Reproductive: Chapter 41

A nurse is caring for an adolescent with hypogonadism who has been prescribed fluoxymesterone (Androxy) for replacement. What adverse effect of this drug will the nurse alert the patient to that could result in self-esteem concerns?

A) Acne

B) Dizziness

C) Insomnia

D) Fatigue

A) Acne

A postmenopausal patient has been diagnosed with breast cancer. The patient is being treated with methyltestosterone (Testred). What assessment finding would the nurse suspect is a complication from the medication?

A) Increased blood pressure

B) Jaundice

C) Weight loss

D) High-pitched voice

B) Jaundice

The nurse administers an androgen and assesses the patient for what action caused by this drug?

A) Decreased production of red blood cells

B) Decreased protein anabolism

C) Increased protein catabolism

D) Increased retention of nitrogen

D) Increased retention of nitrogen

An older male patient, who has difficulty swallowing pills and tablets, will begin taking an androgen. What drug would the nurse identify as a good choice for this patient?

A) Danazol (Danocrine)

B) Fluoxymesterone (Androxy)

C) Methyltestosterone (Testred)

D) Testosterone (Androderm)

D) Testosterone (Androderm)

A 28-year-old female patient is taking danazol (Danocrine) as treatment for endometriosis. The patient is upset about increased facial hair, a weight gain of 15 pounds, and a change in her voice; she discusses her concerns with the nurse. What nursing diagnosis would be most appropriate for this patient?

A) Acute pain related to need for injections

B) Deficient knowledge regarding drug therapy

C) Disturbed body image related to drug therapy

D) Sexual dysfunction related to androgenic effects

C) Disturbed body image related to drug therapy

A child in renal failure is taking androgens to promote red blood cell production and is seen in the clinic every other month. What adverse drug effect would the nurse monitor for with this child?

A) Epiphyseal closure

B) Acne

C) Skin color

D) Weight gain

A) Epiphyseal closure

A patient has high blood pressure and penile erectile dysfunction. He asks the nurse if he could try tadalafil (Cialis) after seeing an advertisement on television. What medications, if taken by the patient, would the nurse recognize as increasing the risk associated with taking tadalafil?

A) Beta-blockers

B) Angiotensin-converting enzyme (ACE) inhibitors

C) Alpha-adrenergic blockers

D) Calcium channel blockers

C) Alpha-adrenergic blockers

A patient will begin taking sildenafil (Viagra) for penile erectile dysfunction (ED). What is the nurse’s priority teaching point about this drug?

A) He will have an erection exactly 1 hour after taking the drug.

B) The drug should not be taken with a penile implant or any anatomic penile obstruction.

C) Avoid drinking grapefruit juice for 2 days before and after taking the drug.

D) It is important to know the cause of ED because sildenafil does not treat all causes.

C) Avoid drinking grapefruit juice for 2 days before and after taking the drug.

A patient is prescribed oxymetholone (Anadrol-50) for treatment of angioedema. The nurse knows the patient has type 2 diabetes and will instruct the patient that the combination of oxymetholone with antidiabetic agents may lead to what?

A) Hyperglycemia

B) Hypoglycemia

C) Jaundice

D) Urinary retention

B) Hypoglycemia

A student athlete presents at the clinic for his physical checkup. The athlete tells the nurse that he is using large doses of creatine to increase muscle size and strength. What should the nurse instruct the student to do while taking this medication?

A) Take nonsteroidal anti-inflammatory drugs (NSAIDs) to stop pain from expanding muscles.

B) Drink plenty of fluids while using this drug and watch for swelling.

C) Stop eating red meat or other animal products.

D) Take cimetidine (Tagamet) to relieve the stomach upset associated with the use of this therapy.

B) Drink plenty of fluids while using this drug and watch for swelling.

A 9-year-old boy is taking testosterone injections for treatment of hypogonadism. What should be measured every 6 months on this child?

