The client is at risk of developing urinary retention. The client has very high creatinine levels, which shows serious problems with kidney function or probably kidney damage. Tiotropium is a drug used to treat several lung diseases, such as asthma and chronic obstructive pulmonary disease. However, one of the drug's adverse effects is the retention of urine, painful urination or difficulty in urinating.
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You need two recessive alleles (xx). If even one dominant allele is present, the dominant trait will show (Xx or XX will both result in the dominant trait showing). That’s why they’re called dominant traits, because they overpower the recessive traits. In order for a recessive trait to show you must have two recessive alleles.