A client is prescribed finasteride to treat his symptoms of BPH. When teaching the client about this drug, the nurse would most likely include a discussion about the possibility of which of the following?
A) Erectile dysfunction
B) Dry mouth
C) Constipation
D) Decreased libido
E) Weight gain
Ans: A, D
Feedback:
Androgen hormone inhibitors such as finasteride have been associated with the adverse reaction of erectile dysfunction and decreased libido. Dry mouth and constipation are associated with antispasmodics. Weight gain is associated with alpha-adrenergic blockers.
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A nurse reviews the laboratory data of a client suspected of having the diagnosis of major depressive episode. Which lab value would potentially rule out this diagnosis?
1. Thyroid-stimulating hormone (TSH) level of 25 U/mL 2. Potassium (K+) level of 4.2 mEq/L 3. Sodium (Na+) level of 140 mEq/L 4. Calcium (Ca2+) level of 9.5 mg/dL
A client preparing for discharge from an inpatient unit asks a nurse which psychiatrist she would recommend to use for follow-up as an outpatient. The nurse responds, "There are several good physicians on your list. Make sure you do not use Dr
Smith. I have heard some terrible things about his methods of treatment." This is an example of which type of potential liability? a. Slander b. Invasion of privacy c. Assault d. Libel
A high school student calls to ask the nurse for advice on how to care for a new navel piercing. The nurse should reply
1. "Apply warm soaks to the area for thefirst two days to minimize swelling." 2. "Do not move or turn the jewelry forthe first three days." 3. "Avoid contact with another person'sbodily fluids until the area is well healed." 4. "Apply lotion to the area,rubbinggently,to prevent skin from becoming dry and irritated."
Which represents the greatest potential barrier to effective communication?
1. The nurse gives discharge instructions to a couple in their early 80s. 2. The nurse manager hires a new nurse originally from the Philippines. 3. The emergency nurse receives a client via ambulance transferred for confusion. 4. The nurse obtains an admission history from the parents of an adopted child.