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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
Choice A rationale
Crushing and mixing ciprofloxacin hydrochloride tablets with pudding is not recommended. Ciprofloxacin is an antibiotic used to treat a variety of bacterial infections, including anthrax. It should be taken as directed by a healthcare provider, usually every 12 hours with a full glass of
water. Crushing the tablets can lead to a sudden release of the drug, causing side effects or an overdose.
Choice B rationale
Increasing fluid intake while taking the medication is advisable. Ciprofloxacin can cause crystalluria, which are crystals in the urine, in some patients. Drinking plenty of fluids while taking this medication helps to prevent the formation of these crystals.
Choice C rationale
Using nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve mild joint aches and pains caused by the medication is not recommended. Ciprofloxacin can increase the effects of certain medications, including NSAIDs, leading to an increased risk of side effects such as gastrointestinal bleeding.
Choice D rationale
Reporting any tendon pain or swelling to the healthcare provider immediately is crucial. Ciprofloxacin has been associated with an increased risk of tendonitis and tendon rupture, particularly in older adults and those taking corticosteroids.
Choice E rationale
Limiting exposure to sunlight and avoiding tanning beds is important. Ciprofloxacin can make the skin more sensitive to sunlight, increasing the risk of sunburn. Patients should wear protective clothing and use sunscreen when outdoors.
Correct Answer is C
Explanation
Choice A rationale
While nausea and diarrhea can occur when using ginkgo biloba, these are not the most critical side effects to be aware of.
Choice B rationale
Ginkgo biloba should indeed be used with caution during pregnancy due to potential risks. However, this is not the most important information for this patient.
Choice C rationale
Ginkgo biloba can interact with aspirin and non-steroidal anti-inflammatory drugs, increasing the risk of bleeding. This is crucial information for the patient, especially if they are taking these medications.
Choice D rationale
While anxiety and headaches can increase with the use of ginkgo biloba, these are not the most critical side effects to be aware of.
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