A 72-year-old patient has been diagnosed with benign prostatic ...

[tatyanajohnson]

A 72-year-old patient has been diagnosed with benign prostatic hypertrophy (BPH) and will begin treatment with tamsulosin (Flomax). The patient admits that he is skeptical about the drug's ability to relieve his distressing symptoms.
 
  The nurse should respond in what way? A) Flomax can increase the amount of urine your kidneys produce, resulting in better urine flow.
  B) Flomax can relax your prostate and your bladder neck, making it easier to pass urine.
  C) Flomax makes your urine less alkaline, reducing the irritation that makes your prostate enlarge.
  D) Flomax increases the strength of your bladder muscle and results in a stronger flow of urine.

Question 2

The nurse has administered a scheduled dose of phenylephrine to a patient. The nurse would recognize that a therapeutic effect has been achieved by which of the following assessment findings?
 
  A) The cornea can be manipulated without causing the patient to blink.
  B) The patient acknowledges an improvement in visual acuity.
  C) The patient's pupils neither dilate nor constrict in response to light.
  D) The inner aspect of the patient's eye can be visualized.

[Sophiapenny]

Answer to Question 1

B
Feedback:
Tamsulosin works by relaxing the muscles in the prostate and bladder neck, enhancing the ability to urinate. Blockage of alpha1-adrenergic receptors decreases vascular smooth muscle contraction, influencing the activity of genitourinary smooth muscle. The drug does not change the pH of urine, strengthen the bladder muscle, or increase urine production.

Answer to Question 2

D
Feedback:
Uses of phenylephrine (ophthalmic) include mydriasis prior to ophthalmic procedures. Consequently, the nurse assesses whether the inner aspect of the eye can be visualized 15 minutes after administration. Phenylephrine does not inhibit blinking, improve vision, or eliminate light accommodation.

[tatyanajohnson]

TYSM

[T4T]

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