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A nurse educating a client receiving tolterodine (Detrol) should warn the client about which of the following common adverse reactions? Select all that apply.
- A. Anorexia
- B. Xerostomia
- C. Decreased lacrimation
- D. Blurred vision
- E. Diarrhea
Correct Answer: B,C,E
Rationale: Common adverse reactions seen with the use of tolterodine (Detrol) include xerostomia, drowsiness, constipation, headache, decreased lacrimation, decreased sweating, GI disturbances, blurred vision, and urinary hesitancy.
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A nurse is caring for a client receiving goserelin acetate for prostate cancer. The nurse would monitor the client for which of the following adverse reactions?
- A. Breast atrophy, sexual dysfunction
- B. Pharyngitis, asthenia
- C. Breast tenderness, edema
- D. Hyperglycemia, leukocytosis
Correct Answer: A
Rationale: Breast atrophy and sexual dysfunction may be seen as adverse reactions of goserelin acetate therapy. Pharyngitis and asthenia are seen with the use of anastrozole, Breast tenderness and edema are seen with drugs such as estramustine. Hyperglycemia and leukocytosis are seen as adverse reactions of mitotane.
Hormones may be used in cancer therapy, especially for advanced disease. Which of the following are hormones used as antineoplastic drugs? Select all that apply.
- A. Testolactone (Teslac)
- B. Leuprolide (Lupron)
- C. Megestrol (Megace)
- D. Bicalutamide (Casodex)
- E. Goserelin (Zoladex)
Correct Answer: A,B,C,E
Rationale: Testolactone (Teslac), leuprolide (Lupron), megestrol (Megace), and goserelin (Zoladex) are hormones used as antineoplastic drugs. Bicalutamide (Casodex) is an antiandrogen, not a hormone.
A client is receiving tamsulosin for treatment of BPH. The client also has hypertension, for which he takes atenolol. Which assessment would be most important for the nurse to obtain?
- A. Temperature
- B. Pulse rate
- C. Respiratory rate
- D. Blood pressure
Correct Answer: D
Rationale: Tamsulosin, an alpha-adrenergic blocker, when given with a beta blocker such as atenolol can cause an increase in hypotension. Therefore, assessment of the client's blood pressure would be most important.
Prior to administering oxybutynin (Ditropan) to a client, the nurse should get a full medical history because the use of oxybutynin (Ditropan) is contraindicated in clients with which of the following? Select all that apply.
- A. Myasthenia gravis
- B. Urinary tract blockage
- C. Diabetes
- D. Intestinal blockage
- E. Hypertriglyceridemia
Correct Answer: A,B,D
Rationale: The use of oxybutynin (Ditropan) is contraindicated in clients with the following: known hypersensitivity, glaucoma, myasthenia gravis, abdominal bleeding, and intestinal, gastric, or urinary tract blockages.
A client is beginning therapy with prescribed terazosin for treatment of BPH. Based on the nurse's understanding of the action of this drug, the nurse would identify which nursing diagnosis as most likely?
- A. Acute Pain
- B. Risk for Injury
- C. Impaired Mucous Membranes
- D. Deficient Knowledge
Correct Answer: B
Rationale: Terazosin, an antiadrenergic drug, can cause a hypotensive reaction. Thus, the client may experience an immediate lowering of blood pressure when first starting this drug and be at risk for injury. Acute Pain would be more appropriate for a client experiencing priapism from erectile dysfunction drugs. Impaired Mucous Membranes would be appropriate for the client receiving antispasmodics. Deficient Knowledge could apply to any client receiving medication.