Author Question: A patient with benign prostatic hyperplasia has been self-treating with an herbal called saw ... (Read 84 times)

Engineer · **on:** Jul 23, 2018

A patient with benign prostatic hyperplasia has been self-treating with an herbal called saw palmetto. The nurse would know which drug is contraindicated in this patient?

A) Tamsulosin (Flomax)
B) Finasteride (Proscar)
C) Alfuzosin (Uroxatral)
D) Terazosin (Hytrin)

Question 2

The patient has an excessive production of antidiuretic hormone (ADH). The nurse expects what change in the patient's blood pressure?

A) Increase in blood volume will cause increase in blood pressure.
B) Increase in water and sodium excretion will cause a decrease in blood volume.
C) Increase in ADH production will cause an increase in renin production and hypertension.
D) Increase in ADH production will decrease angiotensin production and hypotension.

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

Answer to Question 1

B
Feedback:
Saw palmetto is an herbal therapy that has been used very successfully for the relief of symptoms associated with benign prostatic hyperplasia (BPH). Patients with BPH should be cautioned not to combine saw palmetto with finasteride because serious toxicity can occur. There is no contraindication in the use of tamsulosin, alfuzosin, and terazosin, which are alpha-adrenergic blockers. Finasteride is a testosterone blocking agent.

Answer to Question 2

A
Feedback:
Release of ADH causes the kidney to retain water and increase blood volume. Increasing blood volume increases blood pressure.