The nurse is educating a client about acetaminophen. Which information provided by the client requires additional instruction by the nurse?

Avoid the consumption of alcohol.

Report any color changes to urine.

Take additional doses as needed.

Stop medication if a rash develops.

Answer and Explanation

The Correct Answer is C

A. Avoid the consumption of alcohol:
This instruction is appropriate because alcohol can increase the risk of liver damage when taking acetaminophen. Clients should avoid alcohol to prevent potential adverse effects on the liver.

B. Report any color changes to urine:
Acetaminophen can cause changes in urine color, such as darkening, which might indicate liver problems or other issues. Reporting such changes is important for monitoring potential side effects and ensuring timely intervention.

C. Take additional doses as needed:
This statement requires clarification because acetaminophen should be taken according to the prescribed dosage and frequency. Taking additional doses can lead to an overdose and serious liver damage. Clients should follow the recommended dosing guidelines and consult their healthcare provider if additional pain relief is needed.

D. Stop medication if a rash develops:
If a rash develops, it could be a sign of an allergic reaction or other adverse effect. Stopping the medication and seeking medical advice is appropriate to prevent further complications.

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Correct Answer is D

Explanation

A. Perform a bladder scan:
This intervention is useful for assessing urinary retention or post-void residual volumes but is not specifically related to monitoring the adverse effects of tamsulosin.

B. Obtain daily weights:
Daily weights are typically used to monitor fluid balance and signs of fluid retention, not specifically for adverse reactions to tamsulosin.

C. Assess urine output:
While monitoring urine output can be important in managing BPH, it is not specifically targeted to identify adverse reactions to tamsulosin.

D. Monitor blood pressure:
Tamsulosin, an alpha-1 blocker, can cause orthostatic hypotension (a drop in blood pressure when standing up) and dizziness. Monitoring blood pressure helps detect this potential adverse effect, ensuring the client is not experiencing significant drops in blood pressure.

A. Worsening headache. B. Low urine specific gravity. C. Polyuria. D. Polydipsia.

Correct Answer is A

Explanation

A. Worsening headache:
Vasopressin is used to manage diabetes insipidus by reducing excessive urine output and increasing water reabsorption. A worsening headache could indicate an adverse reaction or side effect such as water intoxication or an increase in intracranial pressure, which requires immediate attention from the healthcare provider.

B. Low urine specific gravity:
Vasopressin should increase urine specific gravity by concentrating the urine. A low urine specific gravity would indicate that the medication is not effectively concentrating the urine, but it is not an immediate or severe side effect needing urgent reporting.

C. Polyuria:
Polyuria (excessive urine output) is a characteristic of diabetes insipidus, and vasopressin is intended to reduce this symptom. If polyuria persists despite treatment, it suggests that the medication is not working as intended but does not indicate a severe side effect.

D. Polydipsia:
Polydipsia (excessive thirst) can occur in diabetes insipidus and may continue despite treatment with vasopressin. While it indicates ongoing symptoms, it is not a severe side effect of the medication that would require urgent reporting to the healthcare provider.

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The nurse is educating a client about acetaminophen. Which information provided by the client requires additional instruction by the nurse?

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Naxlex Comprehensive Predictor Exams

A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction?

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Correct Answer is A

Explanation

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