Author Question: A patient diagnosed with benign prostatic hypertrophy asks why tamsulosin (Flomax), an alpha-1 ... (Read 40 times)

clippers! · **on:** Jul 24, 2018

A patient diagnosed with benign prostatic hypertrophy asks why tamsulosin (Flomax), an alpha-1 adrenergic blocking agent, has been prescribed. Which explanation by the nurse is most accurate?

a. It inhibits the action of testosterone.
b. It improves sexual function.
c. It reduces the size of the prostate.
d. It increases urinary flow.

Question 2

The nurse is obtaining a history on a patient who is seeking oral contraceptives. Which condition would contraindicate the use of oral contraceptives?

a. Sexually transmitted diseases (STDs)
b. Hypothyroidism
c. Varicose veins
d. Thromboembolic disease

jackie · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: D
Alpha-1 adrenergic blocking agents are used to relax the smooth muscle of the bladder and prostate. Tamsulosin specifically blocks alpha 1 receptors on the prostate gland and certain areas of the bladder neck, causing muscle relaxation and increased urine flow in men with enlarged prostate glands. Adrenergic blocking agents do not affect hormone production, directly affect sexual function, or affect prostate size.

Answer to Question 2

ANS: D
Women who have a history of thromboembolic disease must consult with a health care provider before obtaining a prescription for an oral contraceptive. Serious adverse effects include embolisms and thrombus formation, cardiac abnormalities, seizures, and severe depression. STDs, hypothyroidism, and varicose veins do not pose a problem with contraceptive therapy.