A client is newly diagnosed with benign prostatic hyperplasia (BPH) Which of the following medications used to treat BPH? (Select All That Apply]

Tamsulosin (Flomax)

Finasteride (Proscar)

Ethinyl estradiol and drospirenone (Yasmin)

Sildenafil (Viagra)

Answer and Explanation

Correct Answer : A,B

A.   Tamsulosin (Flomax): Tamsulosin is an alpha-blocker that helps relax the muscles of the prostate and bladder neck, making it easier to urinate. It is commonly used to treat BPH.
B.   Finasteride (Proscar): Finasteride is a 5-alpha-reductase inhibitor that reduces the size of the prostate and is used to treat BPH.
C.   Ethinyl estradiol and drospirenone (Yasmin): This is a combination oral contraceptive, not used to treat BPH.
D.   Sildenafil (Viagra): Sildenafil is used to treat erectile dysfunction, not BPH.

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Correct Answer is D

Explanation

A. Insulin glargine (Lantus): This is a long-acting insulin, with no pronounced peak and a slow onset, typically around 1-2 hours.
B. Glucagon (Glucagen): This is not an insulin; it's used to treat severe hypoglycemia.
C. Glipizide (Glucotrol): This is an oral medication used to stimulate insulin secretion, not an insulin itself.
D. Insulin lispro (Humalog): Insulin lispro is a rapid-acting insulin with an onset of 15 to 30 minutes.

A. Notify the physician to change the route of administration. B. Do not give the medication and notify the provider for further clarification. C. Administer the medication and then monitor for adverse reactions. D. Verify the client's identity and administer the medication as prescribed.

Correct Answer is B

Explanation

A. This is not the correct action because the issue with misoprostol in pregnancy is not related to the route of administration, but rather its potential to cause uterine contractions and harm to the pregnancy. The nurse should not administer the medication at all, regardless of the route, and should notify the physician for further clarification.
B. Misoprostol is contraindicated in pregnancy because it can cause uterine contractions, which may result in a miscarriage or preterm labor. The nurse should not administer this medication and must inform the healthcare provider to reconsider the prescription or explore alternative options to prevent stomach ulcers in pregnant clients.
C. Administering misoprostol to a pregnant client is dangerous, as it can stimulate uterine contractions and threaten the pregnancy. Monitoring for adverse reactions would not be an appropriate course of action, as the medication should not be given to begin with.
D. Even though verifying the patient's identity is always an important step, the main concern here is that misoprostol is contraindicated during pregnancy. The nurse should not administer this medication and must first clarify with the healthcare provider if it is suitable for the pregnant patient.

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A client is newly diagnosed with benign prostatic hyperplasia (BPH) Which of the following medications used to treat BPH? (Select All That Apply]

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Naxlex Comprehensive Predictor Exams

A nurse is teaching diabetic clients about the use of insulin. For which of the following types of insulin should the nurse tell the clients to expect an onset of 15 to 30 minutes?

Correct Answer is D

Explanation

The nurse is reviewing a pregnant client's prescribed medications that are currently due for administration at 0900. The nurse noticed that the physician ordered misoprostol to prevent stomach ulcers. What is the next action that the nurse should take?

Correct Answer is B

Explanation

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