Nokea
After teaching a group of nursing students about drugs used to treat genitourinary problems in the older adult, the instructor determines that the teaching was successful when the students identify which of the following as an alpha-adrenergic blocker used to treat BPH? Select all that apply.
- A. Darifenacin
- B. Oxybutynin
- C. Alfuzosin
- D. Tamsulosin
- E. Raloxifene
Correct Answer: C,D
Rationale: Alpha-adrenergic drugs used to treat BPH include alfuzosin and tamsulosin. Darifenacin and oxybutynin are antispasmodics. Raloxifene is a miscellaneous agent used to prevent and treat osteoporosis.
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Nurses who are pregnant or may become pregnant should not handle which drugs if they are crushed or broken due to the drugs' substantial risk of abnormal growth to a male fetus? Select all that apply.
- A. Methyltestosterone (Testred)
- B. Finasteride (Proscar)
- C. Testosterone (Striant)
- D. Dutasteride (Avodart)
- E. Oxandrolone (Oxandrin)
Correct Answer: B,D
Rationale: Women of childbearing age should not handle androgen hormone inhibitors, such as finasteride (Proscar) or dutasteride (Avodart) tablets, if they are crushed or broken due to the drugs' substantial risk of abnormal growth to a male fetus.
A client is receiving tamsulosin for treatment of BPH. The client also has hypertension, for which he takes atenolol. Which assessment would be most important for the nurse to obtain?
- A. Temperature
- B. Pulse rate
- C. Respiratory rate
- D. Blood pressure
Correct Answer: D
Rationale: Tamsulosin, an alpha-adrenergic blocker, when given with a beta blocker such as atenolol can cause an increase in hypotension. Therefore, assessment of the client's blood pressure would be most important.
Prior to administering oxybutynin (Ditropan) to a client, the nurse should get a full medical history because the use of oxybutynin (Ditropan) is contraindicated in clients with which of the following? Select all that apply.
- A. Myasthenia gravis
- B. Urinary tract blockage
- C. Diabetes
- D. Intestinal blockage
- E. Hypertriglyceridemia
Correct Answer: A,B,D
Rationale: The use of oxybutynin (Ditropan) is contraindicated in clients with the following: known hypersensitivity, glaucoma, myasthenia gravis, abdominal bleeding, and intestinal, gastric, or urinary tract blockages.
A client is prescribed finasteride to treat his symptoms of BPH. When teaching the client about this drug, the nurse would most likely include a discussion about the possibility of which of the following?
- A. Erectile dysfunction
- B. Dry mouth
- C. Constipation
- D. Decreased libido
- E. Weight gain
Correct Answer: A,D
Rationale: Androgen hormone inhibitors such as finasteride have been associated with the adverse reaction of erectile dysfunction and decreased libido. Dry mouth and constipation are associated with antispasmodics. Weight gain is associated with alpha-adrenergic blockers.
After teaching a client how to use an estradiol transdermal system, the nurse determines that the teaching was successful when the client states which of the following? Select all that apply.
- A. I can put the patch on my breasts.
- B. I should rotate the sites, staying away from the same site for about a week.
- C. When I apply it, I should rub the patch vigorously for about 10 seconds.
- D. I apply the patch immediately after I open the pouch.
- E. If the area is oily or irritated, I need to avoid that area.
Correct Answer: B,D
Rationale: When using a transdermal system, the client should apply the system immediately after opening the pouch with the adhesive side down, applying it to the clean dry skin of the buttocks, trunk, abdomen, upper inner thigh, or upper arm. The system should not be applied to the breasts, waistline, or a site exposed to sunlight. The area should not be oily or irritated. Once the patch is applied, the client should press on it firmly with the palm of the hand for about 10 seconds. The application site is rotated with at least 1-week intervals between applications to a particular site.