A nurse is teaching a client who has benign prostatic hypertrophy (BPH) with a new prescription for finasteride. Which instruction should the nurse include in the teaching?

"When taking this medication, only female clients may have increased growth of breast tissue."

"Prostate specific antigen (PSA) levels will increase while taking this medication."

"Avoid drinking coffee when taking this medication."

"Expect to see a response from the medication within 6 months to 1 year."

Answer and Explanation

The Correct Answer is D

A. "When taking this medication, only female clients may have increased growth of breast tissue.” Gynecomastia (breast tissue growth) can occur in male clients taking finasteride due to hormonal changes, particularly reduced conversion of testosterone to dihydrotestosterone.

B. "Prostate specific antigen (PSA) levels will increase while taking this medication.” Finasteride typically lowers PSA levels by about 50%, which can mask early signs of prostate cancer. This is why baseline and follow-up PSA levels must be interpreted with this medication’s effect in mind.

C. "Avoid drinking coffee when taking this medication.” There is no direct interaction between coffee (or caffeine) and finasteride. While caffeine might irritate the bladder, it is not contraindicated with finasteride and is not a routine teaching point.

D. "Expect to see a response from the medication within 6 months to 1 year." Finasteride takes several months to reduce prostate size and alleviate urinary symptoms. Most clients begin to notice improvement between 6 to 12 months of continuous use.

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Correct Answer is ["A","C","D"]

Explanation

A. Deepening voice: Testosterone promotes thickening of the vocal cords and changes in the larynx, leading to a deeper voice. This is a common and usually permanent masculinizing effect experienced during gender-affirming hormone therapy.

B. Hypogonadism: Hypogonadism refers to reduced function of the gonads. Testosterone therapy is used to treat gender dysphoria, not to induce hypogonadism. This is not a typical or expected outcome of initiating therapy in transgender men.

C. Vaginal dryness: Vaginal tissues become thinner and drier with testosterone due to decreased estrogen levels. Clients may notice discomfort, especially during sexual activity, and may require additional care or lubrication products.

D. Menstruation cessation: One of the expected early effects of testosterone therapy is the cessation of menses, usually within 6 months. This occurs as testosterone suppresses the hypothalamic-pituitary-ovarian axis.

E. Decrease libido: Testosterone usually increases, not decreases, libido. Many clients report heightened sexual desire as one of the early effects of masculinizing hormone therapy.

A. Abdominal pain B. Infection C. Diarrhea D. Constipation

Correct Answer is C

Explanation

A. Abdominal pain: Loperamide is not indicated for isolated abdominal pain and may actually worsen symptoms if used inappropriately, especially if the pain is related to a bowel obstruction or inflammatory condition.

B. Infection: While diarrhea may accompany infection, loperamide is typically avoided in infectious diarrhea, especially when caused by bacteria or toxins, because it can delay pathogen clearance and worsen the illness.

C. Diarrhea: Loperamide is an antidiarrheal agent that slows intestinal motility, allowing more fluid absorption in the colon. It is commonly prescribed PRN for symptomatic relief of non-infectious diarrhea.

D. Constipation: Administering loperamide in the setting of constipation would exacerbate the condition. It further reduces bowel motility, increasing the risk of fecal impaction or ileus.

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A nurse is teaching a client who has benign prostatic hypertrophy (BPH) with a new prescription for finasteride. Which instruction should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which physical change would the nurse tell the female patient (transitioning from female to male) beginning testosterone therapy to anticipate? Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

A client has an order for loperamide as needed (PRN). For which condition would the nurse administer this medication?

Correct Answer is C

Explanation

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