NCLEX Prep II Renal and Urinary Medications Chapter 59 (Answered) With Rationale

NCLEX Prep II Renal and Urinary Medications Chapter 59 (Answered) With Rationale Parenteral bethanechol chloride is prescribed for a client with urinary retention. The nurse should plan to administer this medication by which route? 1.Intravenously 2.Intradermally 3.Intramuscularly 4.Subcutaneously 4.Subcutaneously Rationale: The injectable form of bethanechol chloride is intended for subcutaneous administration only. Bethanechol must never be injected intramuscularly or intravenously because the resulting high medication level can cause severe toxicity, resulting in bloody diarrhea, bradycardia, profound hypotension, and cardiovascular collapse. A client taking metronidazole telephones the home health nurse to report dark discoloration to the urine. The nurse interprets that the client's complaint warrants which nursing action at this time? 1.Instruct the client to increase fluid intake. 2.Tell the client to discontinue the medication. 3.Instruct the client to call the health care provider (HCP). 4.Tell the client that this is a harmless medication side effect. 4.Tell the client that this is a harmless medication side effect. Rationale: Harmless darkening of the urine may occur, and the client should be told of this effect. Metronidazole can produce a variety of side effects, but they rarely require termination of treatment. Increasing fluid intake is a good health measure but will not prevent this side effect from occurring. It is