A nurse is educating a patient with benign prostatic hypertrophy who has been newly prescribed finasteride. What should the nurse include in the teaching?
Decreased libido is an adverse effect of the medication.
Avoid drinking grapefruit juice when taking this medication.
PSA levels will increase while taking this medication.
Expect to see a response from the medication within one week.
The Correct Answer is A
Choice A rationale
Finasteride, a medication used to treat benign prostatic hypertrophy, can cause several side effects, including a decrease in libido or sexual desire.
Choice B rationale
There’s no specific interaction between finasteride and grapefruit juice. Therefore, patients don’t need to avoid grapefruit juice when taking this medication.
Choice C rationale
Finasteride can actually cause a decrease in PSA (prostate-specific antigen) levels. If a patient is having a PSA test, they should tell their doctor they are taking finasteride because it can affect the results.
Choice D rationale
It may take up to six months or more to see the full effects of finasteride. Therefore, patients should not expect to see a response within one week.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}
Explanation
The nurse should first: C. Administer additional morphine for pain management, followed by B. Reposition the client for comfort.
The client is reporting a pain level of 6 on a scale from 0 to 10, which indicates moderate to severe pain. As per the medication administration record, the client has an order for Morphine 4 mg IV bolus every 6 hours PRN for pain. Since the client is in pain, it would be appropriate to administer the morphine first to manage the pain.
After addressing the client’s pain, the nurse should then reposition the client for comfort. This can help to alleviate any discomfort or pressure points that may be contributing to the client’s pain. It’s also important to ensure the client’s safety and comfort by making sure the call light is within reach.
The options related to restraints (A and D for Response 1, and A, B, C, D for Response 2) are not relevant in this scenario as there is no indication in the provided information that the client is being restrained or that restraints are necessary. The client is drowsy but arouses easily to verbal stimuli and is able to follow simple commands, suggesting that they are not at risk of harming themselves or others, which would necessitate the use of restraints. Therefore, these options can be ruled out.
Correct Answer is C
Explanation
Choice A rationale
Celery sticks are safe to consume while on a monoamine oxidase inhibitor (MAOI) medication. They do not contain tyramine, which can cause a hypertensive crisis if consumed while taking an MAOI8.
Choice B rationale
Sliced apples are also safe to consume while on an MAOI medication. They do not contain tyramine.
Choice C rationale
Bologna sandwiches should be avoided while on an MAOI medication. Bologna is a type of processed meat that can be high in tyramine.
Choice D rationale
A glass of whole milk is safe to consume while on an MAOI medication. It does not contain high levels of tyramine.
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