A nurse is caring for a client who has prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client?

Finasteride

Leuprolide

Cyclophosphamide

Tamoxifen

Answer and Explanation

The Correct Answer is B

Testosterone acts of the prostatic tissue leading to abnormal/dysplastic tissue hyperplasia and hypertrophy in prostatic cancer. Leuprolide is a gonadotropin-releasing hormone (GnRH) agonists. It suppresses the release of testosterone which is necessary for enlargement of prostatic tissue.

A. Finasteride is a 5-alpha reductase used in the management of benign prostatic hyperplasia which is not cancerous

C. Cyclophosphamide is a chemotherapeutic agent used in other cancers but not prostate cancer

D. Tamoxifen is a selective estrogen receptor modulator used in the treatment of breast cancer.

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Correct Answer is D

Explanation

Phenylephrine is an alpha-adrenergic agent. It binds onto adrenergic receptors producing a sympathetic effect that dilates the pupil. Dilation of the pupils allows for visualization of inner structures of the eye and easier access during retinal surgery.
A. Timolol is a beta-blocker eye drop used to reduce intraocular pressure in conditions like glaucoma.
B. Pilocarpine is a miotic agent (constricts the pupil) used to treat conditions like glaucoma.
C. Latanoprost is a prostaglandin analog used to lower intraocular pressure in glaucoma.

A. Return the medication to the pharmacy. B. Discard the medication. C. Notify the provider. D. Give the medication.

Correct Answer is B

Explanation

Beyond the expiration date drugs should be discarded as the efficacy and safety of the medication cannot be guaranteed. Using expired medication can lead to reduced effectiveness or even potential harm to the client.

A. Returning the medication to the pharmacy may not be feasible, as the medication is expired and should not be used. The proper course of action is to discard it.

C. Notifying the provider is unnecessary in this situation.

D. Using expired medication can compromise client safety and is not in accordance with best practice guidelines.

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A nurse is caring for a client who has prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has a detached retina and is preoperative for a surgical repair. The nurse should prepare to administer which of the following medications?

Correct Answer is D

Explanation

The nurse is preparing a medication for a client and observes the date of expiration on the vial occurred 2 months ago. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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