This topic contains a solution. Click here to go to the answer

Author Question: A patient who has BPH is taking doxazosin and finasteride. The patient asks the primary care NP ... (Read 99 times)

Evvie72

  • Hero Member
  • *****
  • Posts: 519
A patient who has BPH is taking doxazosin and finasteride. The patient asks the primary care NP whether he has an increased risk of prostate cancer. The NP should tell him:
 
  a. his overall cancer risk is increased.
  b. he has an increased risk of a certain type of cancer.
  c. his cancer risk is the same as any other man his age.
  d. doxazosin will increase his cancer risk, but only slightly.

Question 2

A patient who has BPH is taking alfuzosin (Uroxatral) and finasteride (Proscar). The patient has had two urinary tract infections (UTIs) in the past 2 months. A urinalysis in the clinic is negative for leukocyte esterase but positive for hematuria.
 
  The primary care NP should: a. discontinue finasteride.
  b. refer the patient to a urologist.
  c. change alfuzosin to tamsulosin.
  d. add doxazosin to the drug regimen.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Amiracle

  • Sr. Member
  • ****
  • Posts: 334
Answer to Question 1

B
There is an overall reduction in prostate cancer risk for patients taking 5b-reductase inhibitors, such as finasteride, but there is an increased risk of high-grade prostate cancer. His overall cancer risk is less. Doxazosin does not affect cancer risk.

Answer to Question 2

B
Surgery is indicated for patients who are refractory to treatment with medications or who have recurrent UTIs or hematuria. The NP should refer the patient to a urologist. All b-blockers are considered equally efficacious, so changing the drug regimen is not indicated.





 

Did you know?

Certain chemicals, after ingestion, can be converted by the body into cyanide. Most of these chemicals have been removed from the market, but some old nail polish remover, solvents, and plastics manufacturing solutions can contain these substances.

Did you know?

Approximately 25% of all reported medication errors result from some kind of name confusion.

Did you know?

In 2012, nearly 24 milliion Americans, aged 12 and older, had abused an illicit drug, according to the National Institute on Drug Abuse (NIDA).

Did you know?

There can actually be a 25-hour time difference between certain locations in the world. The International Date Line passes between the islands of Samoa and American Samoa. It is not a straight line, but "zig-zags" around various island chains. Therefore, Samoa and nearby islands have one date, while American Samoa and nearby islands are one day behind. Daylight saving time is used in some islands, but not in others—further shifting the hours out of sync with natural time.

Did you know?

Cucumber slices relieve headaches by tightening blood vessels, reducing blood flow to the area, and relieving pressure.

For a complete list of videos, visit our video library