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    Med surg proctored exam (examplify)

    An older woman has urgent urinary incontinence related to an overactive bladder. Which medication does the nurse anticipate the provider to order?

    Explanation & Rationale

    A. Phenazopyridine HCI (Pyridium): Pyridium is a urinary analgesic used to relieve dysuria but does not treat overactive bladder or incontinence. It addresses discomfort rather than the underlying cause of urgency or frequency. B. Dimethylsulfoxide (DMSO): DMSO is used intravesically for interstitial cystitis, not for overactive bladder or urge incontinence. Its use is limited and not indicated for typical overactive bladder management. C. Tolterodine tartrate (Detrol): Tolterodine is an anticholinergic that reduces bladder muscle contractions, decreasing urgency, frequency, and incontinence episodes. It is commonly prescribed for overactive bladder and provides symptomatic relief for urge incontinence. D. Flavoxate (Urispas): Flavoxate is also an antispasmodic but is less effective than tolterodine for overactive bladder. It may relieve mild bladder spasms but is not the first-line treatment for urge incontinence.

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