A) Liver function test (LFT)

B) Cholesterol level

C) Vision

D) Hand and wrist radiographs

D) Hand and wrist radiographs

The nurse assesses the patient taking anabolic steroids for what serious adverse effects?

A) Elevated blood urea nitrogen (BUN)

B) Elevated blood glucose level

C) Bradycardia

D) Jaundice

D) Jaundice

What therapeutic effect will the nurse assess for in the male patient taking anabolic steroids?

A) Thinning of the skin

B) Body hair loss

C) Increase in red blood cells (RBCs) and hemoglobin

D) Gynecomastia

C) Increase in red blood cells (RBCs) and hemoglobin

A woman is prescribed androgens. The nurse teaches the patient to anticipate what effect from the drug?

A) Atrophy of breasts

B) Rapid bone growth

C) Loss of pubic hair

D) Nervousness

D) Nervousness

The nurse is caring for a patient who has been taking androgens and has been admitted to the ICU following a car accident. What lab results will the nurse interpret as more indicative of androgen therapy than actual disease states? (Select all that apply.)

A) Decreased thyroid function

B) Increased creatinine levels

C) Increased creatinine clearance

D) Elevated liver enzymes

E) Increased white blood cell (WBC) count

A) Decreased thyroid function

B) Increased creatinine levels

C) Increased creatinine clearance

The 63-year-old male patient receives a prescription for androgens. The nurse evaluates that the patient understood drug teaching when he makes what statement?

A) If I experience acne, I will contact my physician immediately.

B) If I experience flushing, sweating, nervousness, or emotional lability I’ll know it’s the drug.

C) I will report any difficulty urinating such as trouble starting my flow.

D) These pills may make my skin turn yellow but it will go away when the drug is stopped.

B) If I experience flushing, sweating, nervousness, or emotional lability I’ll know it’s the drug.

A female athlete is using high doses of anabolic steroids to enhance her performance. The nurse warns this patient that such use of anabolic steroids is likely to result in what?

A) Masculinization

B) Immobility of joints

C) Obesity

D) Hypotension

A) Masculinization

The nurse attributes what assessment finding to the use of androgens by the male patient?

A) Testicular atrophy

B) Increased fertility

C) Increased urination

D) Hoarseness

A) Testicular atrophy

The nurse administers danazol (Danocrine) to a woman for what purpose?

A) Reverse folic acid deficiencies

B) Increase hair growth

C) Decrease symptoms of endometriosis

D) Prevent toxic shock syndrome

C) Decrease symptoms of endometriosis

The nurse assesses the young adult athlete who has been taking anabolic steroids to enhance performance. What findings would the nurse associate with this practice? (Select all that apply.)

A) Personality changes

B) Sexual dysfunction

C) Increased serum lipid levels

D) Cardiomyopathy

E) Weight loss

A) Personality changes

B) Sexual dysfunction

C) Increased serum lipid levels

D) Cardiomyopathy

The nurse learns a patient receiving a new prescription for oxandrolone takes a lipid-lowering medication daily. What will the nurse tell the patient about this drug interaction?

A) Lipid-lowering drug becomes much less effective.

B) Increased risk of oxandrolone toxicity with this combination of drugs.

C) Increased risk of liver damage with this combination of drugs.

D) Oxandrolone becomes less effective with this combination of drugs.

A) Lipid-lowering drug becomes much less effective.

What supplement would be safest for a diabetic female athlete wishing to improve athletic performance?

A) Beet pollen

B) Damiana

C) Wild yam

D) Spirulina

C) Wild yam

When a 5-year-old patient is prescribed oxandrolone (Oxandrin) to promote weight gain, how would the nurse expect the drug to be administered?

A) Long-term

B) Short-term

C) Continuous

D) Intermittent

D) Intermittent

The nurse gives a class at the local high school on the use of anabolic steroids. The nurse explains that one of the most serious and all too common side effects of using these drugs without a prescription and medical follow-up is what?

