Nokea
A nurse identifies a nursing diagnosis of Impaired Mucous Membranes based on the client's complaints of dry mouth for a client with urge incontinence who is receiving drug therapy. The nurse would most likely identify this nursing diagnosis as related to the use of which of the following?
- A. Sildenafil
- B. Fesoterodine
- C. Dutasteride
- D. Silodosin
Correct Answer: B
Rationale: Fesoterodine is an antispasmodic that can cause dry mouth. Sildenafil, dutasteride, and silodosin are not associated with this adverse reaction.
You may also like to solve these questions
While conducting a health promotion presentation for a local group of women who are in their 30s and 40s, one of the women asks the nurse, 'I've heard horror stories about menopause. Are there any herbal products that can help?' Which of the following would the nurse include in the response? Select all that apply.
- A. Black cohosh
- B. Sage
- C. Calendula
- D. Saw palmetto
- E. Dandelion
Correct Answer: A,B,C,E
Rationale: Black cohosh, sage, dandelion, and calendula are herbs that may be used to address menopausal symptoms. Saw palmetto is used to relieve the symptoms of benign prostatic hypertrophy.
A nurse educating a client receiving tolterodine (Detrol) should warn the client about which of the following common adverse reactions? Select all that apply.
- A. Anorexia
- B. Xerostomia
- C. Decreased lacrimation
- D. Blurred vision
- E. Diarrhea
Correct Answer: B,C,E
Rationale: Common adverse reactions seen with the use of tolterodine (Detrol) include xerostomia, drowsiness, constipation, headache, decreased lacrimation, decreased sweating, GI disturbances, blurred vision, and urinary hesitancy.
A nurse is providing care to a client diagnosed with benign prostatic hypertrophy. The nurse understands that which of the following drugs inhibit the conversion of testosterone into 5-alpha-dihydrotestosterone (DHT), resulting in a decrease in prostate gland size? Select all that apply.
- A. Terazosin (Hytrin)
- B. Finasteride (Proscar)
- C. Methyltestosterone (Testred)
- D. Dutasteride (Avodart)
- E. Doxazosin (Cardura)
Correct Answer: B,D
Rationale: Finasteride (Proscar) and dutasteride (Avodart) inhibit the conversion of testosterone into 5-alpha-dihydrotestosterone (DHT), which results in a decrease in prostate gland size, making them useful in the treatment of benign prostatic hypertrophy.
A nurse is caring for a client receiving goserelin acetate for prostate cancer. The nurse would monitor the client for which of the following adverse reactions?
- A. Breast atrophy, sexual dysfunction
- B. Pharyngitis, asthenia
- C. Breast tenderness, edema
- D. Hyperglycemia, leukocytosis
Correct Answer: A
Rationale: Breast atrophy and sexual dysfunction may be seen as adverse reactions of goserelin acetate therapy. Pharyngitis and asthenia are seen with the use of anastrozole, Breast tenderness and edema are seen with drugs such as estramustine. Hyperglycemia and leukocytosis are seen as adverse reactions of mitotane.
A nurse is conducting a presentation for a group of middle-aged women about menopause and the changes that occur to the female genitourinary system. Which of the following would the nurse include in the discussion? Select all that apply.
- A. Lengthening of the vaginal wall
- B. Slowed rate of lubrication during sexual arousal
- C. Decreased risk of yeast infection from pH changes
- D. Weakening of the pelvic floor muscles
- E. Thinning of the vaginal walls
Correct Answer: B,D,E
Rationale: Genitourinary changes associated with aging include thinning of the vaginal walls with shortening and loss of elasticity; decreased lubrication with a slowing of the rate during sexual arousal; increased risk of yeast infections due to changes in the pH of the environment; and weakening of the pelvic floor muscles, which can lead to stress incontinence.