A nurse is reinforcing teaching with a client who has benign prostatic hypertrophy and has a new prescription for finasteride. Which of the following information should the nurse include in the teaching?
Decreased libido is an adverse effect of the medication.
Prostate-specific antigen (PSA) levels will increase while taking this medication.
Avoid taking the medication with grapefruit juice.
Expect to experience a response from the medication in 1 week.
The Correct Answer is A
A. Decreased libido is a potential adverse effect of finasteride due to its action on reducing dihydrotestosterone levels.
B. Prostate-specific antigen (PSA) levels typically decrease while taking finasteride, not increase. It's important for the nurse to educate the client about the potential impact of finasteride on PSA levels and the interpretation of PSA tests.
C. Avoiding grapefruit juice is not specifically relevant to the use of finasteride. Grapefruit juice can interact with certain medications by affecting their metabolism, but this is not a concern with finasteride.
D. The effects of finasteride on BPH symptoms may take several months to become noticeable.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Akathisia refers to a subjective feeling of restlessness and an objective inability to sit still.
It's characterized by a need to move constantly and is not typically associated with choreiform movements, lip smacking, or spastic facial distortions.
B. Dystonia involves sustained or intermittent muscle contractions leading to abnormal postures or twisting movements. It typically presents with muscle spasms, not choreiform movements or lip smacking.
C. Pseudoparkinsonism refers to a collection of symptoms that resemble Parkinson's disease, such as tremor, bradykinesia, rigidity, and postural instability. It does not typically involve choreiform movements or lip smacking.
D. Tardive dyskinesia is a movement disorder characterized by involuntary, repetitive movements of the face and body, including choreiform movements (rapid, jerky movements), lip smacking, and spastic facial distortions. It often develops after long-term use of antipsychotic medications like chlorpromazine and can persist even after discontinuation of the medication.
Correct Answer is B
Explanation
A. Abruptly stopping alprazolam can lead to withdrawal symptoms, and abdominal discomfort alone may not necessarily indicate a need for immediate cessation of the medication.
B. Alprazolam is a benzodiazepine with sedative properties, so drowsiness and light- headedness are common side effects. Patients should be cautious when engaging in activities requiring alertness, such as driving, while taking alprazolam.
C. Alcohol should be avoided while taking alprazolam due to the potential for increased sedation and central nervous system depression. However, it does not directly affect the effectiveness of the medication.
D. Alprazolam, like other benzodiazepines, has a high potential for physical dependence, and abrupt discontinuation can lead to withdrawal symptoms. Patients should be informed about the risk of dependence and the need for gradual tapering if discontinuation becomes necessary.
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