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 D

Explanation

A. A client who has a fractured fibula and tibia: This is incorrect. While serious, this injury does not require immediate life-saving intervention and is generally categorized as less urgent.
B. A client who has sustained a major burn to their upper torso and extremities: This is incorrect. Although severe, if the client is stable and responsive, they may be categorized as yellow (delayed) unless there are immediate life-threatening complications.
C. A client who has a sprained ankle and laceration to the lower leg: This is incorrect. These injuries are considered less severe and would typically be tagged as green (minor).
D. A client who has an open traumatic brain injury and agonal breaths: This is correct. Agonal breaths and severe head injury indicate a need for immediate life-saving intervention, so this client should receive a red tag for the highest priority.

A. Hemorrhage B. Pain C. Urinary retention D. Infection

Correct Answer is A

Explanation

A. Hemorrhage: This is the priority complication to monitor for in the immediate postoperative period after a transurethral resection of the prostate (TURP). Hemorrhage can lead to significant blood loss and requires prompt intervention.
B. Pain: While pain management is important, it is not the immediate priority compared to the risk of hemorrhage in the postoperative setting.
C. Urinary retention: Although important to monitor, urinary retention is a common postoperative issue but does not pose the same immediate risk as hemorrhage.
D. Infection: Infection is a concern but typically develops later in the postoperative period and is not as immediate a risk as hemorrhage.

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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

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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