After reviewing the client's chart upon admission to the unit, the nurse consults the healthcare provider about a new order for lovastatin (Mevacor). What triggered the nurse's action?

Blood glucose of 182 mg/dL

History of high cholesterol

Elevated liver enzymes

History of peptic ulcers

Answer and Explanation

The Correct Answer is C

A. Blood glucose elevation is a concern for statins, but it is not a primary reason for questioning the order.

B. A history of high cholesterol is common and would not trigger concern regarding lovastatin.

C. Lovastatin can cause liver toxicity, so elevated liver enzymes are a contraindication or cause for concern when prescribing this medication. The nurse should verify this before starting the medication.

D. A history of peptic ulcers is unrelated to the use of lovastatin and would not be a concern in this case.

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Correct Answer is B

Explanation

A. Finasteride does not need to be taken on an empty stomach.

B. Finasteride can cause harm to a developing male fetus, and pregnant women should avoid handling it to prevent potential absorption through the skin.

C. Finasteride is an oral medication and is not administered as an intramuscular injection.

D. Hair loss is not a common adverse effect of finasteride; in fact, it is used to treat hair loss in men with benign prostatic hyperplasia.

A. magnetic resonance imaging (MRI) B. uroflowmetry studies C. cystourethroscopy D. transrectal ultrasonography (TRUS)

Correct Answer is D

Explanation

A. Magnetic resonance imaging (MRI) may be used in some cases, but TRUS is more commonly used to guide biopsies after concerns arise from DRE or PSA findings.

B. Uroflowmetry studies measure urine flow, which is not the primary concern in evaluating an enlarged prostate related to potential cancer.

C. Cystourethroscopy is used to evaluate the bladder or urethra and is not typically needed in the assessment of an enlarged prostate.

D. Transrectal ultrasonography (TRUS) is commonly used in the evaluation of prostate abnormalities, especially when there are concerns about prostate cancer due to an abnormal DRE or elevated PSA. It helps in visualizing the prostate and guiding biopsy.

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After reviewing the client's chart upon admission to the unit, the nurse consults the healthcare provider about a new order for lovastatin (Mevacor). What triggered the nurse's action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During the administration of finasteride (Proscar), the nurse must remember which important precaution?

Correct Answer is B

Explanation

The nurse will anticipate that a 61-year-old client who has an enlarged prostate detected by digital rectal exam (DRE) and an elevated prostate specific antigen (PSA) level will need teaching about

Correct Answer is D

Explanation

Which information about continuous bladder irrigation will the nurse teach to a client who is being admitted for a transurethral resection of the prostate (TURP)?

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