For which client is terazosin appropriate to administer?

A client with benign prostatic hyperplasia

A client with a history of syncope

A client with fluid volume deficit

A client with hypotension

Answer and Explanation

The Correct Answer is A

A. A client with benign prostatic hyperplasia: Terazosin is an alpha-1 adrenergic blocker that relaxes smooth muscle in the prostate and bladder neck, improving urine flow and reducing symptoms of BPH such as urinary hesitancy and incomplete bladder emptying.

B. A client with a history of syncope: Terazosin can cause orthostatic hypotension, especially with the first dose, increasing the risk of dizziness and fainting. Administering it to a client prone to syncope could exacerbate this risk.

C. A client with fluid volume deficit: Hypovolemia can intensify the blood pressure–lowering effects of terazosin, increasing the likelihood of symptomatic hypotension and falls. Careful assessment and correction of fluid status are necessary before administration.

D. A client with hypotension: Terazosin lowers blood pressure by vasodilation. Administering it to a client who already has hypotension could cause severe hypotensive episodes, dizziness, or shock.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Shakiness is a common side effect after using an albuterol inhaler: Albuterol is a short-acting beta-2 agonist that can stimulate beta receptors in skeletal muscle, leading to tremors or shakiness. This effect is common, dose-related, and often decreases as the body adjusts to the medication.

B. I will have the healthcare provider prescribe a new medication: Requesting a medication change is not the initial nursing response when the reported effect is expected and non-dangerous. Education and reassurance should be provided first unless symptoms are severe or interfere with therapy.

C. You should take half the dose prescribed to decrease the effects: Altering the prescribed dose without provider authorization can lead to inadequate bronchodilation and poor asthma or COPD control. Dose changes must only be made by the prescribing healthcare provider.

D. Stop taking the medication immediately and come to the clinic: Shakiness alone does not indicate a dangerous reaction requiring discontinuation or urgent evaluation. Immediate cessation is reserved for severe adverse reactions such as chest pain, severe tachycardia, or paradoxical bronchospasm.

A. A client with low platelet count B. A client with history of hemophilia A C. A client with an indwelling epidural catheter D. A client diagnosed with pulmonary embolism E. A post operative client on bed rest

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

• A client diagnosed with pulmonary embolism: Anticoagulation is standard therapy to prevent clot propagation and reduce the risk of further thromboembolic events. Medications such as heparin or low-molecular-weight heparin are commonly initiated to manage pulmonary embolism. Early anticoagulation improves patient outcomes and reduces mortality.

• A post-operative client on bed rest: Prolonged immobility increases the risk for venous thromboembolism. Anticoagulation may be anticipated as a preventive measure, especially in clients with additional risk factors such as advanced age or comorbidities. Prophylactic therapy reduces the incidence of deep vein thrombosis and pulmonary embolism.

• A client with low platelet count: Anticoagulation increases the risk of bleeding in clients with thrombocytopenia. Low platelet count is a contraindication because these clients are prone to spontaneous bleeding and hemorrhage. Careful evaluation of bleeding risk is required before considering therapy.

• A client with history of hemophilia A: Hemophilia A is a congenital clotting disorder characterized by factor VIII deficiency. Anticoagulation in these clients would exacerbate bleeding tendencies and is contraindicated. Management focuses on preventing and treating bleeding episodes, not clot prevention.

• A client with an indwelling epidural catheter: Anticoagulation is contraindicated in clients with epidural catheters due to the risk of epidural hematoma formation. Hematomas can compress the spinal cord, causing permanent neurological damage. Anticoagulants are withheld until the catheter is safely removed and bleeding risk is minimized.

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For which client is terazosin appropriate to administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client prescribed an albuterol inhaler calls the clinic and tells the nurse, "This medication makes me feel shaky. Can i get a different one?" How should the nurse respond?

Correct Answer is A

Explanation

A nurse is caring for a group of clients. Click to specify whether anticoagulation therapy is anticipated or not anticipated for each client.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

For which client is terazosin appropriate to administer?

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