An 83-year-old patient has been prescribed finasteride (Proscar) to decrease glandular cellular activity and prostate size. The patient should:
A) Avoid the use of saw palmetto
B) Decrease the intake of fluids to prevent retention
C) Have a penile implant for erectile dysfunction
D) Prepare for transurethral needle ablation
Ans: A
Chapter: 49
Cognitive Level: Application
Difficulty: Difficult
Integrated Process: Nursing Process
Objective: 4
Patient Needs: D-2
Feedback: Saw palmetto is an herbal product used in treating the symptoms associated with benign prostatic hyperplasia (BPH). The active element comes from the fruit of the American dwarf tree. Research has shown that the efficacy of saw palmetto is similar to that of medications such as finasteride, and the herbal product may be better tolerated and less expensive. In theory, it functions by interfering with the conversion to DHT. In addition, saw palmetto may directly block the ability of DHT to stimulate prostate cell growth. It should not be used with finasteride, dutasteride, or medications containing estrogen. Transurethral needle ablation is another treatment modality for benign prostatic hyperplasia. A penile implant is utilized for erectile dysfunction. The patient should maintain normal fluid intake.
You might also like to view...
The pediatric nurse explains to the parents of a comatose child that which structure controls the child's level of consciousness?
A. Basal ganglia B. Brainstem C. Central nervous system D. Reticular activating system
A nurse and another staff member are preparing to reposition a patient in bed. To prevent back strain, these two health care providers must do which of the following?
a. Keep their knees stiff to enhance their lifting strength potential. b. Keep the weight of the patient as close to their bodies as possible. c. Loosen their stomach muscles to keep from injuring the pelvic region. d. Twist their upper torsos to enhance the use and strength of their upper extremities.
Monica is a nurse practitioner who is interested in working in a rural community. Which of the following factors would be a positive factor for her recruitment to this type of work?
a. Rural characteristics b. a friend who works in the rural community c. the limiting nature of rural nursing structure d. limited contact with support services
Which one of the following questions would be the most important to ask if you suspect that he has lung cancer?
A 67-year-old retired janitor comes to the clinic with his wife. She brought him in because she is concerned about his weight loss. He has a history of smoking 3 packs of cigarettes a day for 30 years, for a total of 90 pack-years. He has noticed a daily cough for the past several years, which he states is productive of sputum. He came into the clinic approximately 1 year ago, and at that time his weight was 140 pounds. Today, his weight is 110 pounds. A) Have you tried to force yourself to vomit after eating a meal? B) Do you have heartburn/indigestion and diarrhea? C) Do you have enough food to eat? D) Have you tried to lose weight?