A patient complains about a burning sensation and pain when urinating. Which urinary analgesic does the nurse suspect will be ordered?

Correct Answer: D

Rationale: Phenazopyridine is a urinary analgesic commonly used to relieve the burning sensation and pain experienced during urination, typically caused by urinary tract infection or irritation. It works by acting as a local anesthetic on the lining of the urinary tract, providing relief from discomfort. Tolterodine and oxybutynin are used to treat overactive bladder by reducing bladder spasms and urge incontinence, whereas bethanechol is a direct-acting cholinergic agonist primarily used to stimulate bladder contractions in individuals with urinary retention. Thus, for the symptom of burning sensation and pain when urinating, phenazopyridine would be the most likely urinary analgesic to be ordered.

Correct Answer: A

Rationale: Levothyroxine belongs to the pharmacologic classification of thyroid preparations. It is a synthetic form of the thyroid hormone thyroxine (T4) and is used to treat hypothyroidism by supplementing or replacing the body's own thyroid hormone. Levothyroxine works to normalize thyroid hormone levels in the body and help regulate metabolism. It is not a metabolic inhibitor, analgesic, or loop diuretic.

Correct Answer: D

Rationale: Amlodipine belongs to the pharmacologic class of calcium channel blockers. It works by inhibiting the influx of calcium ions into smooth muscle cells, leading to vasodilation and lower blood pressure. This medication is commonly used to treat hypertension (high blood pressure) and certain types of angina (chest pain). It is not a beta blocker, 5-HT3 antagonist, or nonopioid analgesic.

Correct Answer: C

Rationale: The ability of epinephrine to cause hyperglycemia is primarily due to its effect on alpha adrenoreceptors in the pancreatic islets of Langerhans. Epinephrine, acting through these alpha adrenoreceptors, inhibits the release of insulin from beta cells in response to elevated blood glucose levels. This results in decreased uptake of glucose by cells, leading to increased blood glucose levels, ultimately causing hyperglycemia. Other effects of epinephrine, such as vasoconstriction and increased heart rate, also contribute to the overall stress response, but the inhibition of insulin release through alpha adrenoreceptors is the main mechanism responsible for its hyperglycemic effects.

Correct Answer: D

Rationale: High threshold mechanoreceptors are responsible for sensing mechanical stimuli such as pressure and touch. When these receptors are activated, one of the body's reactions is to produce analgesia, which refers to the relief of pain or a decreased sensitivity to painful stimuli. This analgesic effect is a protective mechanism that helps reduce the perception of pain in response to potentially harmful mechanical stimuli. Therefore, the reaction of the body to high threshold mechanoreceptors is often associated with analgesia rather than tolerance, withdrawal reflex, inflammation, or suppuration.