During the administration of finasteride (Proscar), the nurse must remember which important precaution?

It must be taken on an empty stomach.

It must not be handled by pregnant women.

It is given deep intramuscular injection to avoid tissue irritation.

The client needs to be warned that hair loss is a common adverse effect.

Answer and Explanation

The Correct Answer is B

A. Finasteride does not need to be taken on an empty stomach.

B. Finasteride can cause harm to a developing male fetus, and pregnant women should avoid handling it to prevent potential absorption through the skin.

C. Finasteride is an oral medication and is not administered as an intramuscular injection.

D. Hair loss is not a common adverse effect of finasteride; in fact, it is used to treat hair loss in men with benign prostatic hyperplasia.

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Correct Answer is D

Explanation

A. A reduction in lump size and pain with oral contraceptives is expected and does not indicate a need to change the treatment plan.

B. Increased lump pain before menstruation is typical for fibrocystic changes and not a cause for concern.

C. Firm, movable lumps in the upper outer breast quadrants are characteristic of fibrocystic changes and do not suggest an alternative condition.

D. An area that is hot, pink, and tender indicates inflammation or possible infection (e.g., mastitis or abscess), requiring further evaluation and potentially altering the treatment plan.

A. 56-year-old client with chronic stable angina who is due to receive a dose of nifedipine. B. 59-year-old with unstable angina who has just returned to the unit after having a heart catheterization with balloon angioplasty. C. 65-year-old who had a myocardial infarction (MI) 4days ago and is anxious about the planned discharge. D. Client who is post coronary artery bypass, with potassium 4.2 mEq/L.

Correct Answer is B

Explanation

A. A stable client with chronic angina is not in immediate danger, and the scheduled dose of nifedipine is not an urgent priority.

B. The client with unstable angina who has just undergone a heart catheterization with balloon angioplasty requires immediate assessment for complications such as bleeding, clot formation, or re-occlusion of the artery.

C. The 65-year-old post-MI client is stable, and while their anxiety is important to address, it is not an immediate concern compared to other clients.

D. The client post-coronary artery bypass with a potassium level of 4.2 mEq/L is stable and does not require urgent intervention.

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During the administration of finasteride (Proscar), the nurse must remember which important precaution?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 36-yr-old client who has a diagnosis of fibrocystic breast changes calls the nurse in the clinic reporting symptoms. Which information is likely to change the treatment plan?

Correct Answer is D

Explanation

After receiving change-of-shift report about the following four clients, which client should the nurse assess first?

Correct Answer is B

Explanation

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