Reproductive

Tamsulosin action

Helps relax prostate muscle fibers (Doesn't stop growth)

Sildenafil (Viagra) adv eff

Priapism (persistent erection)- if taken too much Hypotension

Finasteride (Proscar) admin

5mg PO Lifelong (effectiveness lasts 5 years) Ensure woman do not handle drug (cross) Drug works at 3-6 months

A nurse should question the use of thinyl estradiol and drospirenone by a client who has renal disease due to the increased risk of which of the following? A. Hyperkalemia B. Hyponatremia C. Hypoglycemia D. Respiratory alkalosis

A. Ethinyl estradiol and drospirenone can cause potassium retention, so a client who has renal, adrenal, or liver disease should not take the drug combination. The nurse should monitor the serum potassium levels of a client taking the drug and use it with caution with other drugs that can increase serum potassium, such as potassium-sparing diuretics.

A nurse is providing teaching to a client about sildenafil to treat erectile dysfunction. which of the following instructions should the nurse include? A. Do not take the drug with high-fat foods. B. Take the drug with a glass of grapefruit juice. C. Increase intake of foods rich in vitamin K. D. Avoid aged cheeses and red wine.

A. High-fat foods delay absorption and reduce peak effects of sildenafil. Clients who take the drug should not take it with high-fat foods.

The nurse receives a call from a male client who takes finasteride (Proscar) for treatment of BPH, and tells the nurse that his wife may be pregnant. What does the nurse expect the health care provider to do? A. Discontinue the medication. B. Decrease the dose of medication. C. Increase the dose of medication. D. Change the finasteride to dutasteride.

A. Homeboys Tetris

A client diagnosed with erectile dysfunction has been advised to take Viagra. For up to how many hours does the action of the drug persist? A. 4hr B. 8hr C. 12h D. 24hr

A. 4hr

A nurse is caring for a client who has benign prostatic hypertrophy and is taking tamsulosin. The nurse should question the use of the drug if the client also has which of the following? A. A seizure disorder for which he takes carbamazepine B. Erectile dysfuntion for which he take sildenafil C. Diabetes mellitus for which he takes glyburide D. Angle-closure glaucoma for which he take pilocarpine

B. Drugs that lower blood pressure, such as sildenafil, can exacerbate hypotension in combination with tamsulosin. Clients who take sildenafil should not take tamsulosin.

A 52-year-old male client has made an appointment with his primary care provider and has reluctantly admitted that his primary health concern is erectile dysfunction (ED). He describes the problem as increasing in severity and consequent distress. Which of the nurse's assessment questions is most likely to address a common cause of ED? A. "How would you describe your overall level of health?" B. "Are you taking any medications for high blood pressure?" C. "How has this problem been affecting your relationship with your wife?" D. "Have you suffered any injuries of any kind in the last several months?"

B. "Are you taking any medications for high blood pressure?"

What aspect of a client's current health status may contraindicate the use of a PDE5 inhibitor? A. The client is morbidly obese. B. The client has a history of unstable angina pectoris. C. the client has type 2 diabetes and takes glyburide daily. D. The client takes phenytoin for the prevention of seizures.

B. The client has a history of unstable angina pectoris.

Sildenafil (Viagra) labs

BP

Tamsulosin nsg con

BP MEDS WILL CAUSE ERECTILE DYSFUNCTION Use of ED meds with this will cause more hypotension Does not affect PSA level, reduce libido, cause ED

Finasteride (Proscar) action

Blocks the growth of prostate cells- shrink prostate (provides releif)

A nurse is teaching a client about conjugated estrogen and medroxyprogesterone. Which of the following instructions should the nurse include? A. Monitor for rectal bleeding. B. Avoid drinking alcoholic beverages. ​C. Have blood pressure checked regularly. D. Sit up for 30 min after taking the drug.

C. Using conjugated estrogen and medroxyprogesterone, a combination of estrogen and progestin for hormone replacement, can cause hypertension. Clients taking the drug combination should have their blood pressure checked regularly and report headache or edema.

A nurse is caring for a 25-year-old clinic client who is starting on birth control pills. What statement by the client indicates that she needs further teaching? A. "I will monitor my weight and have my blood pressure checked in 3 months." B. "I may gain or lose weight while I am taking these pills." C. "I will exercise more if I experience chest or leg pain." D. "I know my nausea is common, but it should subside in a few weeks."

