29. Oxybutynin (Ditropan) is prescribed for a client diagnosed with an overactive bladder (OAB). The client reports having experienced numerous adverse effects with the immediate-release tablets (Ditropan-IR). The client asks the nurse how the transdermal patch could cause less adverse effects if it is essentially the same drug. The nurse’s response should be based on the knowledge that: a. Transdermal absorption bypasses metabolism in the intestinal wall. b. The transdermal form is water soluble and poorly absorbed. c. The transdermal form is a different drug than oral oxybutynin. d. The transdermal form is less effective than the extended-release (ER) oral form. 30. Poisoning by reversible cholinesterase inhibitors can be treated by administration of what drug? What is the action of this drug that reverses the symptoms?
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