A man who has benign prostatic hypertrophy (BPH), in whom prostate carcinoma has been ruled out, asks the primary care nurse practitioner (NP) about beginning drug therapy to treat his symptoms
The NP notes that he consistently has blood pressure readings around 145/90 mm Hg. The NP should prescribe: a. tadalafil (Cialis).
b. doxazosin (Cardura).
c. tamsulosin (Flomax).
d. finasteride (Proscar).
B
Doxazosin is a nonspecific B-blocker, which also lowers blood pressure and should be considered to treat BPH in patients who also have hypertension. Tadalafil is used to treat erectile dysfunction. Tamsulosin is a specific á-blocker and is first-line treatment for patients with BPH who do not have hypertension. Finasteride is a 5B-reductase inhibitor, which is not a first-line medication.
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A 4-year-old boy has a febrile seizure during a well-child visit. Which of the following is the priority nursing intervention?
A) Place the child on his side with his head extended during the seizure. B) Place the child on his back with his head hyperextended when the seizure ends. C) Loosen the child's clothing to ensure a patent airway. D) Protect the child from harm during the seizure.
How can nurses assist disaster victims to cope with their experiences?
A) Active listening B) Referring to hospital chaplain C) Giving emotional outlet D) Assisting to debrief
Care of the client with COPD involves physical, psychological, and environmental measures. Which of the following nursing measures should be initiated for these clients to improve ventilation and to overcome hypoxic states? Select all that apply
A) Use of bronchodilators, expectorants, and liquefying agents B) Decreased fluid intake (500–1,000 mL/day) C) Consistent use of oxygen D) Limited activity E) Use of Fowler's position F) Eating small, frequent meals
A client has severe anemia and will be receiving blood transfusions. The nurse prepares and be-gins the infusion. Ten minutes after the infusion has begun, the client develops tachycardia, chills, and low back pain
After stopping the transfusion, the nurse should: 1. Administer an antipyretic 2. Begin an infusion of epinephrine 3. Run normal saline through the blood tubing 4. Obtain and send a urine specimen to the laboratory