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A nurse is caring for a client who has benign prostate hyperplasia (BPH) and a new prescription for doxazosin IR. Which of the following actions should the nurse plan to take first?

A.

Instruct the client to limit caffeine.

B.

Instruct the client to report headache.

C.

Measure the client’s intake and output.

D.

Administer the medication at bedtime.

Answer and Explanation

The Correct Answer is D

Choice A rationale

 

Limiting caffeine is not the first action the nurse should take. While caffeine can exacerbate symptoms of BPH, it is not the priority action when starting doxazosin IR3.

 

Choice B rationale

 

Reporting headaches is important, but it is not the first action the nurse should take. Headaches can be a side effect of doxazosin, but monitoring the patient’s initial response to the medication is more critical.

 

Choice C rationale

 

Measuring the client’s intake and output is important for monitoring urinary symptoms, but it is not the first action the nurse should take when starting doxazosin IR3.

 

Choice D rationale

 

Administering the medication at bedtime is the correct first action. Doxazosin can cause dizziness and hypotension, especially after the first dose, so taking it at bedtime can help minimize these effects.

 


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View Related questions

Correct Answer is D

Explanation

Choice A rationale

Hyperglycemia is not a common adverse effect of colesevelam. Colesevelam is primarily used to lower cholesterol levels and can also help control blood sugar levels in patients with type 2 diabetes.

Choice B rationale

Stomatitis, or inflammation of the mouth, is not typically associated with colesevelam. This medication works in the intestines and is not absorbed into the bloodstream, so it does not commonly cause systemic side effects.

Choice C rationale

Fever is not a known adverse effect of colesevelam. The medication’s side effects are generally limited to the gastrointestinal system.

Choice D rationale

Constipation is a common adverse effect of colesevelam. This medication binds to bile acids in the intestines, which can lead to gastrointestinal side effects such as constipation.

Correct Answer is D

Explanation

Choice A rationale

CBC results are not directly related to the initiation of alendronate therapy.

Choice B rationale

Family history of colon cancer is not relevant to alendronate therapy.

Choice C rationale

Thyroid function is not directly related to alendronate therapy.

Choice D rationale

Pregnancy status should be assessed as alendronate is contraindicated during pregnancy.

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