A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction?
Perform a bladder scan.
Monitor blood pressure.
Obtain daily weights.
Assess urine output.
The Correct Answer is B
Choice A reason:
Performing a bladder scan is useful for assessing urinary retention, which can be a symptom of benign prostatic hyperplasia (BPH). However, it is not the primary method for monitoring adverse reactions to tamsulosin. Tamsulosin is an alpha-1 blocker that relaxes the muscles in the prostate and bladder neck, improving urine flow. While it can help reduce urinary retention, the primary concern with tamsulosin is its effect on blood pressure.
Choice B reason:
Monitoring blood pressure is crucial because tamsulosin can cause orthostatic hypotension, a condition where blood pressure drops significantly when a person stands up from a sitting or lying position. This can lead to dizziness, lightheadedness, and even fainting. Regular monitoring of blood pressure helps detect and manage this potential adverse reaction, ensuring the client’s safety.
Choice C reason:
Obtaining daily weights is important for monitoring fluid balance and detecting conditions like heart failure or kidney disease. However, it is not directly related to the adverse reactions of tamsulosin. The primary concern with tamsulosin is its impact on blood pressure, not fluid retention.
Choice D reason:
Assessing urine output is important for evaluating the effectiveness of tamsulosin in relieving urinary symptoms associated with BPH. However, it is not the primary method for monitoring adverse reactions. The main adverse reaction to be aware of with tamsulosin is its potential to cause orthostatic hypotension, making blood pressure monitoring the priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Asking if the client’s morning voids are dark-colored can help identify potential side effects of carbidopa-levodopa, such as darkened urine, which is a known but harmless side effect. However, this does not directly address the client’s concern about the medication’s effectiveness.
Choice B reason:
Evaluating the client for signs of dyskinesia is important because dyskinesia can be a side effect of long-term carbidopa-levodopa use. However, this step is more relevant after understanding the client’s specific concerns about the medication’s effectiveness.
Choice C reason:
Determining if the client is taking the medication before meals is crucial because food can affect the absorption of carbidopa-levodopa. Taking the medication on an empty stomach can enhance its effectiveness. However, this step should follow a more detailed exploration of the client’s concerns.
Choice D reason:
Exploring what the client means by the drug “is not working” is the most important first step. This allows the nurse to understand the client’s specific issues, whether they are related to symptom management, side effects, or other concerns. This information is essential for tailoring subsequent interventions and providing appropriate education and support.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A reason:
Lisinopril is an ACE inhibitor that is commonly prescribed for once-daily dosing. It is effective in managing hypertension and heart failure with a single daily dose, making it convenient for patients who may have difficulty remembering multiple doses12.
Choice B reason:
Quinapril can also be administered once daily. It is used to treat hypertension and heart failure, and its long half-life allows for effective blood pressure control with a single daily dose
Choice C reason:
Ramipril is another ACE inhibitor that can be given once daily. It is used for hypertension, heart failure, and to reduce the risk of cardiovascular events. Its pharmacokinetics support once-daily dosing, which helps improve patient adherence.
Choice D reason:
Captopril is typically not given once daily due to its shorter half-life. It usually requires multiple doses throughout the day to maintain effective blood pressure control.
Choice E reason:
Trandolapril is an ACE inhibitor that can be administered once daily. It is used for hypertension and heart failure, and its long duration of action supports once-daily dosing.
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