A patient returns to the clinic for follow-up after taking an ...

[james9437]

A patient returns to the clinic for follow-up after taking an adrenergic blocking medication for benign prostatic hypertrophy (BPH.) What assessment questions should the nurse ask? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. What color is your urine?
  2. Do you have any difficulty starting to urinate?
  3. Do you have the feeling that your bladder is full?
  4. When was your last bowel movement?
  5. Have you noticed being more hungry than usual?

Question 2

A hospitalized patient has been started on enalapril (Vasotec). The nurse would hold this drug and discuss which findings with the prescriber?
 
  1. Cough
  2. Light-headedness on ambulation
  3. Swelling around the eyes
  4. Sneezing
  5. Difficulty swallowing

[Chou]

Answer to Question 1

2,3
Rationale 1: Adrenergic blockers do not change the color of the urine.
Rationale 2: Adrenergic blockers may result in hesitancy.
Rationale 3: Adrenergic blockers may result in retention of urine.
Rationale 4: Questions about time of last BM are not indicated.
Rationale 5: Adrenergic blockers do not affect appetite.

Global Rationale: Adrenergic blockers may result in hesitancy or urinary retention. Adrenergic blockers do not change the color of the urine. Questions about time of last BM are not indicated. Adrenergic blockers do not affect appetite.

Answer to Question 2

3,5
Rationale 1: Cough is a common side effect of this drug. The nurse should discuss the finding with the prescriber, but there is no need to hold the medication.
Rationale 2: Orthostatic hypotension is common at the beginning of therapy. The nurse would manage safety of the patient but would not hold the drug.
Rationale 3: Swelling around the eyes may indicate angioedema, which is a serious adverse effect. Holding the drug is indicated.
Rationale 4: Sneezing is not associated with enalapril (Vasotec).
Rationale 5: Difficulty swallowing may indicate swelling in the throat related to angioedema. Holding the drug is indicated.

Global Rationale: Swelling around the eyes may indicate angioedema, which is a serious adverse effect. Holding the drug is indicated. Difficulty swallowing may indicate swelling in the throat related to angioedema. Holding the drug is indicated. Cough is a common side effect of this drug. The nurse should discuss the finding with the prescriber, but there is no need to hold the medication. Orthostatic hypotension is common at the beginning of therapy. The nurse would manage safety of the patient but would not hold the drug. Sneezing is not associated with enalapril (Vasotec).

[james9437]

TY

[Chou]

You're welcome