To decrease glandular cellular activity and prostate size, an 83-year-old patient has been prescribed finasteride (Proscar). When performing patient education with this patient, the nurse should be sure to tell the patient what?
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
Feedback: Saw palmetto is an herbal product used in treating the symptoms associated with 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.
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