PO three times a day. The nurse should recognize that all except for which
one of the following findings is a clinical manifestation of extreme muscarinic stimulation of
the parasympathetic nervous system?
A. Sweating
B. Tearing
C. Bradycardia
D. Hypertension *
3. A nurse in a provider’s office is reviewing the health care record of an 82-year old woman who
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reported urinary incontinence and asked about a prescription for oxybutynin (Ditropan). This
drug is a muscarinic antagonist and inhibits muscarinic receptors of the detrusor muscle of the
bladder, which prevents contractions of the bladder and the urge to void. The nurse should
recognize that oxybutynin has anticholinergic effects and is contraindicated in the presence of
all except for which of the following conditions?
A. Glaucoma
B. Myasthenia gravis
C. Paralytic ileus
D. Depression *
4. Pharmacological intervention for patients with urge incontinence include:
A. Pseudoephedrine
B. Olterodine (Detrol) *
C. Doxazosin (Cardura)
D. Finasteride (Proscar)
5. A client, Mrs. Jones, age 70, has begun taking an anticholinergic medication, Tylenol PM
with Benadryl for insomnia. The nurse should make it a priority to assess for which
unintended manifestations?
A. Tachycardia and hypertension
B. Urinary retention, hesitancy, and constipation *
NSG 360# 4 ATI Pharmacology Study Guide WK 3 EXAM
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C. Pain resembling the pattern associated with cholecystitis
D. Pain resembling renal colic
NSG 360# 4 ATI Pharmacology Study Guide WK 3 EXAM
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6. Finasteride (Proscar, Propecia) and dutasteride (Avodart) are helpful in the treatment of BPH
because of their effect on
A. Bladder contractility
B. Prostate size *
C. Bladder pressure
D. Activity at select bladder receptor sites
7. Tamsulosin (Flovent) is helpful in the treatment of BPH because of its effect on
A. Activity at select bladder receptor sites*
B. Bladder pressure
C. Bladder contractility
D. Prostate size
8. Mr. Houser has come to the clinic asking for medication for his erectile dysfunction. Which
of the following medications for erectile dysfunction treatment has the longest half-life?
A. Sildenafil (Viagra)
B. Avanafil (Stendra)
C. Tadalafil (Cialis) *
D. Vardenafil (Levitra)
9. When taking a PDE-5 inhibitor, concomitant use of which medication must be avoided?
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