A client with benign prostatic hyperplasia is to receive finasteride (Proscar). The nurse understands that this drug works by
1. relaxing smooth muscle in the penis.
2. promoting shrinkage of an enlarged prostate gland.
3. increasing testosterone.
4. stimulating RNA synthesis.
2
Rationale 1: Agents for ED, such as phosphodiesterase-5 inhibitors, relax smooth muscle in the penis.
Rationale 2: 5-alpha reductase inhibitors promote shrinkage of the prostate gland.
Rationale 3: Androgens increase testosterone.
Rationale 4: Androgens stimulate RNA synthesis.
Global Rationale: 5-alpha reductase inhibitors promote shrinkage of the prostate gland. Agents for ED, such as phosphodiesterase-5 inhibitors, relax smooth muscle in the penis. Androgens increase testosterone. Androgens stimulate RNA synthesis.
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An older patient complains of aching and swelling in the right leg. The nurse notes cyanosis of the extremity and suspects a possible venous thromboembolism. What is the most likely site of the patient's thromboembolism?
A) Aorta B) Inferior vena cava C) Superior vena cava D) Iliofemoral segment
An older adult client has experienced a fracture of the arm from a fall. The priority of care for the older client is monitoring for infection because:
1. circulation is reduced. 2. self-care is difficult. 3. the elderly cannot take antibiotics. 4. the elderly have slower reflexes.
The client with AIDS and a CD4+ count of 100 cells/mm3 is admitted with a compound fracture of the left leg. In addition, the client has a productive cough, fever, chills, and a his-tory of night sweats. The client's PPD test is negative
What is the nurse's best action? A. Use standard precautions alone because the client does not have tuberculosis. B. Use airborne precautions alone because the client is taking appropriate therapy for HIV. C. Use standard precautions and airborne precautions because the client has tuber-culosis. D. Use standard precautions and airborne precautions until a chest x-ray shows the client does not have tuberculosis.
A healthcare professional is evaluating laboratory results for a patient who has disseminated intravascular coagulation (DIC). What results would the professional consider consistent with this condition?
a. Elevated d-dimer b. Elevated creatinine c. Decreased protein C d. Decreased lactate dehydrogenase e. Increased pH