The nurse is administering finasteride (Proscar) and doxazosin (Cardura) to a 67-year-old client with benign prostatic hyperplasia. What precautions are related to the side effects of these medications? (Select all that apply.)
a. Assessing for blood pressure changes when lying, sitting, and arising from the bed
b. Immediately reporting any change in the alanine aminotransferase laboratory test
c. Teaching the client about the possibility of increased libido with these medications
d. Taking the client's pulse rate for a minute in anticipation of bradycardia
e. Asking the client to report any weakness, light-headedness, or dizziness
ANS: A, B, E
Both the 5-alpha-reductase inhibitor (5-ARI) and the alpha1-selective blocking agents can cause orthostatic (postural) hypotension and liver dysfunction. The 5-ARI agent (Proscar) can cause a decreased libido rather than an increased sexual drive. The alpha-blocking drug (Cardura) can cause tachycardia rather than bradycardia.
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The nurse is providing patient education to a parent whose child has been prescribed liquid pyrantel (Pin-Rid) for hookworms. Which statement by the patient best demonstrates under-standing of the administration of this drug?
a. "I will warm the medication before administration." b. "I will mix the medicine in 8 ounces of juice." c. "I will give two doses of the medication the first day." d. "I will have my child drink the entire dose of the liquid at one time."
The nurse is counseling a family with a child who has been abused in the past. The nurse should explain to the parents that the child needs:
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Your break time is 15 minutes long. How long can you take?
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