The nurse is caring for a client experiencing sympathetic nervous system stimulation. What assessment finding supports this diagnosis? Select all that apply. (Select All that Apply.)

Increased heart rate

Decrease in urinary bladder muscle tone

Increased blood pressure

Decreased salivation

Decreased bowel sounds

Answer and Explanation

Correct Answer : A,C

A.   Increased heart rate: Sympathetic nervous system stimulation typically leads to increased heart rate as part of the "fight or flight" response.
B.   Decrease in urinary bladder muscle tone: Sympathetic stimulation would typically cause relaxation of the urinary bladder, leading to increased muscle tone.
C.   Increased blood pressure: Sympathetic nervous system activation results in vasoconstriction and increased cardiac output, leading to elevated blood pressure.
D.   Decreased salivation: Sympathetic stimulation can lead to decreased salivation as part of the "fight or flight" response, but it's not a consistent finding.
E.   Decreased bowel sounds: Sympathetic activation can inhibit gastrointestinal motility, leading to decreased bowel sounds, but it's not a universal finding in sympathetic stimulation.

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Correct Answer is ["A","C","D","E"]

Explanation

A. Monitor the patient's respiratory rate: It's essential to monitor the patient for any adverse effects of morphine administration, particularly respiratory depression.
B. Ensure naloxone is readily available: While naloxone is an antidote for opioid overdose, administering it would depend on the patient's response and any signs of opioid toxicity, which may not be evident at this time.
C. Report the error to the facility through the proper paperwork: Reporting the medication error is crucial for documentation, investigation, and implementation of corrective actions.
D. Inform the patient's health care provider: The healthcare provider should be notified of the medication error to ensure appropriate follow-up and monitoring of the patient.
E. Document the dose of morphine given by the MedSurg nurse: Documenting the medication administration accurately is essential for the patient's medical record and continuity of care.

A. Get up slowly from a sitting or lying position. B. Take the medication with breakfast to promote the maximum effects of the drug. C. Fluids need to be restricted while on this medication. D. Blood pressure must be monitored because the medication may cause hypertension.

Correct Answer is A

Explanation

A. Getting up slowly from a sitting or lying position is an important aspect of patient education for individuals taking tamsulosin, as this medication can cause orthostatic hypotension, leading to dizziness or fainting upon standing up quickly.
B. Tamsulosin is often taken once daily, approximately 30 minutes after the same meal each day, typically breakfast or the first meal of the day. Taking it with breakfast is not a requirement for
its efficacy.

C. There is no need to restrict fluids while on tamsulosin therapy. In fact, adequate hydration is generally encouraged.
D. Tamsulosin is not typically associated with causing hypertension. Instead, it is more commonly associated with hypotension, especially orthostatic hypotension.

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The nurse is caring for a client experiencing sympathetic nervous system stimulation. What assessment finding supports this diagnosis? Select all that apply. (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","C","D","E"]

Explanation

The teaching for a patient who is taking tamsulosin to reduce urinary obstruction due to benign prostatic hyperplasia will include which of these?

Correct Answer is A

Explanation

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