Chapter 31, Drug Therapy for Male Reproductive Problems Video Solutions, Understanding Pharmacology: Essentials for Medication Safety

Problem 1

Which are the two main groups of drugs used to treat BPH?
A. Phosphodiesterace-5 inhibitors
B. DHT inhibitors
C. Testosterone replacement drugs
D. Selective alpha-1 blockers
E. Non-selective alpha- 1 blockers

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00:39

Problem 2

Which patient should not receive testosterone replacement?
A. Older male with history of tuberculosis
B. Younger male with history of $20 \%$ body surface burns
C. Middle-aged male with history of prostate cancer
D. Older male with history of gastroesophageal reflux disease

Breanna Kloczkowski

Numerade Educator

Problem 3

A 50-year-old man is prescribed sildenafil (Viagra) for erectile dysfunction. For which herbal preparation in use by the patient will you need to notify the prescriber or pharmacist?
A. Black cohosh
B. Echinacea
C. Feverfew
D. St. John's wort

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01:26

Problem 4

What is the most common side effect of drugs prescribed to treat $\mathrm{BPH}$ ?
A. Decreased libido
B. Hypotension
C. Angina
D. Hair loss

Bryan Valdivia

Numerade Educator

00:30

Problem 5

Which class of drugs would you instruct a patient taking an ED drug to avoid?
A. Calcium channel blockers
B. Nitrates
C. Angiotensin-converting enzyme inhibitors
D. Beta blockers

Joanna Quigley

Numerade Educator

Problem 6

The patient prescribed tamsulosin (Flomax) asks you how this drug will help his benign prostate hyperplasia ( $\mathrm{BPH})$. What is your best response?
A. "It works directly on the prostate gland to shrink it."
B. "It works with testosterone by converting it to its most powerful form."
C. "It relaxes smooth muscle tissue in the prostate, neck of the bladder, and urethra."
D. "It increases pressure inside the bladder to help increase the urine stream."

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Problem 7

Which action is most important before administering tamsulosin (Flomax) to a patient?
A. Check the patient's blood pressure lying, sitting, and standing.
B. Elevate the head of the bed to at least 45 degrees.
C. Check the patient's baseline weight and height.
D. Warn the patient that side effects may include hair loss from the scalp.

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Problem 8

Which precaution is most important to teach a patient prescribed tamsulosin (Flomax) for treatment of $\mathrm{BPH}$ ?
A. Avoid donating blood.
B. Be sure to have annual prostate cancer screenings.
C. Do not take this drug if you are allergic to "sulfa" drugs.
D. Do not drink alcoholic beverages while taking this drug.

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Problem 9

An older adult male is prescribed finasteride (Proscar) for BPH. Which age-related teaching point will you be sure to include during discharge teaching?
A. Take acetaminophen if you experience a headache.
B. Be sure to have your annual screening for prostate cancer.
C. You may experience an increase in urine output.
D. You may experience a rash, but it will improve over a couple of weeks.

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Problem 10

The patient is prescribed tadalafil (Cialis) for erectile dysfunction. For which adverse effect should you monitor after administering this drug?
A. Flushing of the skin
B. Nasal congestion with itching
C. Indigestion with acid reflux
D. Prolonged painful erection

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Problem 11

A patient prescribed sildenafil (Viagra) for erectile dysfunction is also prescribed isosorbide dinitrate. What is your best action?
A. Administer the drugs if blood pressure is within normal range.
B. Contact the prescriber.
C. Hold both drugs if the heart rate is high.
D. Administer the sildenafil at night and isosorbide in the morning.

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02:27

Problem 12

A 52-year-old man is prescribed testosterone gel (AndroGel) for low serum testosterone. What must you teach his wife about this drug?
A. "Be sure to provide your husband with high carbohydrate meals."
B. "Avoid touching linen or clothing that has been in contact with the drug."
C. "Your husband may experience impotence as a result of this drug."
D. "If your husband experiences hair loss, be sure to contact the prescriber."

Jessica Honkomp

Numerade Educator

01:42

Problem 13

An older adult male receives IM testosterone every 2 weeks at the prescriber's office. For which condition(s) is this patient at increased risk to develop? (Select all that apply.)
A. Prostate hyperplasia
B. Hypertension
C. Type 2 diabetes mellitus
D. Prostate cancer
E. Priapism
F. Enlargement of breast tissue

Parvati Devi

Numerade Educator

01:59

Problem 14

A patient with BPH is prescribed $0.8 \mathrm{mg}$ of tamsulosin (Flomax) daily. The drug comes in $0.4 \mathrm{mg}$ capsules. How many capsules will you teach the patient to take? capsule(s)

Lottie Adams

Numerade Educator

01:02

Problem 15

A patient with low serum testosterone is prescribed testosterone (Cypionate) $150 \mathrm{mg}$ IM every 2 weeks. Testosterone comes as $100 \mathrm{mg} / \mathrm{mL}$. How many milliliters will you give with each dose? $\mathrm{mL}$

David Collins

Numerade Educator