Deck 53: Drugs Affecting the Male Reproductive System

Question 1

A client who is taking oxandrolone (Oxandrin)is scheduled for a clinic visit.The nurse prepares paperwork to have which of the following routine monitoring studies drawn as ordered?

A) Serum cholesterol and liver function
B) Hemoglobin and renal function
C) Serum electrolytes and renal function
D) Hematocrit and bone density

Answer 1

Serum cholesterol and liver function

Question 2

The nurse would cautiously monitor a client receiving testosterone (Androderm)who also has which of the following conditions?

A) Hypocalcemia
B) Hyponatremia
C) Hypokalemia
D) Hypercholesterolemia

Answer 2

Hypercholesterolemia

Question 3

The nurse teaches a client who will begin taking finasteride (Proscar)that which of the following is an expected adverse effect?

A) Decreased libido
B) Increased amount of ejaculate
C) Alopecia
D) Urinary retention

Answer 3

Decreased libido

Question 4

A 67-year-old man is prescribed testosterone (Androderm).The nurse explains that this reservoir patch should not be placed in which of the following areas?

A) Abdomen
B) Back
C) Thighs
D) Upper arm

Question 5

The nurse explains to a client who is starting drug therapy with oxandrolone (Oxandrin)that full drug effects may not be experienced for up to how long?

A) 1 Week
B) 2 Weeks
C) 1 Month
D) 3 Months

Question 6

The clinic nurse anticipates that which of the following clients with unplanned weight loss is not a candidate for therapy with oxandrolone (Oxandrin)?

A) A client with acquired immunodeficiency syndrome
B) A client with severe burns
C) A client with catabolism after surgery
D) A client with severe vomiting in pregnancy

Question 7

The nurse anticipates that a female client receiving testosterone will have which of the following conditions documented in her medical record?

A) An elevated estrogen level
B) An elevated progesterone level
C) Breast carcinoma
D) Uterine carcinoma

Question 8

The nurse who notes that a male client is taking finasteride (Proscar)would question the client about a history of which of the following health problems?

A) Bladder cancer
B) Priapism
C) Testicular cancer
D) Benign prostatic hyperplasia

Question 9

The nurse would be most concerned about fluid retention as an adverse effect of drug therapy with androgens when used by a client who is also taking which of the following drugs?

A) Sodium warfarin (Coumadin)
B) Regular insulin (Humulin R)
C) Nifedipine (Procardia)
D) Misoprostol (Cytotec)

Question 10

The nurse concludes that which of the following drugs noted on the client's medication list may help improve the symptoms of benign prostatic hyperplasia?

A) Benztropine (Cogentin)
B) Tolterodine (Detrol)
C) Tamsulosin (Flomax)
D) Imipramine (Tofranil)

Question 11

The nurse understands that which of the following routes of administration allows testosterone to be highly metabolized by the liver before it reaches the systemic circulation?

A) Transdermal
B) Subcutaneous
C) Oral
D) Buccal

Question 12

In reinforcing explanations about testosterone therapy for a male client,the nurse needs to share that the drug may increase the adverse effects of which of the following types of cancer?

A) Prostate
B) Bladder
C) Kidney
D) Intestinal

Question 13

The nurse teaches a client beginning drug therapy with finasteride (Proscar)that the full drug effects may take how long to achieve?

A) 1 to 2 weeks
B) 2 to 4 weeks
C) 1 to 3 months
D) 3 to 6 months

Question 14

The school nurse conducting health teaching about the risks of androgen abuse would target which of the following groups as being at highest risk?

A) Students who do not socialize well in school
B) Students who act out in class excessively
C) Students who are on athletic teams
D) Students with excessive absence or tardiness

Question 15

The nurse explains to a female client beginning drug therapy with testosterone that which of the following possible adverse effects may be irreversible?

A) Oily skin
B) Increased growth of body hair
C) Irregular menses
D) Deepening of the voice

Question 16

The nurse notes that dutasteride (Avodart)has been delivered to the nursing unit pharmacy in-box.The nurse anticipates that this drug has been ordered for a client with which of the following health problems?

A) Impotence
B) Testicular cancer
C) Hypogonadism
D) Benign prostatic hyperplasia

Question 17

The nurse would be most concerned about the risk of drug interactive effects when a client who is taking which of the following drugs is started on androgen therapy with oxandrolone (Oxandrin)?

A) Furosemide (Lasix)
B) Sodium warfarin (Coumadin)
C) Cimetidine (Tagamet)
D) Acetaminophen (Tylenol)

Question 18

The nurse who is preparing to administer a dose of testosterone to a client anticipates having to sign out the dose,recalling that the drug carries a classification of

A) schedule II.
B) schedule III.
C) schedule IV.
D) schedule V.

Question 19

The nurse formulates which of the following as a goal of therapy for a client taking finasteride (Proscar)?

A) Weight gain of 1 to 2 pounds per week
B) Stronger urinary stream without hesitancy
C) Restoration of full head of hair in 1 month
D) Increase in libido

Question 20

The client who is receiving finasteride (Proscar),which causes shrinkage of the enlarged prostate gland,should be monitored for which of the following adverse effects?

A) Bradycardia
B) Increased amount of ejaculate
C) Increased libido
D) Impotence