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    Hesi rn d441 pharmacology 0A1 proctored exam

    A female client starts a new prescription, oxybutynin, for symptoms of an overactive bladder. The client tells the nurse that she is training to run in a half-marathon. Which instruction should the nurse emphasize?

    Explanation & Rationale

    A) Avoid crowds to help prevent acquiring infections: While it’s generally good practice to avoid crowds to prevent infections, this is not directly related to the use of oxybutynin or the client's training for a marathon. B) Take measures to avoid dehydration and over-heating: This is the most pertinent instruction for a client training for a half-marathon while on oxybutynin. This medication can cause dry mouth and decreased sweating, which increases the risk of dehydration and overheating during physical activity. Emphasizing hydration and cooling strategies is crucial for the client's safety and performance. C) Wear padding to protect from bruising if a fall occurs: While safety is important, this instruction is less relevant than hydration concerns in the context of running a half-marathon and using oxybutynin. D) Keep skin and eyes covered to protect from sun injury: This is generally good advice for outdoor activities, but it does not specifically address the risks associated with oxybutynin, making it a secondary concern compared to hydration and overheating.

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