Question

Mr. E is a 38-year-old man and has been diagnosed with low testosterone levels. Mr. E also has Type I Diabetes Mellitus. He is a big believer in the use of herbs and botanicals. What assessment data are important for the nurse to obtain before Mr. E begins androgen therapy? 1. What nursing interventions and patient education are appropriate for Mr. E in relation to his diabetes? 2. K.T. a 41-year-old woman, is prescribed clomiphene for infertility issues. 1. What assessment data will be essential to collect? 2. What patient teaching will be included for K.T.? In pharmacology class, the instructor reviewed the use of the 5-alpha reductase inhibitor finasteride in the treatment of benign prostatic hypertrophy (BPH) One of the nursing students decided to make a chart that outlines the mechanism of action, side effects, and patient teaching involved in the use of this medication. What information will the student put in the column related to the mechanism of action of finasteride in the treatment of BPH? 1. 2. What side effects will the student enter into the chart? 3. What patient teaching will the student include in the chart?

Answer 1

Case study 1 :

Q. No. 1. Answer :

* we need to collect the data regarding which type of symptoms he is having like difficulty in erection, hair loss, fatigue, loss of muscle mass, increased body fat ect.

* ask regarding since how many days he is having diabetes and whether medications are using regularly or not.

* whether the blood glucose levels are in controlled or not.

* he is having believe on herbs and botanicals, so ask whether he is using any herbs for his problem ect.

* ask history regarding whether he is having any benign prostate hyperplasia, bresat cancer, prostate cancer, any history of myocardial infarction, hepatic dysfunction, pituitary insufficiency, hyper calcemia, any renal diseases and seizures ect.

* because these are caution and contraindications of androgen therapy, so regarding these and all we need to collect history completely.

Q. No. 2. Answer :

Nursing interventions for patient with diabetes mellitus :

* educate regarding carbohydrates restriction diet,

* educate to do exercises regularly,

* educate to take fruits and vegetables more.

* continueous using of medications.

* regular monitoring of blood glucose levels ect.

Case study 2 :

Q. No. 1. Answer :

Before giving to chlomiphen to client we need to ask history regarding whether she is having any liver disorders, uncontrolled thyroid or adrenal gland dysfunctions,

Abnormal uterine bleeding and and poly cystic ovarian diseases ect.

Because those are contraindications for this medicine.

Q. No. 2. Answer :

* we need to educate the client regarding side effects of chlomephen tablet like breast tenderness, discomfort, head ache, diarrhea, vomiting, flushing, visual disturbances like blurred vision ect, so if she finds any of this she can meet the medical professional.

* these may have effect like increase blood sugars, so the patient has to take low fat and carbohydrate diet.

* educate to client to take medicine as the day advised doctor and one dose per day for 5 days.

* but she didn't take first day of menstrual cycle.