A nurse is teaching a client who has benign prostatic hypertrophy and has a new prescription for finasteride. Which of the following instructions should the nurse include in the teaching?
"Expect to see a response from the medication within a week."
"Avoid drinking grapefruit juice with this medication."
"Decreased libido is an adverse effect of the medication."
"Prostate-specific antigen (PSA) levels will significantly increase while taking this medication."
The Correct Answer is C
A. "Expect to see a response from the medication within a week": This is incorrect. Finasteride typically takes several months (up to 6 months) to show noticeable effects in reducing symptoms of benign prostatic hypertrophy.
B. "Avoid drinking grapefruit juice with this medication": This is incorrect. Grapefruit juice is not known to interact with finasteride. However, it is always a good practice to check for specific food and drug interactions.
C. "Decreased libido is an adverse effect of the medication": This is correct. Finasteride can cause sexual side effects, including decreased libido, erectile dysfunction, and ejaculatory disorders.
D. "Prostate-specific antigen (PSA) levels will significantly increase while taking this medication": This is incorrect. Finasteride typically lowers PSA levels, which should be considered when monitoring for prostate health.
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Related Questions
Correct Answer is B
Explanation
A. A client who has an open upper extremity fracture: While this is a serious injury, it is less critical compared to a tension pneumothorax in a triage setting.
B. A client experiencing a tension pneumothorax: This is a life-threatening condition that requires immediate intervention to relieve pressure on the lungs and restore adequate breathing.
C. A client who has full-thickness burns over 85% of their body: This is a severe condition with a high mortality risk, but in a mass casualty situation, a tension pneumothorax is prioritized for immediate care.
D. A client who has agonal respirations: Agonal respirations indicate severe distress, but the immediate need for intervention is to address conditions that can rapidly compromise life, such as a tension pneumothorax.
Correct Answer is D
Explanation
A. Instruct the client to change clothing before arriving: This is incorrect. The client should be advised to keep the clothing they were wearing during the assault as evidence, not to change them.
B. Inform the client that photographs of any injuries will be mandatory for a police report: This is incorrect. While photographs might be necessary for evidence, it is not appropriate to make such statements without discussing consent and the client's comfort first.
C. Ask the client to repeat the information obtained during admission: This is incorrect. Repeating information may be distressing for the client. The nurse should obtain the history in a sensitive and supportive manner without unnecessary repetition.
D. Obtain a history of the incident from the client: This is correct. Gathering a detailed history is important for appropriate care and forensic evidence collection. The nurse should do this in a compassionate and nonjudgmental manner, ensuring the client feels supported.
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