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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The client is exhibiting symptoms and signs of anaphylaxis. Anaphylaxis is a severe systemic allergic reaction that occurs due to allergens presenting with (itching) urticaria and sudden onset shortness of breath and/or shock. The first action should be to stop the infusion to prevent worsening the severity of the allergic reaction.
A. Important to allow for further prescription but not a priority
C. Auscultating the lungs allows the nurse to assess for the severity of the reaction but should come after stopping the infusion
D. Elevating the head can improve ventilation but is not a priority
Correct Answer is A
Explanation
Furosemide is a loop diuretic that blocks water reabsorption in the loop of Henle promoting diuresis. It also causes potassium loss in urine leading to hypokalemia. Checking potassium levels before administration of furosemide prevents worsening already existing hypokalemia.
B, C, D- furosemide does not affect the blood levels of phosphate, Carbon dioxide and bicarbonate.
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