The nurse is teaching the client prescribed tamsulosin (Flomax) for BPH. What should the nurse include in the teaching session for this client? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. "This medication will shrink the prostate."
2. "Drug therapy alleviates the symptoms but does not cure the disease."
3. "This medication will lower your blood pressure."
4. "This medication has no effect on blood pressure."
5. "This medication will be required for the rest of your life."
Correct Answer: 2, 4, 5
Rationale 1: "This medication will shrink the prostate" is incorrect because Flomax does not shrink the prostate.
Rationale 2: Because drug therapy alleviates the symptoms but does not cure the disease, these medications must be taken the remainder of the patient's life, or until surgery is indicated.
Rationale 3: "This medication will lower your blood pressure" is incorrect because Flomax has no effect on blood pressure.
Rationale 4: Doxazosin (Cardura) and terazosin (Hytrin) are of particular value to patients who have both hypertension and BPH. A third alpha1-blocker, tamsulosin (Flomax), has no effect on blood pressure, and its only indication is BPH.
Rationale 5: Because drug therapy alleviates the symptoms but does not cure the disease, these medications must be taken the remainder of the patient's life, or until surgery is indicated.
Global Rationale: Because drug therapy alleviates the symptoms but does not cure the disease, these medications must be taken the remainder of the patient's life, or until surgery is indicated. "This medication will shrink the prostate" is incorrect because Flomax does not shrink the prostate. "This medication will lower your blood pressure" is incorrect because Flomax has no effect on blood pressure.
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