A patient is receiving Prazosin, a drug that blocks alpha1-adrenergic receptors. Which adverse effect, if experienced by the patient, is of most concern to the nurse?

Nasal congestion

Orthostatic hypotension

Inhibition of ejaculation

Reflex tachycardia

Answer and Explanation

The Correct Answer is B

Choice A rationale: Nasal congestion is a common side effect of alpha1-adrenergic blockers, not a cause for concern.
Choice B rationale: Orthostatic hypotension is a potential adverse effect of alpha1- adrenergic blockers like prazosin. It can lead to dizziness and falls, particularly when moving from a lying or sitting position to a standing one.
Choice C rationale: Inhibition of ejaculation is a potential side effect of alpha1- adrenergic blockers but is not of the most concern compared to orthostatic hypotension.
Choice D rationale: Reflex tachycardia is not a typical adverse effect of alpha1- adrenergic blockers.

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Correct Answer is C

Explanation

Choice A rationale: Decreased strength is not the desired effect of baclofen.
Baclofen is a muscle relaxant and is expected to improve muscle tone rather than decrease strength.
Choice B rationale: Baclofen is used to suppress spasticity, which is a common symptom in patients with multiple sclerosis.
Choice C rationale: Improved muscle tone is the desired effect of baclofen, making this the correct choice.
Choice D rationale: Increased muscle resistance is not the desired effect of baclofen.

A. Advise the patient to drink warm tea with honey and stay home B. Ask the patient about fever and report the call to the provider. C. Tell the patient to stop cyclosporine and report the call to the provider. D. Reassure the client that this is an expected effect and will resolve.

Correct Answer is B

Explanation

Choice A rationale: A sore throat in a patient taking immunosuppressive medications requires further assessment and intervention beyond home remedies.
Choice B rationale: Assessing for fever is crucial, as an infection in a patient on immunosuppressive therapy can be serious and requires prompt attention.
Choice C rationale: Stopping cyclosporine abruptly without guidance from the provider can lead to rejection; this decision should be made by the healthcare provider.
Choice D rationale: Reassurance alone may not be appropriate, given the potential seriousness of infection in an immunocompromised patient.

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A patient is receiving Prazosin, a drug that blocks alpha1-adrenergic receptors. Which adverse effect, if experienced by the patient, is of most concern to the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with multiple sclerosis is prescribed baclofen. Which assessment by the nurse indicates that the medication is exerting its desired effect?

Correct Answer is C

Explanation

The client taking cyclosporine to prevent liver transplant rejection calls the clinic to report a sore throat. The nurse will

Correct Answer is B

Explanation

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