A male client has been prescribed finasteride (Proscar). Which ...

[captainjonesify]

A male client has been prescribed finasteride (Proscar). Which medication education should the nurse provide?
 
  1. Pregnant women should not touch this medication.
  2. This drug has only very minor side effects.
  3. You should experience effects of this drug within 1 week of starting treatment.
  4. Swallow this medication whole with a full glass of water.

Question 2

The client has been prescribed doxazosin (Cardura). What teaching should the nurse provide?
 
  1. Take your first dose as soon as you get your prescription at the pharmacy.
  2. Do not drive for 12-24 hours after starting this medication.
  3. You may experience sweating and a headache while taking this medication.
  4. Increase fluids with this medication.

[josephsuarez]

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.

[captainjonesify]

Excellent

[kusterl]

Gracias!