After administering the first dose of doxazosin (Cardura) to a ...

[anjilletteb]

After administering the first dose of doxazosin (Cardura) to a client, the nurse should:
 
  1. Ask the client to sit down for a few minutes.
  2. Call the client's previously arranged ride to take him home, as he cannot drive until it is determined how he responds to the medication.
  3. Encourage increased oral hydration following administration.
  4. Monitor the client for diaphoresis and onset of headache.

Question 2

When conducting medication teaching with a client, how can the nurse best describe the action of doxazosin (Cardura)?
 
  1. It increases renal secretion of sodium.
  2. It shrinks the size of the prostate.
  3. It relaxes smooth muscle in the prostate.
  4. It mobilizes excess fluid from the tissues.

[jaymee143]

Answer to Question 1

Correct Answer: 1
Rationale 1: Doxazosin (Cardura) can cause hypotension with the first dose.
Rationale 2: There is no need for the client to obtain a ride from someone else, as he should be able to drive safely.
Rationale 3: There is no reason to encourage fluids beyond usual and customary daily hydration; dehydration is not an effect of doxazosin (Cardura).
Rationale 4: Doxazosin (Cardura) does not cause diaphoresis or headache.
Global Rationale: Doxazosin (Cardura) can cause hypotension with the first dose. There is no need for the client to obtain a ride from someone else, as he should be able to drive safely as long as hypotension has not occurred. There is no reason to encourage fluids beyond usual and customary daily hydration; dehydration is not an effect of doxazosin (Cardura). Doxazosin (Cardura) does not cause diaphoresis or headache.

Answer to Question 2

Correct Answer: 3
Rationale 1: Doxazosin (Cardura) does not increase the renal secretion of sodium.
Rationale 2: Doxazosin (Cardura) does not shrink the prostate.
Rationale 3: Doxazosin (Cardura) relaxes smooth muscle in the prostate to ease urinary obstruction.
Rationale 4: Doxazosin (Cardura) does not remove excess fluid from tissues.
Global Rationale: Doxazosin (Cardura) relaxes smooth muscle in the prostate to ease urinary obstruction. It does not increase renal secretion of sodium, shrink the prostate, or remove excess fluid from tissues.

[anjilletteb]

Excellent

[flexer1n1]

Gracias!