A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction?
Perform a bladder scan.
Assess urine output.
Monitor blood pressure.
Obtain daily weights.
The Correct Answer is C
Choice A reason: A bladder scan is used to measure the post-void residual urine volume, which can indicate urinary retention. It is not related to the adverse effects of tamsulosin.
Choice B reason: Assessing urine output is important for clients with urinary problems, but it is not specific to the adverse effects of tamsulosin.
Choice C reason: Tamsulosin is an alpha-blocker that relaxes the smooth muscles of the prostate and bladder neck, improving urine flow. However, it can also cause hypotension, dizziness, and fainting as adverse effects. Therefore, monitoring blood pressure is essential for clients taking tamsulosin.
Choice D reason: Obtaining daily weights is not relevant to the adverse effects of tamsulosin. It is more useful for clients with fluid retention or edema.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["200"]
Explanation
The correct answer is 200 mL/hr.
Explanation: To calculate the infusion rate, the nurse should use the formula:
Infusion rate (mL/hr) = Volume (mL) / Time (hr)
In this case, the volume is 200 mL and the time is 1 hour. Therefore,
Infusion rate (mL/hr) = 200 mL / 1 hr
Infusion rate (mL/hr) = 200 mL/hr
Correct Answer is B
Explanation
Choice A reason: Notifying the healthcare provider of the carbamazepine level is not necessary, as 8.4 mg/L (35.6 mcmol/L) is within
the normal range of 4 to 12 mg/L (16.9 to 50.8 mcmol/L). The healthcare provider may adjust
the dose based on other factors such as clinical response, seizure frequency, or adverse effects,
but not based on this level alone.
Choice B reason: Administering the carbamazepine as prescribed is the appropriate action to take, as 8.4 mg/L (35.6 mcmol/L) is within
the normal range of 4 to 12 mg/L (16.9 to 50.8 mcmol/L). The nurse should follow the prescribed
dose and schedule of carbamazepine to maintain a therapeutic level and prevent seizures.
Choice C reason: Assessing the client for side effects of carbamazepine is important, as carbamazepine can cause adverse effects such as drowsiness, dizziness, nausea, rash, or blood dyscrasias. However, this action is not related to the carbamazepine level, as side effects can occur at any level and may not correlate with the serum concentration. The nurse should monitor the client for side effects regardless of the carbamazepine level.
Choice D reason: Withholding this dose of carbamazepine is not appropriate, as 8.4 mg/L (35.6 mcmol/L) is withinthe normal range of 4 to 12 mg/L (16.9 to 50.8 mcmol/L). Withholding the dose may cause a drop in the serum concentration and increase the risk of seizures. The nurse should administer the carbamazepine as prescribed unless instructed otherwise by the healthcare provider.
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