A nurse is caring for a client who has benign prostatic hypertrophy and a new prescription for tamsulosin. The nurse should instruct the client to notify the provider of which of the following findings as an adverse effect of tamsulosin?

Orthostatic hypotension

Muscle tenderness

Decreased heart rate

Oliguria

Answer and Explanation

The Correct Answer is A

A) Orthostatic hypotension:
Tamsulosin, an alpha-blocker used to treat benign prostatic hypertrophy, can cause orthostatic hypotension, which is a significant adverse effect. This condition involves a sudden drop in blood pressure when standing up, leading to dizziness or fainting. It's important for clients to report these symptoms to their healthcare provider for potential adjustment of medication or additional instructions on managing this side effect.

B) Muscle tenderness:
Muscle tenderness is not commonly associated with tamsulosin. While muscle pain can occur with other medications, it is not a known adverse effect of tamsulosin and does not require immediate notification to the provider in the context of this medication.

C) Decreased heart rate:
Tamsulosin does not typically cause bradycardia (decreased heart rate). This side effect is more associated with beta-blockers or other cardiac medications, rather than alpha-blockers like tamsulosin. Reporting this would be relevant for those other medications but not for tamsulosin.

D) Oliguria:
Oliguria, or decreased urine output, is not a known adverse effect of tamsulosin. Tamsulosin helps improve urine flow in clients with benign prostatic hypertrophy, so reporting oliguria would not be pertinent in this context. Instead, it could indicate another underlying issue.

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Correct Answer is D

Explanation

A) Contact dermatitis: This condition results from an allergic reaction or irritation caused by contact with a substance, such as chemicals, detergents, or allergens. It is not a communicable skin infection and does not spread from person to person.

B) Actinic keratoses: These are rough, scaly patches on the skin caused by prolonged exposure to ultraviolet (UV) rays. They are considered precancerous lesions and are not contagious. They result from environmental factors rather than person-to-person transmission.

C) Psoriasis: This is a chronic autoimmune condition that leads to the rapid buildup of skin cells, causing scaling on the skin's surface. It is not contagious and does not spread through person-to-person contact. Psoriasis is an inherited condition influenced by immune system triggers.

D) Herpes zoster: Also known as shingles, this condition is caused by the reactivation of the varicella-zoster virus (the same virus that causes chickenpox). While shingles itself is not spread from person to person, the virus can be transmitted from a person with shingles to someone who has never had chickenpox, potentially causing chickenpox in the latter individual. The virus is spread through direct contact with the fluid from the blisters.

A. "This medication might cause urinary frequency." B. "This medication might cause an increase in your blood sugar." C. "This medication might cause you to have excess saliva." D. "This medication might cause drowsiness."

Correct Answer is D

Explanation

A) "This medication might cause urinary frequency": Meclizine is not commonly associated with urinary frequency. It is an antihistamine used primarily to manage symptoms of vertigo and motion sickness rather than affecting urinary function.

B) "This medication might cause an increase in your blood sugar": Meclizine does not typically affect blood sugar levels. Concerns about blood sugar levels are more relevant to other medications, such as corticosteroids or certain antihypertensives, rather than meclizine.

C) "This medication might cause you to have excess saliva": Excess saliva is not a common side effect of meclizine. Antihistamines like meclizine usually have the opposite effect, potentially causing dry mouth rather than an increase in saliva.

D) "This medication might cause drowsiness": Drowsiness is a known side effect of meclizine, as it is an antihistamine with sedative properties. This effect can be significant for some individuals, so it's important for clients to be aware of this potential impact on their daily activities.

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A nurse is caring for a client who has benign prostatic hypertrophy and a new prescription for tamsulosin. The nurse should instruct the client to notify the provider of which of the following findings as an adverse effect of tamsulosin?

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