A client is receiving tamsulosin, an alpha-adrenergic blocking agent, for the management of urinary retention due to benign prostatic hyperplasia (BPH). Which instruction is most important for the nurse to provide?

Take the medication early in the day.

Stand and sit up slowly.

Reduce daily fluid intake.

Use a twice-a-week dosing schedule.

Answer and Explanation

The Correct Answer is B

Choice A reason: Taking tamsulosin early in the day is not necessary. Tamsulosin should be taken approximately 30 minutes after the same meal each day to ensure consistent absorption and effectiveness1. The timing of the dose is less critical than ensuring it is taken after the same meal daily.

Choice B reason: Tamsulosin can cause orthostatic hypotension, which is a sudden drop in blood pressure when standing up from a sitting or lying position. This can lead to dizziness or fainting. Therefore, it is crucial to instruct patients to stand and sit up slowly to prevent falls and injuries.

Choice C reason: Reducing daily fluid intake is not recommended for patients taking tamsulosin. Adequate hydration is important for overall health and can help manage urinary symptoms associated with BPH. There is no evidence suggesting that fluid restriction improves the effectiveness of tamsulosin.

Choice D reason: Tamsulosin should be taken daily, not on a twice-a-week dosing schedule. Consistent daily dosing is necessary to maintain stable blood levels of the medication and ensure its effectiveness in managing urinary retention due to BPH.

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Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A reason:

Those with allergies to chamomile, ragweed, or yarrow should not take feverfew because feverfew belongs to the Asteraceae/Compositae family, which includes these plants. Individuals allergic to these plants may experience allergic reactions to feverfew, such as skin rashes, swelling, and difficulty breathing. It is crucial to avoid feverfew in these cases to prevent severe allergic reactions.

Choice B reason:

Feverfew may interact with aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs), but this is not the most critical information compared to potential allergic reactions. Feverfew can inhibit platelet aggregation, which may increase the risk of bleeding when taken with NSAIDs or aspirin. However, the primary concern remains the potential for severe allergic reactions in sensitive individuals.

Choice C reason:

Abdominal pain, gas, nausea, vomiting, and diarrhea can occur when taking feverfew, but these side effects are generally mild and manageable. While it is important to inform clients about possible gastrointestinal side effects, the risk of allergic reactions in individuals sensitive to chamomile, ragweed, or yarrow is more critical.

Choice D reason:

Increased anxiety and nervousness have been reported by those taking feverfew, but these side effects are less common and typically not severe. The primary concern should be the potential for allergic reactions, which can be life-threatening.

A. Resume a diet that consists of milk, cream, and bland foods. B. Call the clinic if diarrhea or headache occurs when taking esomeprazole. C. Once pain subsides, NSAID therapy can be resumed. D. Notify the healthcare provider of the passage of black stools.

Correct Answer is D

Explanation

Choice A reason:

Resuming a diet that consists of milk, cream, and bland foods is not the most critical instruction for a client taking esomeprazole. While bland foods can help reduce gastric irritation, they do not address the primary concern of monitoring for serious side effects. Esomeprazole is a proton pump inhibitor (PPI) that reduces stomach acid, and dietary changes alone are not sufficient to manage potential complications.

Choice B reason:

Calling the clinic if diarrhea or headache occurs when taking esomeprazole is important, but it is not the most critical instruction. Diarrhea and headache are common side effects of esomeprazole, but they are usually not severe. The client should be aware of these potential side effects, but the primary concern is monitoring for signs of gastrointestinal bleeding.

Choice C reason:

Once pain subsides, NSAID therapy should not be resumed without consulting the healthcare provider. NSAIDs can cause significant gastrointestinal issues, including ulcers and bleeding. The client should be advised to avoid NSAIDs unless specifically directed by their healthcare provider.

Choice D reason:

Notifying the healthcare provider of the passage of black stools is the most critical instruction. Black stools can indicate gastrointestinal bleeding, which is a serious side effect of both NSAIDs and esomeprazole. Immediate medical attention is necessary if this occurs to prevent further complications.

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A client is receiving tamsulosin, an alpha-adrenergic blocking agent, for the management of urinary retention due to benign prostatic hyperplasia (BPH). Which instruction is most important for the nurse to provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has been experiencing headaches since using the herbal remedy feverfew. Which information is important to include for this client?

Correct Answer is A

Explanation

A client who has been taking nonsteroidal anti-inflammatory drugs (NSAIDs) is experiencing gastric pain and blood in his stool. The healthcare provider discontinues the NSAIDs and prescribes esomeprazole. Which information should the nurse include in this client’s teaching plan?

Correct Answer is D

Explanation

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