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. A patient has been started on medication for BPH. Prior to administering this medication the patient's nurse ensures which of the following has been done?

A.

The patient is hypertensive.

B.

The patient has had a prostate examination, including measurement of the PSA level.

C.

The patient is still sexually active.

D.

The patient has not had a vasectomy.

Answer and Explanation

The Correct Answer is B

A. The patient is hypertensive. Hypertension is not a prerequisite for starting BPH medication; in fact, some BPH medications can lower blood pressure.

 

B. The patient has had a prostate examination, including measurement of the PSA level. A prostate examination and PSA measurement are important for diagnosing BPH and ruling out prostate cancer before starting treatment.

 

C. The patient is still sexually active. Sexual activity status is not a determining factor for administering BPH medication.

 

D. The patient has not had a vasectomy. Vasectomy status does not influence the treatment of BPH.


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Correct Answer is C

Explanation

A. "Use the peak expiratory flow meter once per week." The peak expiratory flow meter is usually recommended for daily use in asthma management to monitor lung function and detect any changes early.

B. "Take cromolyn sodium at the first sign of breathing difficulty." Cromolyn sodium is a mast cell stabilizer and is used as a preventative medication rather than for quick relief of symptoms, so it should be taken regularly as prescribed, not only when symptoms arise.

C. "Avoid triggers that cause an attack." Avoiding known asthma triggers is an important part of asthma management to prevent attacks and exacerbations.

D. "You should stop playing basketball, but you can swim instead." Exercise should not necessarily be avoided; instead, it should be managed appropriately with pre-treatment if needed. Avoiding all sports activities is not generally recommended.

Correct Answer is A

Explanation

A. Tachycardia: Theophylline can cause tachycardia as a side effect due to its stimulant properties.

B. Constipation: While gastrointestinal effects can occur, constipation is not a common or significant adverse effect of theophylline.

C. Oliguria: Theophylline is more likely to cause diuresis rather than oliguria.

D. Drowsiness: Theophylline typically causes stimulation rather than sedation, leading to increased alertness rather than drowsiness.

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