The nurse is administering tamsulosin to a client. Which disease process should the nurse expect to find in the client's past medical history?

Benign Prostatic Hyperplasia

Congestive Heart Failure

Rheumatic Fever

Coronary Artery Disease

Answer and Explanation

The Correct Answer is A

A. Benign Prostatic Hyperplasia: Tamsulosin is an alpha-1 adrenergic blocker specifically prescribed to relieve urinary symptoms caused by benign prostatic hyperplasia (BPH). It works by relaxing the smooth muscles in the bladder neck and prostate, improving urine flow and decreasing bladder outlet obstruction.

B. Congestive Heart Failure: Tamsulosin is not indicated for heart failure management. Medications used in heart failure typically include ACE inhibitors, beta blockers, diuretics, and aldosterone antagonists not selective alpha-1 blockers like tamsulosin.

C. Rheumatic Fever: Rheumatic fever is linked to valvular heart disease, not urinary retention or prostate enlargement. Tamsulosin does not have a role in its treatment or management.

D. Coronary Artery Disease: Tamsulosin does not have any therapeutic effect in managing coronary artery disease. CAD is typically managed with medications such as beta blockers, statins, antiplatelets, and nitrates, depending on the clinical scenario.

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Correct Answer is ["35"]

Explanation

Calculate the total infusion time in minutes.

Infusion time in minutes = 2 hours × 60 minutes/hour

= 120 minutes

Calculate the total number of drops to be infused.

The total volume remaining is 350 mL

Drip factor is 12 gtts/mL.

Total drops = Total volume (mL) × Drop factor (gtts/mL)

Total drops = 350 mL × 12 gtts/mL

= 4200 gtts

Calculate the IV flow rate in drops per minute (gtts/min).

IV rate (gtts/min) = Total drops / Total infusion time (minutes)

= 4200 gtts / 120 minutes

= 35

=35 gtts/min

A. Pulmonic B. Aortic C. Tricuspid D. Mitral

Correct Answer is A

Explanation

A. Pulmonic: The pulmonic valve is best auscultated at the second left intercostal space along the left sternal border. A murmur heard in this location is most likely associated with pulmonic valve abnormalities such as pulmonary stenosis or pulmonary regurgitation.

B. Aortic: The aortic valve is auscultated at the second right intercostal space at the right sternal border. A murmur at this site may indicate aortic stenosis or regurgitation, but not when heard on the left side as in this scenario.

C. Tricuspid: Tricuspid valve murmurs are typically heard best at the lower left sternal border, around the fourth or fifth intercostal space. This location is more inferior than where the nurse auscultated the murmur in the current assessment.

D. Mitral: The mitral valve is best heard at the fifth intercostal space at the midclavicular line (the cardiac apex). Murmurs related to mitral stenosis or regurgitation would not typically be heard at the second intercostal space near the sternum.

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The nurse is administering tamsulosin to a client. Which disease process should the nurse expect to find in the client's past medical history?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["35"]

Explanation

The nurse is assessing a new admission and hears a murmur at the second left intercostal space along the left sternal border. The nurse anticipates the client has a murmur of which valve?

Correct Answer is A

Explanation

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