A male patient who has been taking a histamine2 blocker for ...

[TFauchery]

A male patient who has been taking a histamine2 blocker for several months reports decreased libido and breast swelling. What will the nurse do?
 
  a. Contact the provider to report possible drug toxicity.
  b. Reassure the patient that these symptoms will stop when the drug is discontinued.
  c. Request an order for serum hormone levels.
  d. Suggest that the patient see an endocrinologist.

Question 2

A patient has been taking famotidine (Pepcid) 20 mg bid to treat an ulcer but continues to have pain.
 
  The provider has ordered lansoprazole (Prevacid) 15 mg per day. The patient asks why the new drug is necessary, since it is more expensive. The nurse will explain that lansoprazole
  a. can be used for long-term therapy.
  b. does not interact with other drugs.
  c. has fewer medication side effects.
  d. is more potent than famotidine.

[canderson530]

Answer to Question 1

ANS: B
Drug-induced impotence and gynecomastia are reversible drug side effects. These signs do not indicate drug toxicity. Serum hormone levels and endocrinology evaluation are not indicated.

Answer to Question 2

ANS: D
Famotidine is a histamine2 (H2) blocker. When patients fail therapy with these agents, proton pump inhibitors, which can inhibit gastric acid secretion up to 90 greater than the H2 blockers, are used. Lansoprazole is not for long-term treatment and has drug interactions and drug side effects as do all other medications.

[TFauchery]

TY

[canderson530]

You're welcome