A client with hypertension and benign prostate hyperplasia is prescribed doxazosin (Cardura). Which of the following statements below would the nurse emphasize regarding doxazosin (Cardura)?
"Weigh yourself daily, and report any weight loss to your prescriber."
"Be sure to lie down after taking the first dose, because first-dose hypotension may make you dizzy."
"The impaired taste associated with this medication usually goes away in 2 to 3 weeks."
"Increase your potassium intake by eating more bananas and apricots."
The Correct Answer is B
A. Daily weight monitoring is not specifically required with doxazosin and is more relevant for medications that may cause fluid retention or significant weight changes.
B. First-dose hypotension is a common and significant side effect of doxazosin, and advising the patient to lie down after the first dose helps mitigate the risk of dizziness and falls.
C. Impaired taste is not a known side effect of doxazosin, making this statement inaccurate.
D. While potassium intake is important for overall health, doxazosin does not typically require dietary potassium adjustments.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Lung function tests are not relevant to atorvastatin therapy; they are more commonly associated with medications affecting the respiratory system.
B. Platelet counts are not routinely monitored for patients on atorvastatin unless there are specific concerns related to bleeding or clotting.
C. Liver function tests are critical for patients on atorvastatin because the medication can cause liver enzyme elevations, indicating potential hepatotoxicity. Routine monitoring ensures early detection of any liver complications.
D. Hemoglobin levels are not specifically related to atorvastatin use and are generally monitored in contexts involving anemia or bleeding.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}
Explanation
aPTT (Activated Partial Thromboplastin Time) is the primary lab test used to monitor the effectiveness of unfractionated heparin therapy. Heparin works by activating antithrombin III, which inhibits thrombin and factor Xa, thus prolonging the aPTT. Monitoring aPTT helps ensure that the heparin dose is therapeutic and reduces the risk of bleeding.
PT-INR (Prothrombin Time - International Normalized Ratio) is used to monitor patients on warfarin therapy. Warfarin inhibits vitamin K-dependent clotting factors, which affects the prothrombin time (PT). The INR standardizes PT results, allowing for consistent monitoring of anticoagulation status. It is critical to maintain the INR within the therapeutic range to balance the risk of thrombosis against the risk of bleeding.
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