A client with benign prostatic hyperplasia has been prescribed tamsulosin. What should the nurse do to monitor for an adverse reaction?

Monitor the client’s blood pressure.

Assess the client’s urine output.

Perform a bladder scan.

Obtain the client’s daily weights.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Tamsulosin is an alpha-blocker that relaxes the smooth muscles of the prostate and bladder neck, improving urine flow. However, it can also cause hypotension, dizziness, and fainting as adverse effects. Therefore, monitoring blood pressure is essential for clients taking tamsulosin.

Choice B rationale

While assessing the client’s urine output is an important part of monitoring a client with benign prostatic hyperplasia, it is not specifically related to monitoring for adverse reactions to tamsulosin.

Choice C rationale

Performing a bladder scan can be useful in assessing the client’s urinary retention, a common symptom of benign prostatic hyperplasia. However, it is not specifically related to monitoring for adverse reactions to tamsulosin.

Choice D rationale

Obtaining the client’s daily weights can be useful in monitoring fluid balance, but it is not specifically related to monitoring for adverse reactions to tamsulosin.

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Correct Answer is C

Explanation

Choice A rationale

While salt substitutes can be a good option for some patients with heart failure, they are often high in potassium. Because spironolactone is a potassium-sparing diuretic, using a salt substitute could lead to dangerously high levels of potassium.

Choice B rationale

Protecting your skin before going outside is generally good advice, but it’s not specifically related to the use of spironolactone.

Choice C rationale

Spironolactone is a potassium-sparing diuretic, which means it can cause the body to retain potassium. Therefore, patients taking spironolactone should limit their intake of high- potassium foods to prevent hyperkalemia.

Choice D rationale

While it’s always important to monitor for side effects when taking a new medication, excessive bruising is not a common side effect of spironolactone.

A. Assess for hypoglycemia between meals. B. Check blood glucose levels every six hours. C. Provide meals at the same time this insulin is given. D. Keep an oral liquid or glucose source available.

Correct Answer is C

Explanation

Choice A rationale

While it is important to assess for hypoglycemia between meals when a client is receiving insulin lispro, this is not the most important intervention. Hypoglycemia is a potential side effect of all insulins, but the timing of the hypoglycemia is often related to the timing of the insulin dose and meals.

Choice B rationale

Checking blood glucose levels every six hours is a part of diabetes management. However, this is not the most important intervention for a client who is receiving insulin lispro. The timing of blood glucose checks should be individualized based on the client’s needs and the type of insulin they are receiving.

Choice C rationale

Insulin lispro is a rapid-acting insulin that begins to work very quickly. For this reason, it should be given at the same time as meals. This is the most important intervention for a client who is receiving insulin lispro.

Choice D rationale

Keeping an oral liquid or glucose source available is important for all clients with diabetes to treat potential hypoglycemia. However, this is not the most important intervention for a client who is receiving insulin lispro.

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A client with benign prostatic hyperplasia has been prescribed tamsulosin. What should the nurse do to monitor for an adverse reaction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with heart failure develops hyperaldosteronism and is prescribed spironolactone.What instructions should the nurse include in the patient’s care plan?

Correct Answer is C

Explanation

Which intervention is most important for the nurse to implement for a client who is receiving insulin lispro?

Correct Answer is C

Explanation

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