Benign Prostatic Hyperplasia Case Study - Nursing Assignment Help

Assignment Task :

Scenario
S.M. is a 68 yr. old man who is being seen at your clinic for routine health maintenance and health promotion. He reports that he has been feeling well and has no specific complaints, except for some trouble “emptying my bladder.” Vital signs (VS) at this visit are 148/88, 82, 16, 96.9 F (36.1C). He had a CBC and complete metabolic panel 

CASE STUDY PROGRESS
 While obtaining your nursing history, you record no family history of cancer or other genitourinary (GU) problems. S.M. reports frequency, urgency, and nocturia x 4; he has a weak stream and must sit to void. These symptoms have been progressive over the past 6 months. He reports he was diagnosed with a large prostate a few years ago. Last month, he began taking saw palmetto capsules but had to stop taking them because they "made me sick."
1. Why did S.M. try taking the saw palmetto, and why do you think he stopped taking it? 
2. S.M. is curious why his enlarged prostate would affect his urination. He is concerned that he has prostate cancer. What would you teach him?
3. The primary care provider (PCP) asked for a postvoiding residual (PVR) urine test.
4. Commonly used medications for BPH are 5-alpha reductase inhibitors, such as finasteride (Proscar) and alpha-blocking drugs, such as tamsulosin (Flomax). How do these drugs differ?
5. The PCP ordered tamsulosin (Flomax) 0.4 mg/day PO. You enter S.M.'s room to teach him about this medication. What side effects will you tell S.M. about? (Select all that apply.)
a. Dizziness
b. Diarrhea
 

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