A client has been taking finasteride (Proscar) for 4 weeks and reports that he has not yet seen a reduction in symptoms. Which response by the nurse is most appropriate?
a. "Have you been taking the medication as ordered?"
b. "It may take several months to see re-sults."
c. "It may not be the right drug for you."
d. "We can try dutasteride (Avodart) next."
B
So that he does not become discouraged, the nurse should first reassure the client that this class of medications may take up to 6 months to be effective. The nurse then can assess for com-pliance, but asking that question first may put the client on the defensive. The client needs to try the medication for several more months before the health care team changes it. Avodart is in the same class of medications, and its use for up to 6 months of therapy may be required before re-sults are seen.
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