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.

Answer and Explanation

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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Correct Answer is C

Explanation

A. Methylergonovine is not indicated for preventing postpartum infections. Its primary action is on uterine smooth muscle to induce contractions, rather than having antimicrobial properties.
B. While methylergonovine can cause hypertension as a side effect, it's not used to prevent hypertension. It is used primarily to prevent or treat postpartum hemorrhage by promoting uterine contraction.
C. Methylergonovine is a uterotonic medication used to prevent or treat postpartum hemorrhage by causing uterine contractions, thereby reducing the risk of excessive bleeding after childbirth.
D. Methylergonovine does not prevent thromboembolic events; its mechanism of action primarily involves stimulation of uterine smooth muscle contraction rather than affecting blood coagulation.

A. Difficulty voiding B. Diarrhea C. Slow pulse D. Excessive salvation

Correct Answer is A

Explanation

A. Benztropine, an anticholinergic medication, can cause urinary retention or difficulty with urination as a side effect due to its anticholinergic properties. Clients should be instructed to report any difficulty voiding promptly, as it can lead to complications such as urinary tract infections or bladder distention.
B. Benztropine is not typically associated with diarrhea as an adverse effect.

C. While anticholinergic medications can cause tachycardia (increased heart rate) due to their anticholinergic effects, they are not associated with slow pulse.
D. Benztropine is used to decrease excessive salivation (sialorrhea) rather than causing it as an adverse effect.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer methylergonovine IM for a client who had a vaginal delivery earlier that day. The nurse should explain to the client that this medication will help prevent which of the following?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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