A nurse is reinforcing teaching with a client who has benign prostatic hypertrophy and has a new prescription for finasteride. Which of the following information should the nurse include in the teaching?

Decreased libido is an adverse effect of the medication.

Prostate-specific antigen (PSA) levels will increase while taking this medication.

Avoid taking the medication with grapefruit juice.

Expect to experience a response from the medication in 1 week.

Answer and Explanation

The Correct Answer is A

A.   Decreased libido is a potential adverse effect of finasteride due to its action on reducing dihydrotestosterone levels.
B.   Prostate-specific antigen (PSA) levels typically decrease while taking finasteride, not increase. It's important for the nurse to educate the client about the potential impact of finasteride on PSA levels and the interpretation of PSA tests.
C.   Avoiding grapefruit juice is not specifically relevant to the use of finasteride. Grapefruit juice can interact with certain medications by affecting their metabolism, but this is not a concern with finasteride.
D.   The effects of finasteride on BPH symptoms may take several months to become noticeable.

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Correct Answer is C

Explanation

A. Methylergonovine is not indicated for preventing postpartum infections. Its primary action is on uterine smooth muscle to induce contractions, rather than having antimicrobial properties.
B. While methylergonovine can cause hypertension as a side effect, it's not used to prevent hypertension. It is used primarily to prevent or treat postpartum hemorrhage by promoting uterine contraction.
C. Methylergonovine is a uterotonic medication used to prevent or treat postpartum hemorrhage by causing uterine contractions, thereby reducing the risk of excessive bleeding after childbirth.
D. Methylergonovine does not prevent thromboembolic events; its mechanism of action primarily involves stimulation of uterine smooth muscle contraction rather than affecting blood coagulation.

A. Prone B. Orthopneic C. Sims' position D. Dorsal recumbent

Correct Answer is D

Explanation

A. Prone position (lying face down) is not appropriate for administering vaginal cream.

B. Orthopneic position (sitting up and leaning slightly forward) is not conducive to administering vaginal cream.

C. Sims' position (lying on the left side with the right knee drawn up and the left arm drawn behind, often used for rectal examinations) is not typically used for administering vaginal cream.
D. The dorsal recumbent position, lying on the back with knees flexed and soles of feet flat on the bed, is typically recommended for administering vaginal cream. This position allows for easier insertion and retention of the medication.

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A nurse is reinforcing teaching with a client who has benign prostatic hypertrophy and has a new prescription for finasteride. Which of the following information should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer methylergonovine IM for a client who had a vaginal delivery earlier that day. The nurse should explain to the client that this medication will help prevent which of the following?

Correct Answer is C

Explanation

A nurse is preparing to administer a vaginal cream to a client. The nurse should instruct the client to lie in which of the following positions while in bed?

Correct Answer is D

Explanation

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