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."

Answer and Explanation

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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Correct Answer is B

Explanation

A. Urinary output: While important, urinary output is not the immediate priority over assessing vital signs and consciousness.
B. Blood pressure: This is the priority assessment post-operatively to monitor for signs of bleeding, shock, or other complications.
C. Pain level: Pain management is important but secondary to ensuring stable hemodynamics immediately post-surgery.
D. Level of consciousness: This is also crucial, but monitoring blood pressure is a more direct indicator of immediate postoperative stability and potential complications.

A. Hormone therapy decreases the risk of cardiovascular events. B. Hormone therapy may prevent osteoporotic fractures. C. Hormone therapy should be taken in doses throughout the day. D. If a dose is missed, then the next dose should be doubled.

Correct Answer is B

Explanation

A. Hormone therapy decreases the risk of cardiovascular events: This is incorrect. Hormone therapy has been associated with an increased risk of cardiovascular events, such as heart attacks and strokes, especially in older women or those with preexisting risk factors.
B. Hormone therapy may prevent osteoporotic fractures: This is correct. Hormone therapy can help maintain bone density and reduce the risk of osteoporotic fractures, which is beneficial after a total hysterectomy.
C. Hormone therapy should be taken in doses throughout the day: This is incorrect. Hormone therapy is typically taken in a single daily dose or according to a specific schedule, rather than multiple times throughout the day.
D. If a dose is missed, then the next dose should be doubled: This is incorrect. Missing a dose of hormone therapy should be addressed according to the specific medication instructions, and doubling the dose is not generally recommended.

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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?

Nursing Test Bank

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