Nokea
The nurse at a family practice clinic is providing care to a 47-year-old obese patient. The patient
states that she realizes that she has put on extra weight but is reluctant to go to any exercise
classes. She states that she often has to cross her legs when she sneezes and cannot do any
exercises with her legs crossed. The health care provider has prescribed tolterodine (Detrol). What
is the rationale for this medication?
Correct Answer: B
Rationale: The correct answer is B. Tolterodine is used to improve the tone and tissue in the urethral and vaginal areas. This medication is prescribed to treat overactive bladders and to decrease urinary frequency, urgency, and urge incontinence. The patient's symptoms of having to cross her legs when sneezing and inability to do exercises with legs crossed indicate issues with urinary incontinence. Tolterodine works by relaxing the bladder muscles and improving bladder control, which addresses the patient's symptoms.
Incorrect choices:
A: Tolterodine is not an appetite suppressant and does not facilitate weight loss.
C: Tolterodine does not act as an appetite suppressant, so it does not facilitate weight loss.
D: Tolterodine does not improve blood flow to pelvic muscles or decrease urinary tract infections.