The client is experiencing urinary retention, and the health care prov

The client is experiencing urinary retention, and the health care provider is contacted. The nurse anticipates a medication that will be ordered to promote emptying of the bladder is:

1. Oxybutynin chloride (Ditropan)
2. Bethanechol (Urecholine)
3. Propantheline (Pro-Banthine)
4. Nystatin (Mycostatin)

ANSWER

ANS: 2
Cholinergic drugs, such as bethanechol (Urecholine), increase contraction of the bladder and im-prove emptying. Bethanechol stimulates parasympathetic nerves to increase bladder wall contrac-tion and relax the sphincter. Oxybutynin chloride (Ditropan) is an anticholinergic drug that de-presses the neurotransmitter acetylcholine (which normally stimulates the bladder), and thus re-duces incontinence. Propantheline (Pro-Banthine) is an anticholinergic drug that depresses the neurotransmitter acetylcholine (which normally stimulates the bladder), and thus reduces incon-tinence. Nystatin (Mycostatin) is an antifungal agent.