A nurse is teaching a client following a cystoscopy about his new prescription for tamsulosin. Which of the following adverse effects should the nurse include in the teaching?

Bradycardia

Temporary loss of libido.

Burning with urination

Dizziness

Answer and Explanation

The Correct Answer is D

A. Bradycardia: Tamsulosin, an alpha-1 adrenergic blocker, does not typically cause bradycardia. Its primary cardiovascular effects involve vasodilation, which may lead to hypotension or dizziness rather than slowing of the heart rate.

B. Temporary loss of libido: Changes in libido are not commonly associated with tamsulosin. While sexual side effects are possible with some medications for urinary symptoms, tamsulosin mainly affects smooth muscle tone in the prostate and bladder neck.

C. Burning with urination: Burning or dysuria is not a typical adverse effect of tamsulosin. If present, it may indicate another issue, such as infection or irritation from the cystoscopy procedure, rather than a direct effect of the medication.

D. Dizziness: Dizziness is a common adverse effect of tamsulosin due to its action on blood vessels, which can cause orthostatic hypotension. Clients should be advised to rise slowly from sitting or lying positions to minimize the risk of falls.

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Correct Answer is C

Explanation

A. Compare blood pressures in the left and right arms: Blood pressure should never be measured in the arm with an arteriovenous fistula because the pressure from the cuff can damage the access site and compromise patency.

B. Assess the quality of the left radial pulse: While radial pulse assessment provides information about peripheral circulation, it does not specifically evaluate fistula function. The patency of a fistula is best assessed directly at the site rather than by distal pulses.

C. Auscultate for a bruit at the fistula site: The presence of a bruit, along with palpating a thrill, is the most reliable way to confirm that the arteriovenous fistula is patent and functioning. Regular assessment helps detect complications such as thrombosis or stenosis.

D. Irrigate the fistula site with saline every 8 to 12 hours: Irrigating or flushing the fistula is not an appropriate nursing action. Invasive manipulation can damage the site, increase infection risk, and jeopardize vascular access, which is essential for hemodialysis treatment.

A. Take phenazopyridine for at least 7 days. B. Phenazopyridine may cause photosensitivity C. Phenazopyridine may change the urine color. D. Take phenazopyridine before sexual course

Correct Answer is C

Explanation

A. Take phenazopyridine for at least 7 days: Phenazopyridine is a urinary analgesic and does not treat the underlying infection. It should be used only for symptom relief, usually for a short duration, and not as a substitute for the full course of antibiotics.

B. Phenazopyridine may cause photosensitivity: Photosensitivity is not a commonly reported side effect of phenazopyridine. The primary concern with this medication relates to its effects on urine color rather than skin sensitivity to sunlight.

C. Phenazopyridine may change the urine color: Phenazopyridine can turn urine a reddish-orange color, which is harmless but important for patients to understand to avoid alarm. Educating the patient about this expected effect improves adherence and reduces anxiety related to urine discoloration.

D. Take phenazopyridine before sexual course: Phenazopyridine is not indicated as a preventative or prophylactic measure for sexual activity. Its use is for symptomatic relief of urinary discomfort and should be coordinated with the prescribed antibiotic regimen.

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A nurse is teaching a client following a cystoscopy about his new prescription for tamsulosin. Which of the following adverse effects should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which action will the nurse include in the plan of care to maintain the patency of a patient's left arm arteriovenous fistula?

Correct Answer is C

Explanation

Which information will the nurse include when teaching the patient with a urinary tract infection (UTI) about the use of phenazopyridine?

Correct Answer is C

Explanation

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