This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient who has BPH is taking doxazosin and finasteride. The patient asks the primary care NP ... (Read 104 times)

Evvie72

  • Hero Member
  • *****
  • Posts: 519
on: Jul 24, 2018
A patient who has BPH is taking doxazosin and finasteride. The patient asks the primary care NP whether he has an increased risk of prostate cancer. The NP should tell him:
 
  a. his overall cancer risk is increased.
  b. he has an increased risk of a certain type of cancer.
  c. his cancer risk is the same as any other man his age.
  d. doxazosin will increase his cancer risk, but only slightly.

Question 2

A patient who has BPH is taking alfuzosin (Uroxatral) and finasteride (Proscar). The patient has had two urinary tract infections (UTIs) in the past 2 months. A urinalysis in the clinic is negative for leukocyte esterase but positive for hematuria.
 
  The primary care NP should: a. discontinue finasteride.
  b. refer the patient to a urologist.
  c. change alfuzosin to tamsulosin.
  d. add doxazosin to the drug regimen.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Amiracle

  • Sr. Member
  • ****
  • Posts: 334
Reply #1 on: Jul 24, 2018
Answer to Question 1

B
There is an overall reduction in prostate cancer risk for patients taking 5b-reductase inhibitors, such as finasteride, but there is an increased risk of high-grade prostate cancer. His overall cancer risk is less. Doxazosin does not affect cancer risk.

Answer to Question 2

B
Surgery is indicated for patients who are refractory to treatment with medications or who have recurrent UTIs or hematuria. The NP should refer the patient to a urologist. All b-blockers are considered equally efficacious, so changing the drug regimen is not indicated.


Evvie72

  • Hero Member
  • *****
  • Posts: 519
Reply #2 on: Jul 24, 2018
Thanks


Amiracle

  • Sr. Member
  • ****
  • Posts: 334
Reply #3 on: Jul 24, 2018
Welcome :)


« previous next »
 

Did you know?

To prove that stomach ulcers were caused by bacteria and not by stress, a researcher consumed an entire laboratory beaker full of bacterial culture. After this, he did indeed develop stomach ulcers, and won the Nobel Prize for his discovery.

Did you know?

Coca-Cola originally used coca leaves and caffeine from the African kola nut. It was advertised as a therapeutic agent and "pickerupper." Eventually, its formulation was changed, and the coca leaves were removed because of the effects of regulation on cocaine-related products.

Did you know?

Oliver Wendell Holmes is credited with introducing the words "anesthesia" and "anesthetic" into the English language in 1846.

Did you know?

Cyanide works by making the human body unable to use oxygen.

Did you know?

Atropine, along with scopolamine and hyoscyamine, is found in the Datura stramonium plant, which gives hallucinogenic effects and is also known as locoweed.

Taking a Patient’s Axillary Temperature Taking a Patient’s Axillary Temperature
Bronchoscopy. Figure illustrates physician using a bronchoscope to inspect the patient’s bronchial t Bronchoscopy. Figure illustrates physician using a bronchoscope to inspect the patient’s bronchial t
GI endoscopy. (a) Similar to other forms of GI endoscopy, laparoscopy involves the insertion of a sp GI endoscopy. (a) Similar to other forms of GI endoscopy, laparoscopy involves the insertion of a sp
The primary and secondary adaptive responses. The primary and secondary adaptive responses.
Koplik spots in the mouth of a patient with measles. Koplik spots in the mouth of a patient with measles.
Day Care and Attachment Day Care and Attachment
Video: Red Blood Cells - Erythropoietin (EPO)

For a complete list of videos, visit our video library