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

Get up slowly from a sitting or lying position.

Take the medication with breakfast to promote the maximum effects of the drug.

Fluids need to be restricted while on this medication.

Blood pressure must be monitored because the medication may cause hypertension.

Answer and Explanation

The Correct Answer is A

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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Correct Answer is A

Explanation

A. Partial agonists like nalbuphine have a lower dependency potential than full agonists. This means they are less likely to lead to physical dependence or tolerance when used for pain
management.

B. Partial agonists do not necessarily have a higher potency than agonists. Potency refers to the dose of a drug required to produce a specific effect, which can vary among different drugs regardless of their classification as agonists or partial agonists.
C. Partial agonists like nalbuphine are not typically used for their anti-inflammatory effects.

They are primarily used for pain management.

D. Partial agonists like nalbuphine are not typically used to reverse the effects of opiates. They may be used in certain situations to manage opioid-induced side effects or in cases of opioid overdose, but their primary indication is for pain management.

A. A patient with a history of peptic ulcer disease B. A patient with a history of liver disease C. A patient who is complaining of a mild headache D. A patient with a fever of 101°F (38.3°C)

Correct Answer is B

Explanation

A. Acetaminophen is generally considered safe for patients with a history of peptic ulcer disease.

It does not irritate the gastrointestinal mucosa like nonsteroidal anti-inflammatory drugs (NSAIDs).
B. Patients with a history of liver disease should not receive acetaminophen or should use it with caution and under close supervision, as acetaminophen is metabolized in the liver. Liver
impairment can lead to decreased metabolism of acetaminophen, potentially resulting in drug accumulation and hepatotoxicity.
C. Acetaminophen is commonly used to relieve mild to moderate headaches. However, the appropriateness of acetaminophen use in this scenario depends on the patient's overall health status and any contraindications specific to the individual.
D. Acetaminophen is often used to reduce fever. A fever of 101°F (38.3°C) alone does not necessarily contraindicate acetaminophen use, but caution should be exercised in patients with liver disease.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The drug nalbuphine is an agonist-antagonist (partial agonist). The nurse understands that which is a characteristic of partial agonists?

Correct Answer is A

Explanation

The nurse is assessing a patient for contraindications to drug therapy with acetaminophen. Which patient should not receive acetaminophen?

Correct Answer is B

Explanation

The nurse has given medication instructions to a patient receiving phenytoin. Which statement by the patient indicates that the patient has an adequate understanding of the instructions?

During the immediate postoperative period, the Post Anesthesia Care Unit nurse is assessing a patient who had hip surgery. The patient is experiencing tachycardia, tachypnea, and muscle rigidity, and his temperature is 103°F (39.4°C). The nurse will prepare for what immediate treatment?

The nurse is caring for a 64-year-old male client with diabetes who is being treated with a nonselective beta-blocker. What health education should the nurse prioritize with this client?

The barbiturate phenobarbital is prescribed for a patient with epilepsy. While assessing the patient's current medications, the nurse recognizes that interactions may occur with which drugs? (Select all that apply.)

The opioid acetaminophen/hydrocodone is prescribed for a patient who has had surgery. The nurse informs the patient that which common adverse effects can occur with this medication? (Select all that apply.)

A nurse is providing teaching to a client who has a new diagnosis of Parkinson's disease. On which of the following medications should the nurse prepare to instruct the client?

The nurse is reviewing the food choices of a patient who is taking a monoamine oxidase inhibitor (MAOI). Which food choice would indicate the need for additional teaching?