C. "I will exercise more if I experience chest or leg pain."

A client has begun treatment for penile erectile dysfunction. What explanation should the nurse provide regarding the primary effect a prescribed phosphodiesterase type 5 inhibitor will have on this condition? A. This classification of medication can be administered orally B. This classification of medications have virtually no adverse reactions C. Blood flow to the penis will be improved D. The emotional distress associated with this dysfunction is eliminated

C. Blood flow to the penis will be improved

A 66-year-old man has made an appointment with his primary care provider to discuss his recent erectile dysfunction (ED) and has requested a prescription for tadalafil (Cialis) based on television commercials he has seen. What characteristic of this client would contraindicate the use of tadalafil for his ED? A. takes allopurinol for the treatment of gout B. has a family history of osteoporosis and has undergone bone density testing C. has unstable angina and uses a nitroglycerin patch D. often takes ginseng when he gets a common cold

C. has unstable angina and uses a nitroglycerin patch

A 70-year-old man has enjoyed good overall health for all of his adult life, but he has been experiencing urinary frequency and dribbling that has culminated in a diagnosis of benign prostatic hypertrophy (BPH). As a result, the client has been prescribed finasteride. When teaching the client about the potential adverse effects of the drug, the nurse should ensure that he knows about the possibility of: A. visual disturbances. B. urethral burning. C. kidney stones. D. sexual dysfunction.

D. sexual dysfunction.

Sildenafil (Viagra) nsg con

DO not take if heart problems No nitrates or alpha adrenergic blocker- doxazosin or BPH drugs because really low BP

Sildenafil (Viagra) ind

ED

Sildenafil (Viagra) admin

Effects last up to 4hrs Do not take 24hrs of using nitrates- nitroglycerin per hypotension Dont take more than 1 per 24hrs

Estrogen HRT action

Reduces hot flashes and night sweats Corrects vaginal dryness

Finasteride (Proscar) adv eff

Reduces libido and ejac vol ED Reduces PSA levels Gynecomastia (man boobies)

PDE Inhibitor

Sildenafil (Viagra)

Ethinyl estradiol and drospirenone (Yasmin) admin

Take at the same time everyday

Alpha-Adrenergic Receptor Agonists First line of treatment

Tamsulosin (Flomax)

Ethinyl estradiol and drospirenone (Yasmin) adv eff

Thromboembolism (clots) Hyperkalemia Hypertension (less likely) Headache Edema Abdominal bleeding Depression

Estrogen HRT admin

Transdermal- minimizes systemic effects (localized) Take pill same time everyday Ap patches 1-2 QW- dont use same site more than 1QW Inserts are 1QD x2W then 1BIW

Tamsulosin is effective if

pt can start stream with ease and pt can empty bladder

Tamsulosin adv effects

Hypotension Keep an eye out for renal impairments- may cause urine blockage

Sildenafil (Viagra) action

Increase blood flow to the penis

Estrogen HRT labs

Monitor BP and s/s of DVT

Ethinyl estradiol and drospirenone (Yasmin) labs

Monitor BP, DVT, K+

Tamsulosin labs

Monitor BP, renal labs

Finasteride (Proscar) labs

Monitor PSA (should decrease with therapy)

Estrogen HRT adv effects

Nausea and headache Thromboembolism (clots) Hypertension

Finasteride (Proscar) nsg con

Pregnant people should not handle When screening for PSA drug gives a false level- Biopsy or ultrasound recommended PSA Level-0-4ng above 4 monitor

Ethinyl estradiol and drospirenone (Yasmin) indications

Prevent preg Reduce fluid retention associated with premenstrual syndrome (relieves pain)

Estrogen/HRT indication

Prevents osteoporosis Relief of severe menopausal symptoms

Ethinyl estradiol and drospirenone (Yasmin) action

Prevents ovulation Thicken cervical mucus- sperm cant swim After the endometrial lining eggs cant plant

Finasteride (Proscar) ind

Treat Mod-Severe BPH

tamsulosin indication

Treat benign prostatic hypertrophy (WILL EVENTUALLY NOT WORK)

Estrogen HRT nsg con

Do a yearly pelvic and breast exam Quit smoking Use no more than 3-4 years Premenopausal intake= 1000 Post= 1200-1500 & vitamin D (help absorb)

Ethinyl estradiol and drospirenone (Yasmin) nsg con

Encourage clients who smoke to quit

Hormone Replacement Therapy

Estrogen HRT

Oral Contraceptive

Ethinyl estradiol and drospirenone (Yasmin)

5-Alpha Reductase Inhibitor

Finasteride (Proscar)

Tamsulosin admin

Full effect- 2 weeks HS (dinner) to avoid hypotension at same time