A nurse is teaching a client diagnosed with Benign prostatic hyperplasia (BPH) about his new prescription Flomax. Which side effects should the nurse include in the teaching?

May develop Lightheadedness

Can cause Bradycardia

Burning with urination

Temporary loss of libido.

Answer and Explanation

The Correct Answer is A

A. Lightheadedness is a common side effect of Flomax (tamsulosin) due to its alpha-blocking effect, which can cause vasodilation and a drop in blood pressure.

B. Bradycardia is not a typical side effect of Flomax. It mainly affects alpha receptors in the prostate and bladder, not the heart rate.

C. Burning with urination is more likely to be related to a urinary tract infection (UTI) rather than Flomax.

D. Temporary loss of libido is not a common side effect of Flomax, though it may be associated with other medications like finasteride used in BPH treatment.

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Correct Answer is C

Explanation

A. Notify the provider: This is not the first action. The nurse should assess and attempt to resolve the issue before escalating it to the provider.

B. Irrigate the catheter: This may be required if the catheter remains obstructed, but the nurse should first assess for and address more straightforward causes like kinks.

C. Check the catheter for kinks: This is the first step because a kink or simple obstruction in the catheter tubing is a common cause of inadequate drainage. Addressing this can resolve the issue without additional interventions.

D. Adjust the rate of the bladder irrigant: The rate of irrigation is essential to prevent clots but should not be adjusted without addressing the immediate issue of no output.

A. The 78-year-old male with a diagnosis of chronic kidney disease who has developed a new nonproductive cough and is short of breath B. The 37-year-old female diagnosed with cellulitis of the left leg yesterday who is experiences warmth in the affected left leg C. The 70-year-old male who underwent a transurethral resection of the prostate (TURP) yesterday and is having a burning sensation during urination D. The 52-year-old female with pancreatitis who is experiencing abdominal pain rated 7 on a 1-10 scale

Correct Answer is A

Explanation

A. The 78-year-old male with chronic kidney disease who develops a new nonproductive cough and shortness of breath is concerning for pulmonary edema or fluid overload, which can rapidly progress and require immediate attention.

B. The 37-year-old female with cellulitis is experiencing warmth in the affected leg, which is expected with cellulitis and may indicate the need for monitoring but is not as urgent as the other options.

C. The 70-year-old male who underwent a TURP is having a burning sensation during urination, which is a common postoperative finding and is not as concerning unless other complications arise.

D. The 52-year-old female with pancreatitis and abdominal pain rated 7 is in pain but is stable, and this pain can typically be managed with pain medication and monitoring, so she is not the most urgent.

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A nurse is teaching a client diagnosed with Benign prostatic hyperplasia (BPH) about his new prescription Flomax. Which side effects should the nurse include in the teaching?

Nursing Test Bank

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