Which of the following clients would most likely be prescribed bethanechol for their symptoms?

Rationale: A. A 32-year-old male who has a blood pressure of 150/100 complaining of a headache: Bethanechol is a muscarinic cholinergic agonist that increases parasympathetic activity, which can lower blood pressure and heart rate. Administering it to a hypertensive client could worsen hypotension-related effects or reflex tachycardia. B. A 75-year-old male who has a history of cardiac dysrhythmias and has chest pain: Bethanechol can increase parasympathetic stimulation, which may exacerbate bradycardia, atrioventricular conduction delays, or other dysrhythmias. It could also increase myocardial oxygen demand in a client with chest pain, making it unsafe for those with cardiac conditions. C. A 45-year-old female who had gynecological surgery and is unable to void after surgery: Bethanechol stimulates muscarinic receptors in the bladder, promoting detrusor muscle contraction and facilitating bladder emptying. It is commonly prescribed for postoperative urinary retention, making this client the most appropriate candidate. D. A 64-year-old female who has urinary incontinence and wears an incontinence pad: Bethanechol is not indicated for urinary incontinence caused by overactive bladder or sphincter dysfunction. Increasing bladder contraction in these clients could worsen incontinence rather than relieve symptoms, making it inappropriate.