A nurse is reviewing the medical record of a client who received medications 1 hour ago and reports having chest pain. The nurse should recognize that chest pain can be an adverse effect of which of the following medications?
Albuterol
Furosemide
Digoxin
Atenolol
The Correct Answer is A
Rationale:
A. Albuterol: This is a bronchodilator that can cause side effects such as increased heart rate and chest pain due to its stimulant effect on the cardiovascular system.
B. Furosemide: This diuretic is unlikely to cause chest pain directly; however, it may lead to electrolyte imbalances that can indirectly affect cardiac function.
C. Digoxin: While digoxin has several potential side effects, chest pain is not commonly recognized as a direct adverse effect of this medication.
D. Atenolol: This medication is a beta-blocker used to manage hypertension and is unlikely to cause chest pain; rather, it may help alleviate angina symptoms.
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Correct Answer is A
Explanation
Rationale:
A. Increase fluids while taking the medication: Amitriptyline is a tricyclic antidepressant that can cause anticholinergic side effects such as dry mouth and constipation. Increasing fluid intake helps to mitigate these effects and prevent dehydration and constipation.
B. Expect an elevation in blood pressure with initial doses of the medication: Amitriptyline can cause orthostatic hypotension rather than elevated blood pressure. Clients should be informed about the risk of dizziness or fainting.
C. Stop the medication immediately if urine becomes orange in color: Orange urine is not a common side effect of amitriptyline. Clients should not stop the medication without consulting their provider.
D. Take the medication in the morning: Amitriptyline has sedative effects and is typically taken at night to help manage sleep disturbances and reduce daytime drowsiness.
Correct Answer is ["A","D"]
Explanation
Rationale:
A. Terazosin is indicated for the treatment of hypertension as it works by relaxing blood vessels, leading to lower blood pressure.
B. Terazosin is not indicated for heart failure; other medications are typically used to manage this condition.
C. Male pattern baldness is treated with other medications, such as finasteride, rather than terazosin.
D. Terazosin is also indicated for benign prostatic hypertrophy (BPH), as it helps alleviate urinary symptoms associated with this condition by relaxing the smooth muscles in the prostate and bladder neck.
E. Terazosin is not indicated for erectile dysfunction; it is primarily used for hypertension and BPH.