An older adult man has moved to a long-term care facility and the ...

[asmith134]

An older adult man has moved to a long-term care facility and the nurse is performing a medication reconciliation. The resident's current medication regimen includes alfuzosin (Uroxatral).
 
  After considering the most likely indication for this drug, the nurse should include what potential problem in the resident's interdisciplinary plan of care? A) Impaired urinary elimination
  B) Ineffective sexual pattern
  C) Sexual dysfunction
  D) Functional urinary incontinence

Question 2

A patient with a diagnosis of active TB has begun second-line therapy that includes the use of pyrazinamide.
 
  When monitoring this patient, the nurse should suspect that adverse effects of this drug may account for which of the following laboratory values? A) Low hematocrit and mean corpuscular volume (MCV)
  B) Increased INR and aPTT
  C) Increased blood urea nitrogen and creatinine
  D) Increased AST, ALT, and GGT

[bfulkerson77]

Answer to Question 1

A
Feedback:
Alfuzosin (Uroxatral) is classed as a nonreceptor subtype selective alpha1-adrenergic blocker also used to treat BPH. Impaired urinary elimination is the hallmark of BPH. Incontinence may result from BPH, but it is less commonly the functional subtype.

Answer to Question 2

D
Feedback:
The most severe adverse effect of pyrazinamide is hepatotoxicity. Consequently, liver enzymes such as GGT, ALT, and AST should be monitored. Changes in erythrocytes, coagulation, and renal function are less likely to result from pyrazinamide therapy.