McKenna's Pharmacology for Nursing, 2e

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P A R T 9  Drugs acting on the renal system

C H E C K Y O U R U N D E R S T A N D I N G

Answers to the questions in this chapter can be found in Appendix A at the back of this book.

5. Before administering a drug for the treatment of BPH, the nurse or midwife should ensure that: a. the person has had a prostate examination, including measurement of the PSA level. b. the person has not had a vasectomy. c. the person is still sexually active. d. the person is hypertensive. 6. A male who is very concerned about his hair loss and who is being treated for BPH might prefer treatment with: a. alfusosin.

MULTIPLE CHOICE Select the best answer to the following. 1. The antibiotic of choice for a person with cystitis who has great difficulty following medical regimens is:

a. finasteride. b. oxybutynin. c. nitrofurantoin. d. norfloxacin.

b. finasteride. c. tamsulosin. d. terazosin.

2. Urinary tract antispasmodics block the pain and discomfort associated with spasm in the smooth muscle of the urinary tract. The numerous adverse effects associated with these drugs are related to: a. their blockade of sympathetic beta-receptors. b. their stimulation of cholinergic receptors. c. their stimulation of sympathetic receptors. d. their blockade of cholinergic receptors. 3. When planning the care for an older male diagnosed with BPH, which two types of drugs would the nurse most likely expect the doctor to prescribe? a. alpha-adrenergic blockers and anticholinergic drugs b. alpha-adrenergic blockers and testosterone production blockers c. anticholinergic drugs and alpha-adrenergic stimulators d. testosterone production stimulators and adrenal androgens 4. The drug of choice for treatment of BPH in a man with known hypertension might be: a. finasteride. b. terazosin.

MULTIPLE RESPONSE Select all that apply.

1. In evaluating a person for the presence of a bladder infection, one would expect to find reports of which of the following? a. frequency of urination b. painful urination c. oedema of the fingers and hands d. urgency of urination e. feelings of abdominal bloating f. itching, scaly skin 2. Important educational points for people with cystitis include which of the following? a. avoidance of bubble baths b. voiding immediately after sexual intercourse c. always wiping from back to front d. avoidance of foods high in alkaline ash e. tight fluid restriction f. always wiping from front to back

c. tamsulosin. d. propranolol.