A patient has benign prostatic hyperplasia (BPH) and will receive alfuzosin (Uroxatral). What is an important nursing action when administering this drug?
a. Administer the first dose at bedtime to minimize the first-dose effect.
b. Prepare the patient for potential ejaculatory dysfunction.
c. Request an order for a diuretic to counter the effects of sodium retention.
d. Review the patient's chart for liver function tests (LFTs).
ANS: D
Alfuzosin is indicated for BPH only and is contraindicated in patients with moderate to severe hepatic impairment; therefore, LFTs would be an important assessment. It does not interfere with ejaculation. It does not reduce blood pressure and does not cause sodium retention or increased blood volume, so diuretics are not necessary. It does not cause orthostatic hypotension, so first-dose effect precautions are not necessary.
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