Answer to Question 1
Correct Answer: 1
Rationale 1: Finasteride (Proscar) may be absorbed through the skin and cause damage to a male fetus.
Rationale 2: Finasteride (Proscar) may cause impotence, impaired fertility, diminished libido, and ejaculatory dysfunction. Other minor effects include headache, rash, dizziness, and asthenia.
Rationale 3: It may take 3-6 months for maximum effect of this medication.
Rationale 4: Finasteride (Proscar) may be crushed for oral administration.
Answer to Question 2
Correct Answer: 2
Rationale 1: The first dose should not be taken at the pharmacy.
Rationale 2: Doxazosin may cause first dose phenomenon which results in a greater initial drop in BP than with subsequent doses. The client should not drive for 12-24 hours until this effect has passed.
Rationale 3: Doxazosin (Cardura) does not cause diaphoresis or headache.
Rationale 4: There is no reason to encourage fluids.