A nurse is caring for a client who has a new prescription for tamsulosin. Which of the following adverse effects should the nurse monitor for?
- A. Orthostatic hypotension
- B. Weight gain
- C. Hyperglycemia
- D. Tinnitus
Correct Answer: A
Rationale: Tamsulosin, an alpha-blocker, can cause orthostatic hypotension due to vasodilation, especially with the first dose.
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A nurse is caring for a client who recently gave birth to her first child. The newborn is crying, and the client states, 'I can't seem to do anything right. What should I do?' Which of the following responses should the nurse make?
- A. I'll take him back to the nursery, so you can get some rest.
- B. If I turn him on his side, maybe he'll go back to sleep.
- C. Babies need to cry soon after they are born to develop their lungs.
- D. Let me show you how to swaddle and cuddle him, then you try.
Correct Answer: D
Rationale: Showing the mother how to swaddle and cuddle the baby, then letting her try is correct. This approach provides practical guidance and empowers the mother, helping her build confidence in her ability to care for her newborn.
A nurse is caring for a client who has a new prescription for amlodipine. Which of the following adverse effects should the nurse monitor for?
- A. Peripheral edema
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Amlodipine, a calcium channel blocker, commonly causes peripheral edema due to vasodilation.
A nurse is reinforcing teaching with a client who has a new prescription for a combination oral contraceptive. Which of the following adverse effects should the nurse include?
- A. Weight gain
- B. Hypoglycemia
- C. Bradycardia
- D. Tinnitus
Correct Answer: A
Rationale: Combination oral contraceptives can cause weight gain due to hormonal effects on fluid retention and metabolism.
A nurse is monitoring a client who is receiving a blood transfusion. The nurse identifies that the client has urticaria and is wheezing. Which of the following types of transfusion reactions should the nurse suspect?
- A. Anaphylactic
- B. Acute hemolytic
- C. Febrile
- D. Circulatory overload
Correct Answer: A
Rationale: An anaphylactic reaction is correct. Symptoms such as urticaria (hives) and wheezing indicate a severe allergic reaction, which can progress to anaphylaxis. This reaction is caused by a hypersensitivity to plasma proteins in the transfused blood and requires immediate intervention, including stopping the transfusion and administering epinephrine.
A nurse is caring for a client who has a new diagnosis of pancreatitis. Which of the following findings should the nurse expect?
- A. Epigastric pain
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Epigastric pain is a hallmark symptom of pancreatitis due to inflammation of the pancreas.
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