Which adverse effect will the nurse monitor for in a patient receiving finasteride? Select all that apply

A. Gynecomastia: Finasteride can cause hormonal changes by inhibiting the conversion of testosterone to dihydrotestosterone (DHT), leading to breast tissue enlargement in men. This is a known adverse effect requiring monitoring. B. Reports of decreased ejaculate volume: Finasteride affects prostate tissue and semen production, and clients commonly report a reduction in ejaculate volume. Although benign, this side effect may affect sexual satisfaction and should be assessed. C. Hypertension: Finasteride is not associated with elevated blood pressure and does not typically impact cardiovascular regulation. Monitoring for hypertension is not necessary unless other conditions are present. D. Reports of libido enhancement: Libido enhancement is not expected with finasteride. In fact, decreased libido is a more common adverse effect due to its anti-androgenic properties affecting sexual function. E. Tachycardia: Finasteride does not act on the cardiovascular system and is not linked to increased heart rate. Tachycardia is not a recognized adverse effect of this medication.