Author Question: A male patient is being treated for benign prostatic hyperplasia (BPH) by another provider but ... (Read 142 times)

Themember4 · **on:** Jul 23, 2018

A male patient is being treated for benign prostatic hyperplasia (BPH) by another provider but cannot remember which drug he is taking.

He comes to the clinic seeking treatment for erectile dysfunction and receives a prescription for sildenafil (Viagra). What will the nurse teach this patient?
a. Sildenafil is not safe to take in conjunction with finasteride (Proscar).
b. Sildenafil is safe with any medication for benign prostatic hyperplasia.
c. To be safe, you should have a transurethral resection before starting sildenafil.
d. You should not take sildenafil if you are taking silodosin (Rapaflo).

Question 2

A nurse is teaching a group of parents about the role of testosterone in puberty for boys. To evaluate the group's understanding, the nurse asks, What physiologic effects related to testosterone can you expect to see in your sons?

Which responses indicate an understanding of the role of testosterone in male puberty? (Select all that apply.)
a. It promotes skeletal muscle growth.
b. It increases height and weight.
c. It delays epiphyseal closure.
d. It causes a high-pitched voice.
e. It causes acne.

prumorgan · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
Sildenafil should not be taken with alpha1-adrenergic antagonists, such as silodosin, because of the risk of severe decreases in blood pressure. Finasteride is not an alpha1-adrenergic antagonist and may be taken with sildenafil. Not all medications for BPH are safe to take with sildenafil. Invasive treatments for BPH are used when symptoms are severe.

Answer to Question 2

ANS: A, B, E
The physiologic effects associated with androgen therapy are promotion of skeletal muscle growth, an increase in height and weight, acceleration of epiphyseal closure, deepening of the voice, oily skin, and acne. Androgen therapy accelerates epiphyseal closure; it does not delay it. Androgen therapy deepens the voice rather than raising the pitch.