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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 ["C","E"]

Explanation

Choice A rationale

Glucose levels are not typically monitored for patients receiving gentamicin.

Choice B rationale

Prothrombin time is not typically monitored for patients receiving gentamicin.

Choice C rationale

Serum creatinine should be monitored because gentamicin can cause nephrotoxicity, and elevated serum creatinine levels can indicate kidney damage.

Choice D rationale

Cardiac enzymes are not typically monitored for patients receiving gentamicin.

Choice E rationale

WBC count should be monitored because gentamicin can cause leukopenia or other changes in white blood cell counts.

Correct Answer is D

Explanation

Choice A rationale

Phenytoin is an anticonvulsant used to control seizures and is not indicated for the treatment of adrenal insufficiency.

Choice B rationale

Calcitonin is used to treat conditions like osteoporosis and hypercalcemia, not adrenal insufficiency.

Choice C rationale

Buspirone is an anxiolytic used to treat anxiety disorders and is not used for adrenal insufficiency.

Choice D rationale

Fludrocortisone is a synthetic corticosteroid that is used to replace aldosterone in patients with adrenal insufficiency. It helps maintain sodium balance and blood pressure.

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