A patient is receiving Prazosin, a drug that blocks alpha1-adrenergic receptors. Which adverse effect, if experienced by the patient, is of most concern to the nurse?
Nasal congestion
Orthostatic hypotension
Inhibition of ejaculation
Reflex tachycardia
The Correct Answer is B
Choice A rationale: Nasal congestion is a common side effect of alpha1-adrenergic blockers, not a cause for concern.
Choice B rationale: Orthostatic hypotension is a potential adverse effect of alpha1- adrenergic blockers like prazosin. It can lead to dizziness and falls, particularly when moving from a lying or sitting position to a standing one.
Choice C rationale: Inhibition of ejaculation is a potential side effect of alpha1- adrenergic blockers but is not of the most concern compared to orthostatic hypotension.
Choice D rationale: Reflex tachycardia is not a typical adverse effect of alpha1- adrenergic blockers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: While a decreased frequency of migraine headaches is a positive outcome, it does not directly indicate the immediate therapeutic effect of a sumatriptan (a serotonin receptor agonist). It may suggest a preventive effect over time.
Choice B rationale: Complete absence of migraine headaches is a positive outcome, but it is not always achievable. Immediate cessation of all headaches might not be realistic with every dose.
Choice C rationale: This is correct. Sumatriptan, a serotonin receptor agonist, is designed to terminate or relieve an ongoing migraine headache when administered during an attack. The patient reporting the termination of the migraine headache after drug administration suggests the desired therapeutic effect.
Choice D rationale: Increased nausea is not a desired therapeutic effect of sumatriptan. Sumatriptan is used to relieve the symptoms of migraines, including nausea, not exacerbate them.
Correct Answer is A
Explanation
Choice A rationale: Abstinence syndrome (withdrawal) from alcohol is characterized by symptoms such as muscle cramps, tremors, and tachycardia.
Choice B rationale: Hyperventilation, chest pain, and ptosis are not typical manifestations of alcohol withdrawal.
Choice C rationale: Increased urination, dry cough, and hypothermia are not characteristic of alcohol withdrawal.
Choice D rationale: Epistaxis, ascites, and exophthalmos are not specific to alcohol withdrawal and may indicate other health issues.
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