A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction?

Perform a bladder scan.

Assess urine output.

Monitor blood pressure.

Obtain daily weights.

Answer and Explanation

The Correct Answer is C

Choice A reason: A bladder scan is used to measure the post-void residual urine volume, which can indicate urinary retention. It is not related to the adverse effects of tamsulosin.

Choice B reason: Assessing urine output is important for clients with urinary problems, but it is not specific to the adverse effects of tamsulosin.

Choice C reason: 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 D reason: Obtaining daily weights is not relevant to the adverse effects of tamsulosin. It is more useful for clients with fluid retention or edema.

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Correct Answer is ["200"]

Explanation

The correct answer is 200 mL/hr.

Explanation: To calculate the infusion rate, the nurse should use the formula:

Infusion rate (mL/hr) = Volume (mL) / Time (hr)

In this case, the volume is 200 mL and the time is 1 hour. Therefore,

Infusion rate (mL/hr) = 200 mL / 1 hr

Infusion rate (mL/hr) = 200 mL/hr

A. Suggest that the client replace the leafy vegetables with a protein source such as nuts or beans. B. Commend the client for her healthy lifestyle and encourage her to continue her current diet habits. C. Advise the client that the healthcare provider needs to be made aware of her current diet. D. Confirm that her diet choices will help the medication be more effective in preventing blood clots.

Correct Answer is C

Explanation

Choice A reason: Replacing leafy vegetables with a protein source is not necessary or advisable for a vegetarian client who takes warfarin. Leafy vegetables are rich in vitamin K, which can interfere with warfarin's anticoagulant effect, but they also provide other nutrients and benefits for health. Protein sources such as nuts or beans may also contain vitamin K or other substances that can affect warfarin's action.

Choice B reason: Commending the client for her healthy lifestyle and encouraging her to continue her current diet habits is not appropriate or safe for a vegetarian client who takes warfarin. Leafy vegetables can alter warfarin's anticoagulant effect and increase the risk of bleeding or clotting complications if not monitored closely by the healthcare provider.

Choice C reason: Advising the client that the healthcare provider needs to be made aware of her current diet is the best response for a vegetarian client who takes warfarin. Leafy vegetables can affect warfarin's anticoagulant effect by increasing vitamin K levels in the body, which counteracts warfarin's action. The healthcare provider can adjust the warfarin dose accordingly and monitor the client's international normalized ratio (INR), which is a measure of blood clotting time.

Choice D reason: Confirming that her diet choices will help the medication be more effective in preventing blood clots is incorrect and misleading for a vegetarian client who takes warfarin. Leafy vegetables can decrease warfarin's anticoagulant effect by increasing vitamin K levels in the body, which enhances blood clotting. This can reduce the effectiveness of warfarin and increase the risk of thromboembolic events, such as stroke or pulmonary embolism.

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A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction?

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Naxlex Comprehensive Predictor Exams

The nurse receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (D5W) 200 mL. The nurse should program the infusion pump to deliver how many mL/hr? (Enter numerical value only.)

Correct Answer is ["200"]

Explanation

A female client who is a vegetarian has a new prescription for warfarin. The client states she eats leafy green vegetables every day. How should the nurse respond?

Correct Answer is C

Explanation

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