A 67-year-old client with incomplete bladder emptying caused by BPH has a new prescription for tamsulosin (Flomax). Which statement about tamsulosin is most important to include when teaching this client?

"Your blood pressure will increase as a result of taking this medication "

This medication will improve your symptoms by shrinking the prostate

"You should avoid making sudden changes in position."

"The force of your urinary stream will probably increase

Answer and Explanation

The Correct Answer is C

Rationale:
A. Tamsulosin is an alpha-1 blocker that can cause blood pressure to decrease, not increase, due to vasodilation.
B. Tamsulosin does not shrink the prostate; it relaxes the muscles in the prostate and bladder neck to improve urine flow.
C. Tamsulosin can cause orthostatic hypotension (sudden drops in blood pressure when standing), so avoiding sudden position changes is important to prevent dizziness and falls.
D. While the medication does improve urinary flow, patient safety regarding blood pressure changes is the priority teaching point.

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Correct Answer is C

Explanation

Rationale:
A. Deep breathing and coughing exercises are important but ensuring catheter patency is more critical immediately post-prostatectomy to prevent urinary retention and bladder distention.
B. Strict bed rest is generally not required; early ambulation is encouraged to reduce complications.
C. Maintaining a patent indwelling catheter is essential after prostatectomy to prevent urinary obstruction, bladder distension, and potential damage to the surgical site.
D. Monitoring for infection is important but is a routine ongoing assessment rather than the immediate priority.

A. Encourage the client to ambulate and increase fluid intake to stimulate urination B. Check the client's bladder for distention and notify the healthcare provider if necessary. C. Increase the client's fluid intake and reassess the output in 4 hours. D. Administer the prescribed pain medication and document the findings

Correct Answer is B

Explanation

Rationale:
A. Encouraging ambulation and fluids may help, but the low urine output (oliguria) over 3 hours warrants assessment of bladder distention first to rule out urinary retention.
B. Checking the bladder for distention is the most appropriate immediate action, as urinary retention is a common postoperative complication that can cause pain and reduced output. The healthcare provider should be notified if retention is present.
C. Increasing fluids alone without assessment may delay necessary intervention.
D. Administering pain medication without assessing the cause of decreased output may mask symptoms and delay diagnosis of urinary retention or other complications.

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A 67-year-old client with incomplete bladder emptying caused by BPH has a new prescription for tamsulosin (Flomax). Which statement about tamsulosin is most important to include when teaching this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has just undergone a prostatectomy for benign prostatic hyperplasia (BPH). Which of the following nursing interventions is most important in the immediate post-operative period?

Correct Answer is C

Explanation

A nurse is caring for a client who is 24 hours post-hysterectomy. The client is experiencing moderate abdominal pain and is requesting pain medication. The nurse notices the client's urinary output is 45 mL over the past 3 hours. Which of the following is the most appropriate nursing action?

Correct Answer is B

Explanation

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