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
Aspirin has multiple properties which include antiplatelet, anti- inflammatory and analgesic properties. Any client on aspirin should be monitored for bleeding as aspirin interferes with the formation of the primary plug increasing the risk on bleeding. The nurse should monitor for dark stool, hematuria or any other overt bleeding.
A, C, D- Aspirin does not cause blurred vision, insomnia or constipation.
Correct Answer is C
Explanation
Methotrexate causes hyperuricemia which may predispose to kidney stones. Adequate hydration help flush out the uric acid preventing stone formation
A-Although methotrexate can cause nausea and vomiting, this does not always happen, therefore, no need for the antiemetic before intake
B-Taking methotrexate with an NSAID increases risk of gastrointestinal irritation
D-Methotrexate cause stomatitis which may be aggravated by use of alcohol-based mouth wash
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