A) Renal stones

B) Death

C) Cirrhosis

D) Malignant hyperthermia

B) Death

When fluoxymesterone (Androxy) is administered to a 14-year-old boy for hypogonadism, what is the expected result?

A) Enlarged sex organs

B) Decreased skin thickness

C) Increased protein metabolism

D) Increased sperm production

A) Enlarged sex organs

A 69-year-old man is prescribed testosterone. The patient is found to have hypertension and a history of congestive heart failure after assessment by the nurse. What is this patient at increased risk for?

A) Fluid retention

B) Impotence

C) Liver failure

D) Kidney failure

A) Fluid retention

The nurse is caring for a patient with cryptorchidism who is 28 years old and taking testosterone to treat this condition. What statement by this patient would lead the nurse to believe that he has understood the teaching provided about the drug?

A) “My body hair may increase.”

B) “My sexual desire may increase.”

C) “My voice may become higher.”

D) “My skin may become clear and soft.”

A) “My body hair may increase.”

A 16-year-old boy is diagnosed with delayed onset of puberty and the physician has ordered testosterone, intramuscular (IM), once every 2 weeks. What nursing intervention would be important to the patient?

A) Discuss changes that will occur in his body.

B) Have patient fast before injection.

C) Have patient reduce protein intake.

D) Decrease exercise while on this hormonal treatment.

A) Discuss changes that will occur in his body.

A patient has been prescribed sildenafil citrate. What should the nurse teach the patient about this medication?

A) Take the medication with a glass of grapefruit juice.

B) The drug should be taken 1 hour before attempting intercourse.

C) Facial flushing or headache should be reported to the physician immediately.

D) A dose exceeding 80 mg will result in a change of vision, making everything appear blue.

B) The drug should be taken 1 hour before attempting intercourse.

A 55-year-old man presents at the clinic complaining of erectile dysfunction. The patient has a history of diabetes mellitus. The physician orders tadalafil (Cialis) to be taken 1 hour before sexual intercourse. The nurse reviews the patient’s history before instructing the patient on the use of this medication. What disorder (or condition) would contraindicate the use of tadalafil (Cialis)?

A) Cataracts

B) Penile implant

C) Hypotension

D) Lung cancer

B) Penile implant

For what reason might the nurse administer sildenafil to a woman?

A) Pulmonary arterial hypertension

B) Sexual dysfunction

C) Breast cancer

D) Endometriosis

A) Pulmonary arterial hypertension

A 68-year-old male patient tells the nurse that he has been unable to get an erection for the past 6 months and guesses his sex life is over. The provider orders diagnostic testing to determine whether sildenafil (Viagra) is appropriate for the patient. What is the most correct nursing diagnosis for this patient?

A) Sexual dysfunction

B) Disturbed body image

C) Ineffective sexuality pattern

D) Disturbed tactile sensory perception

A) Sexual dysfunction

The 22-year-old patient tells the nurse he doesn’t have trouble obtaining and maintaining an erection but wonders if taking Viagra would improve the sexual experience anyway. What is the nurse’s best response?

A) The only thing Viagra does is improve blood flow to the penis to make it erect.

B) Viagra improves stamina and sensation, making the sexual experience better.

C) Viagra has its greatest effect if both the man and woman take it at the same time.

D) Viagra does nothing to improve the sexual experience.

A) The only thing Viagra does is improve blood flow to the penis to make it erect.

The patient is prescribed oxandrolone 2.5 mg twice a day and is told to increase the dosage to gain weight to a maximum of 20 mg/day. If each tablet contains 2.5 mg, how many tablets would the nurse tell the patient they may take per day to avoid exceeding the 20 mg/day maximum?

A) 4

B) 6

C) 8

D) 10

C) 8

The patient is prescribed sildenafil 25 mg PO one hour before sexual intercourse is planned. The patient returns for follow-up care and says that 25 mg did not produce an erection so he increased the dosage. How much of an increase would be enough to concern a nurse?

A) 50 mg

B) 75 mg

C) 100 mg

D) 25 mg

C) 100 mg