Author Question: Which client statement indicates that teaching about finasteride (Proscar) has been effective? 1. ... (Read 72 times)

Lobcity · **on:** Jul 23, 2018

Which client statement indicates that teaching about finasteride (Proscar) has been effective?

1. It reduces the inflammation and swelling associated with my prostatitis.
2. It interferes with my circulating testosterone and causes my prostate to shrink so I can urinate again.
3. It relaxes the smooth muscle in my urethra to facilitate the outflow of urine.
4. It kills prostate cells that could lead to cancer.

Question 2

A testosterone (Testoderm) patch has been prescribed for a client. Where will the nurse instruct the client to place the patch on the skin?

1. On the scrotum
2. On the lower leg
3. On the head
4. On the thigh

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

Answer to Question 1

Correct Answer: 2
Rationale 1: This statement does not indicate teaching has been effective.
Rationale 2: Finasteride (Proscar) works by inhibiting the enzyme responsible for converting testosterone to one of its metabolites, 5-alpha dihydrotestosterone, which causes proliferation of prostate cells and promotes enlargement of the gland. Finasteride promotes regression of prostate epithelial tissue and decreases mechanical obstruction of the urethra.
Rationale 3: This statement does not indicate teaching has been effective.
Rationale 4: This statement does not indicate teaching has been effective.
Global Rationale: Finasteride (Proscar) works by inhibiting the enzyme responsible for converting testosterone to one of its metabolites, 5-alpha dihydrotestosterone, which causes proliferation of prostate cells and promotes enlargement of the gland. Finasteride promotes regression of prostate epithelial tissue and decreases mechanical obstruction of the urethra. It does not reduce inflammation, relax smooth muscle, or kill prostate cells.

Answer to Question 2

Correct Answer: 4
Rationale 1: Testoderm patches are not applied directly to the scrotal area.
Rationale 2: Testoderm patches are not applied to the lower leg.
Rationale 3: Testoderm patches are not applied to the head.
Rationale 4: Testoderm patches can be applied to the thigh, upper arm, back, or abdomen.
Global Rationale: Testoderm patches can be applied to the thigh, upper arm, back, or abdomen. They should not be applied to the scrotum, lower leg, or head.