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

The patient needs to be warned that alopecia is a common adverse effect.

It is given by deep intramuscular injection to avoid tissue irritation.

It must not be handled by pregnant women.

It must be taken on an empty stomach.

Answer and Explanation

The Correct Answer is C

Choice A reason: This is incorrect because alopecia is not a common or serious adverse effect of finasteride. However, the patient should be informed that finasteride may cause decreased hair growth or loss of hair in some cases.

Choice B reason: This is incorrect because finasteride is not given by injection, but by oral route. The patient should take one tablet daily with or without food.

Choice C reason: This is correct because finasteride can cause birth defects in male fetuses if it is absorbed through the skin or ingested by pregnant women. The patient should wear gloves when handling the tablets and avoid contact with crushed or broken tablets.

Choice D reason: This is incorrect because finasteride can be taken with or without food. However, the patient should take it at the same time each day and follow the provider's instructions.

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Correct Answer is A

Explanation

Choice A reason: Taking the bronchodilator inhaler first will help to open up the airways and make it easier for the corticosteroid inhaler to reach the lungs and reduce inflammation. This will improve the effectiveness and safety of the inhalers.

Choice B reason: Taking the corticosteroid inhaler first may not be as effective as taking the bronchodilator inhaler first, because the airways may be constricted and prevent the corticosteroid from reaching the lungs. This may reduce the anti-inflammatory effect of the corticosteroid and increase the risk of side effects.

Choice C reason: Taking these two drugs at least 2 hours apart is not necessary and may not be practical for the patient. The bronchodilator and the corticosteroid can be taken together, as long as the bronchodilator is taken first.

Choice D reason: It does matter which inhaler the patient uses first, because the order of the inhalers can affect their efficacy and safety. The patient should always use the bronchodilator inhaler first, followed by the corticosteroid inhaler.

A. "This medication is safe during pregnancy." B. "I can lie down while taking this medication." C. "I should continue smoking while on this medication." D. "I should avoid alcohol with this medication." E. "I should sit up for at least 30 minutes after taking this medication."

Correct Answer is ["D","E"]

Explanation

Choice A reason: This is incorrect because alendronate is not safe during pregnancy, as it may harm the fetus or cause birth defects. The client should inform the provider if they are pregnant or planning to become pregnant before taking this medication.

Choice B reason: This is incorrect because the client should not lie down for at least 30 minutes after taking alendronate, as this may cause esophageal irritation, ulceration, or bleeding. The client should take alendronate with a full glass of water and swallow it whole, without chewing or crushing.

Choice C reason: This is incorrect because the client should not continue smoking while on alendronate, as smoking can worsen the bone loss and increase the risk of fractures. The client should quit smoking or reduce the amount of cigarettes they smoke.

Choice D reason: This is correct because the client should avoid alcohol with alendronate, as alcohol can also worsen the bone loss and increase the risk of fractures. Alcohol can also interact with alendronate and cause side effects, such as stomach upset, drowsiness, or liver damage.

Choice E reason: This is correct because the client should sit up for at least 30 minutes after taking alendronate, as this can prevent the medication from refluxing back into the esophagus and causing irritation, ulceration, or bleeding. The client should also avoid eating or drinking anything other than water for at least 30 minutes after taking alendronate, as this can reduce its absorption and effectiveness.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has prescriptions for two inhalers. One inhaler is a bronchodilator, and the other is a corticosteroid. Which instruction regarding these inhalers will the nurse give to the patient?

Correct Answer is A

Explanation

The client with hyperparathyroidism is taking alendronate. Which statements by the client indicate an understanding of the proper way to take this medication? (Select all that apply)

Correct Answer is ["D","E"]

Explanation

The nurse is preparing to administer insulin intravenously. Which statement about the administration of intravenous insulin is true?

A patient who has type 2 diabetes is scheduled for an oral endoscopy and has been NPO (nothing by mouth) since midnight. What is the best action by the nurse regarding the administration of her oral antidiabetic drugs?

A patient will be starting therapy with a corticosteroid. The nurse reviews the prescriber's orders and notes that an interaction may occur if the corticosteroid is taken with which of these drug classes?

A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client who has diabetes mellitus. When mixing the two types of insulin, which of the following actions should the nurse take first?

After starting treatment for type 2 diabetes mellitus 6 months earlier, a patient is in the office for a follow-up examination. The nurse will monitor which laboratory test to evaluate the patient's adherence to the antidiabetic therapy over the past few months?

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A nurse is reviewing discharge instructions with a client who has rheumatoid arthritis and a new prescription for prednisone. Which of the following statements by the client indicates an understanding of the teaching?

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