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 A

Explanation

A. Azithromycin is an antibiotic commonly used to treat infections such as chlamydia. While it's generally well-tolerated, it can rarely cause serious side effects such as allergic reactions or severe skin reactions. Sore throat or fever may indicate such adverse effects, and patients

should be instructed to contact their healthcare provider immediately if they experience these symptoms.
B. Dark yellow or orange urine is not a typical side effect of azithromycin. It can be caused by drugs such as rifampin.
C. Taking azithromycin with an antacid is generally not necessary and may interfere with the absorption of the medication. It's usually recommended to take azithromycin on an empty stomach, at least 1 hour before or 2 hours after meals, unless otherwise directed by a healthcare provider.
D. Bleeding gums are not a common side effect of azithromycin. If a patient experiences unusual bleeding or bruising, they should seek medical attention, but this symptom is not specifically associated with azithromycin use.

A. "Stop taking alprazolam right away if you experience abdominal discomfort." B. "Watch for drowsiness and light-headedness while taking alprazolam." C. "Drinking alcohol decreases the effectiveness of alprazolam." D. "This medication has a low risk for physical dependence."

Correct Answer is B

Explanation

A. Abruptly stopping alprazolam can lead to withdrawal symptoms, and abdominal discomfort alone may not necessarily indicate a need for immediate cessation of the medication.
B. Alprazolam is a benzodiazepine with sedative properties, so drowsiness and light- headedness are common side effects. Patients should be cautious when engaging in activities requiring alertness, such as driving, while taking alprazolam.
C. Alcohol should be avoided while taking alprazolam due to the potential for increased sedation and central nervous system depression. However, it does not directly affect the effectiveness of the medication.
D. Alprazolam, like other benzodiazepines, has a high potential for physical dependence, and abrupt discontinuation can lead to withdrawal symptoms. Patients should be informed about the risk of dependence and the need for gradual tapering if discontinuation becomes necessary.

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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 caring for a client who has chlamydia and a new prescription for azithromycin. Which of the following information should the nurse include when reinforcing teaching about this medication?

Correct Answer is A

Explanation

A nurse is reinforcing teaching for a client who has generalized anxiety disorder and has been prescribed alprazolam. Which of the following instructions should the nurse give the client?

Correct Answer is B

Explanation

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