Deck 42: Drugs for Disorders and Conditions of the Male Reproductive System

Question 1

The nurse is assessing a client and notes that he is receiving finasteride (Proscar). The client denies having any significant prostate history. What is the best assessment question for the nurse to ask at this time?

A) "Do you have erectile dysfunction?"
B) "Do you have male pattern baldness?"
C) "Do you have high blood pressure?"
D) "Do you have a stomach ulcer?"

Answer 1

"Do you have male pattern baldness?"

Question 2

The nursing instructor teaches student nurses about male reproductive function and the role of follicle -stimulating hormone (FSH). The instructor evaluates learning has occurred when the students make which statement?

A) "Follicle -stimulating hormone (FSH) regulates male progesterone."
B) "Follicle -stimulating hormone (FSH) regulates male androgen production."
C) "Follicle -stimulating hormone (FSH) regulates sperm production."
D) "Follicle -stimulating hormone (FSH) regulates production of testosterone."

Answer 2

"Follicle -stimulating hormone (FSH) regulates sperm production."

Question 3

The nurse plans to teach a class on anabolic steroids to a group of high school athletes. What will the best plan of the nurse include? Select all that apply.

A) The use of anabolic steroids can lead to infertility.
B) The use of anabolic steroids is the most effective way to increase muscle mass.
C) Your entire body is affected by anabolic steroids, especially your liver.
D) The use of anabolic steroids can lead to very aggressive behaviour.
E) The use of anabolic steroids should be monitored by your doctor.

Answer 3

The use of anabolic steroids is the most effective way to increase muscle mass.
Your entire body is affected by anabolic steroids, especially your liver.
The use of anabolic steroids can lead to very aggressive behaviour.

Question 4

The student nurse is preparing to administer a high dose of androgen to the female client. The nursing instructor asks for the rationale. What is the best response by the student?

A) "My client is planning on sexual reassignment surgery."
B) "My client has brain cancer."
C) "My client wants to improve athletic performance."
D) "My client has breast cancer."

Question 5

The male client takes finasteride (Proscar) and tells the nurse that his wife is planning on becoming pregnant. What is the best response by the nurse?

A) "Congratulations, but you really need to discuss this issue with your doctor."
B) "Congratulations, but you will need to stop taking your medication."
C) "Congratulations; tell your wife not to touch your medication."
D) "Congratulations, but your wife cannot become pregnant with you on this medicine."

Question 6

The client has benign prostatic hyperplasia (BPH) and hypertension. Which medication could the client safely receive for hypertension?

A) finasteride (Proscar)
B) tamsulosin (Novo -Tamsulosin)
C) sildenafil (Viagra)
D) terazosin (Apo -Terazosin)

Question 7

The male client is considered infertile. He asks the nurse why drug companies aren't developing drugs to treat this problem. What is the best response by the nurse?

A) "It's difficult because many men to not want to even admit they have a problem."
B) "It's difficult because the medications have many side effects that men do not like."
C) "It's difficult because only about 5% of infertile men have an endocrine problem."
D) "It's difficult because about 25% of infertile men also have erectile dysfunction."

Question 8

The nurse plans medication education for a client who receives a prescription for sildenafil (Viagra). What will the best plan of the nurse include?

A) Be sure to take only one pill in a 24 -hour period.
B) Grapefruit juice will decrease the effects of sildenafil (Viagra).
C) Sildenafil (Viagra) should be taken with food.
D) You can take sildenafil (Viagra) anywhere from one to six hours before sex.

Question 9

The client comes to the clinic and asks for a prescription for tadalafil (Cialis). What is a priority assessment question for the nurse to ask?

A) "Do you have diabetes mellitus?"
B) "Do you have any sexually transmitted diseases?"
C) "Do you take blood pressure medication?"
D) "Do you use nitroglycerine?"

Question 10

The male client has erectile dysfunction. Which system(s) should be assessed that could contribute to the erectile dysfunction? Select all that apply.

A) Endocrine
B) Cardiovascular
C) Nervous
D) Renal
E) Respiratory

Question 11

The nurse has completed medication education for the client receiving danazol (Danocrine). The nurse evaluates learning has been effective when the client makes which statement(s)? Select all that apply.

A) "I need to have my blood sugar checked frequently."
B) "I need to use effective birth control while taking this medication."
C) "I need to have my serum cholesterol levels checked frequently."
D) "I need to weigh myself twice weekly."
E) "I need to have my blood pressure checked frequently."

Question 12

The client receives androgen therapy and is concerned about recent body changes as a result of the therapy. He tells the nurse he is not sure if the treatment is worth it. What is the best, therapeutic response by the nurse?

A) "You sound concerned; I'll ask your doctor if anything can be done."
B) "You sound concerned; let's talk about your body changes."
C) "You sound concerned, but the effects on your body are only temporary."
D) "You sound concerned, but you really do not look any different to me."

Question 13

The client receives an androgen medication. What laboratory test does the nurse plan to assess?

A) hemoglobin and hematocrit
B) thyroid function tests
C) cardiac enzymes
D) blood glucose levels

Question 14

The nurse administers a first dose of doxazosin (Cardura) to a male client in the clinical setting. What is the next priority action by the nurse?

A) Observe the client for diaphoresis and headache.
B) Ask the client to have someone drive him home.
C) Ask the client to sit down after the administration.
D) Encourage increased fluids after administration.

Question 15

The male client comes to the emergency department complaining of nocturia and nonspecific fullness in the lower pelvis region. What is the best assessment question for the nurse to ask the client?

A) "How old are you?"
B) "Do you take daily showers?"
C) "Are you constipated?"
D) "Are you sexually active?"