Final answer:
The correct advice for Pamela regarding her extended-release antispasmodic medication is that she should not crush or chew the tablets to avoid disrupting the medication's designed release mechanism. The other options require specific context from prescribing information or advice from a healthcare provider.
Step-by-step explanation:
When advising Pamela on the use of extended-release antispasmodic medication prescribed for treating neurogenic bladder, it is important to convey specific instructions for proper use and expected outcomes. In regards to the information provided, b. She should not crush or chew the tablets is the correct guidance. Extended-release formulations are designed to release the medication slowly over time, and crushing or chewing the tablets could result in the entire dose being released at once, leading to potential side effects or decreased effectiveness.
While it is essential to follow the medication administration instructions carefully, options a, c, and d may not be accurate without further context from prescribing information or a healthcare professional. Generally, option a is related to expected onset of clinical effects and could vary depending on the specific medication and individual response. Option c about water consumption should adhere to the medication's instructions but is not specific to extended-release formulations of antispasmodics. Lastly, option d about Kegel exercises is typically unrelated to the medication's administration and is often encouraged to strengthen pelvic floor muscles unless otherwise advised by a healthcare provider.