The nurse reviews a client's current medications and realizes ...

[Kikoku]

The nurse reviews a client's current medications and realizes that which medications would be contraindicated in testosterone replacement therapy?
 
  Standard Text: Select all that apply.
  1. Oral anticoagulants
  2. Corticosteroids
  3. Finasteride
  4. Antibiotics
  5. Antihypertensives

Question 2

A client experiencing moderate symptoms of benign prostatic hyperplasia (BPH) is prescribed tamsulosin (Flomax). What will the nurse instruct the client about this medication?
 
  Standard Text: Select all that apply.
  1. This medication will not affect your blood pressure.
  2. This medication improves urine flow.
  3. You will see an improvement in symptoms in 1 to 2 weeks.
  4. You may experience a headache or dizziness with this medication.
  5. Notify your health care provider if you experience fatigue when taking this medication.

[Sammyo]

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: Testosterone may potentiate the effects of oral anticoagulants and increase the risk of severe bleeding.
Rationale 2: Use of testosterone with corticosteroids may cause additional edema.
Rationale 3: Finasteride is an antiandrogenic medication; if used with testosterone, it inhibits the effects of both medications.
Rationale 4: Testosterone is not contraindicated with the use of antibiotics.
Rationale 5: Testosterone is not contraindicated with the use of antihypertensives.
Global Rationale: Testosterone may potentiate the effects of oral anticoagulants and increase the risk of severe bleeding. Use of testosterone with corticosteroids may cause additional edema. Finasteride is an antiandrogenic medication; if used with testosterone, it inhibits the effects of both medications. Testosterone is not contraindicated with the use of antibiotics or antihypertensives.

Answer to Question 2

Correct Answer: 1,2,3,4
Rationale 1: Tamsulosin (Flomax) at normal doses has no effect on blood pressure.
Rationale 2: Tamsulosin (Flomax) improves urine flow.
Rationale 3: Tamsulosin (Flomax) improves symptoms in 1 to 2 weeks.
Rationale 4: Common adverse effects of tamsulosin (Flomax) include headache and dizziness.
Rationale 5: Fatigue is a common adverse effect of tamsulosin (Flomax) and does not need to be reported to the health care provider.
Global Rationale: Tamsulosin (Flomax) at normal doses has no effect on blood pressure. The medication does improve urine flow and takes 1 to 2 weeks to be fully effective. Common adverse effects of tamsulosin (Flomax) include headache and dizziness. Fatigue is a common adverse effect of tamsulosin (Flomax) and does not need to be reported to the health care provider.

[Kikoku]

Excellent

[T4T]

TYSM