A client has benign prostatic hyperplasia (BPH) and hypertension. ...

[EAugust]

A client has benign prostatic hyperplasia (BPH) and hypertension. Which medication could the client safely receive for hypertension?
 
  1. Terazosin (Hytrin)
  2. Sildenafil (Viagra)
  3. Finasteride (Proscar)
  4. Tamsulosin (Flomax)

Question 2

A male client comes to the emergency department complaining of nocturia and nonspecific fullness in the lower pelvic region. What is the best assessment question for the nurse to ask the client?
 
  1. Are you constipated?
  2. Are you sexually active?
  3. How old are you?
  4. Do you take daily showers?

[lolol]

Answer to Question 1

Correct Answer: 1
Rationale 1: Terazosin (Hytrin) is an alpha1-adrenergic blocker that relaxes smooth muscle in the prostate, and can also reduce blood pressure.
Rationale 2: Sildenafil (Viagra) has no effect on benign prostatic hypertrophy.
Rationale 3: Finasteride (Proscar) has no effect on blood pressure.
Rationale 4: Tamsulosin (Flomax) can cause severe hypotension, but is not used for routine blood pressure management.

Answer to Question 2

Correct Answer: 3
Rationale 1: Constipation could cause the feeling of fullness, but not the nocturia.
Rationale 2: The sexual activity of the client may be important, but this question would not be specific enough.
Rationale 3: The age of the client would help determine the etiology of the problem; these are common symptoms of benign prostatic hyperplasia (BPH).
Rationale 4: Asking about daily hygiene is not an issue at this time.

[EAugust]

TYSM

[amandalm]

Thanks for the timely response, appreciate it