Nokea
You are managing the care of a patient recently diagnosed with benign prostatic hyperplasia (BPH). He is taking tamsulosin but reports dizziness when standing abruptly. The best option for this patient is:
- A. Continue the tamsulosin because the side effect will resolve with continued treatment.
- B. Discontinue the tamsulosin and start doxazosin.
- C. Have him double his fluid intake and stand more slowly.
- D. Prescribe meclizine as needed for the dizziness.
Correct Answer: C
Rationale: Orthostatic hypotension from tamsulosin is managed by rising slowly and ensuring hydration.
You may also like to solve these questions
Which of the following has a strong anti-inflammatory effect:
- A. Prednisolone
- B. Triamcinolone
- C. Dexamethasone
- D. Prednisone
Correct Answer: C
Rationale: Dexamethasone has a strong anti-inflammatory effect due to its high glucocorticoid potency.
Pick the true statement:
- A. Amox- Clavulanic, Clavulanic increases amox activity
- B. Sublactum is used in treatment of Leprosy
- C. Aztreonam is a metabolite of clarithromycin
- D. Cilastatin imipenam- cilastatin prevents hydrolysis of imipenam
Correct Answer: B
Rationale: Sulbactam is used in leprosy treatment; other statements are incorrect (e.g., clavulanic enhances amoxicillin, cilastatin protects imipenem).
Mafenide acetate (Sulfamylon) is prescribed for the client with a burn injury. When applying the medication, the client complains of local discomfort and burning. Which of the following is the most appropriate nursing action?
- A. Notifying the registered nurse
- B. Discontinuing the medication
- C. Informing the client that this is normal
- D. Applying a thinner film than prescribed to the burn site
Correct Answer: C
Rationale: Mafenide acetate is bacteriostatic for gram-negative and gram-positive organisms and is used to treat burns to reduce bacteria present in avascular tissues. The client should be informed that the medication will cause local discomfort and burning and that this is a normal reaction; therefore options 1, 2, and 4 are incorrect.
Newborns are at risk for early vitamin K deficiency bleeding and the American Academy of Pediatrics recommends that all newborns receive:
- A. IM vitamin K (phytonadione) within 24 hours of birth
- B. Oral vitamin K supplementation in the first 3 weeks of life
- C. Formula containing vitamin K or breast milk
- D. Oral vitamin K in the first 24 hours after birth
Correct Answer: A
Rationale: IM vitamin K is standard to prevent vitamin K deficiency bleeding in newborns.
Which of the following drugs is used for the management of atropine intoxication?
- A. Physostigmine
- B. Neostigmine
- C. Endrophonium
- D. Donepezil
Correct Answer: A
Rationale: Physostigmine, a cholinesterase inhibitor, crosses the BBB to reverse atropine's central effects.