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 C

Explanation

A. Vitamin K: Vitamin K is used to reverse the effects of warfarin by promoting clotting factor synthesis. It is ineffective against dabigatran, a direct thrombin inhibitor, because dabigatran’s mechanism is independent of vitamin K–dependent clotting factors.

B. Activated charcoal: Activated charcoal can reduce the absorption of recently ingested dabigatran if given within a short timeframe after ingestion. However, it is not a specific antidote and is only useful in cases of recent overdose, not for urgent reversal in bleeding emergencies.

C. Idarucizumab: Idarucizumab is a monoclonal antibody fragment that specifically binds to dabigatran, neutralizing its anticoagulant effect. It acts rapidly and is indicated in life-threatening or uncontrolled bleeding or when urgent surgery is required, making it the definitive antidote.

D. Andexanet alfa: Andexanet alfa is an antidote for factor Xa inhibitors such as apixaban and rivaroxaban. It does not reverse dabigatran, which is a direct thrombin inhibitor, and therefore is not appropriate.

A. Blood pressures be monitored B. A low-sodium diet is recommended C. Do not stop talking the medication abruptly D. Engage in regular exercise

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

Explanation

Blood pressures be monitored regularly at home: Monitoring blood pressure at home helps the client track the effectiveness of antihypertensive therapy and detect trends that may require dose adjustments. It promotes early recognition of uncontrolled hypertension and allows timely communication with the healthcare provider.

• A low-sodium diet is recommended: Excess sodium intake contributes to fluid retention and increased blood pressure. Educating the client about reducing sodium supports medication efficacy and helps manage hypertension. Dietary modifications complement pharmacologic therapy to improve cardiovascular outcomes.

• Do not stop taking the medication abruptly: Abrupt discontinuation of antihypertensive medications can lead to rebound hypertension, which may cause stroke, myocardial infarction, or other cardiovascular complications. Clients should be educated to taper medications only under the guidance of a healthcare provider.

• Engage in regular exercise: Regular physical activity helps lower blood pressure by improving cardiovascular efficiency, reducing weight, and promoting vascular health. Exercise is an essential nonpharmacologic strategy that complements antihypertensive therapy and supports long-term blood pressure control.

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For which client is terazosin appropriate to administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the antidote for dabigatran?

Correct Answer is C

Explanation

The nurse is planning education for a client who has been prescribed an antihypertensive drug. For each nursing education, click to specify whether the education is appropriate or not appropriate.

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

Explanation

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