The nurse notifies the healthcare provider (HCP) that the client is having trouble remembering to take his second dose of captopril. What angiotensin-converting enzyme (ACE) inhibitors can be given only once per day? Select all that apply.

Choice A Reason:

Osteoarthritis is a common condition treated with NSAIDs like diclofenac. While it is important to monitor for potential side effects, osteoarthritis itself does not pose a significant concern in the context of diclofenac use. The medication is often prescribed to manage the pain and inflammation associated with osteoarthritis.

Choice B Reason:

Migraine headaches are also treated with NSAIDs, including diclofenac. While it is essential to monitor for side effects, migraines do not present a significant concern regarding the use of diclofenac. The medication can help alleviate the pain associated with migraines.

Choice C Reason:

Chronic alcoholism is of greatest concern when prescribing diclofenac. Alcohol can increase the risk of gastrointestinal bleeding and liver damage, both of which are potential side effects of NSAIDs. Combining alcohol with diclofenac can exacerbate these risks, making it crucial for the nurse to monitor the client closely and provide appropriate guidance.

Choice D Reason:

Type 2 diabetes mellitus requires careful management, but it is not the primary concern when prescribing diclofenac. While it is important to monitor for potential interactions and side effects, diabetes itself does not significantly increase the risks associated with diclofenac use compared to chronic alcoholism.

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.