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 ["0.5"]

Explanation

Convert milligrams to micrograms.

1 mg = 1000 mcg.

0.05 mg × 1000 mcg/mg = 50 mcg

Desired dose = 25 mcg

Available dose = 50 mcg/tablet

Calculate the number of tablets.

Number of tablets = Desired dose / Available dose per tablet

= 25 mcg / 50 mcg/tablet

= 0.5

The nurse should administer 0.5 tablet.

A. The TEE evaluates if emboli are present if cardioversion is required B. The study will use electric current to stop the abnormal conduction pathway C. A TEE will help restore the client's underlying baseline normal rhythm, D. A TEE is required prior to implantable defibrillator placement in clients with atrial fibrillation

Correct Answer is A

Explanation

A. The TEE evaluates if emboli are present if cardioversion is required: A transesophageal echocardiogram (TEE) provides detailed imaging of the heart’s chambers, particularly the left atrium and left atrial appendage, where clots often form in atrial fibrillation. It is used to rule out thrombi before cardioversion to reduce the risk of stroke during the procedure.

B. The study will use electric current to stop the abnormal conduction pathway: This describes electrical cardioversion, not TEE. TEE is a diagnostic imaging procedure and does not involve the delivery of electrical currents to modify the heart's rhythm or conduction.

C. A TEE will help restore the client's underlying baseline normal rhythm: TEE does not treat arrhythmias. Its role is diagnostic—to visualize cardiac structures, not to restore normal rhythm. Cardioversion or pharmacologic agents are required to correct atrial fibrillation.

D. A TEE is required prior to implantable defibrillator placement in clients with atrial fibrillation: TEE is not routinely required before implantable cardioverter-defibrillator (ICD) placement. ICD decisions are usually based on ejection fraction, rhythm stability, and risk of sudden cardiac arrest, not the presence or absence of atrial thrombi.

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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?

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Naxlex Comprehensive Predictor Exams

A client is to receive Synthroid 25 mcg PO daily. Synthroid unit dose available is 0.05 mg/ tablet. How many tablets (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero)

Correct Answer is ["0.5"]

Explanation

A client is admitted with uncontrolled atrial fibrillation with a rate between 120's-130's. IV heparin therapy is prescribed. In addition, the nurse prepares the client for a transesophageal echocardiogram (TEE). What does the nurse understand about this diagnostic study?

Correct Answer is A

Explanation

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