Deck 47: Drugs for Disorders and Conditions of the Male Reproductive System Ma

Question 1

An 18-year-old male is being evaluated for hypogonadism. The nurse would evaluate which physical findings as supporting that tentative diagnosis?

A) Facial hair is minimal, soft, and light in color.
B) Pubic hair is absent.
C) There is decreased subcutaneous fat.
D) Testicles are small.
E) Skin is pale.

Answer 1

Facial hair is minimal, soft, and light in color.
Pubic hair is absent.
Testicles are small.

Question 2

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

A) Terazosin (Hytrin)
B) Sildenafil (Viagra)
C) Finasteride (Proscar)
D) Tamsulosin (Flomax)

Answer 2

Terazosin (Hytrin)

Question 3

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

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

Answer 3

The use of anabolic steroids can lead to infertility.
Your entire body is affected by anabolic steroids, especially your liver.
The use of anabolic steroids can lead to very aggressive behavior.

Question 4

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

Question 5

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

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

Question 6

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

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

Question 7

The client has been prescribed doxazosin (Cardura). What teaching should the nurse provide?

A) Take your first dose as soon as you get your prescription at the pharmacy.
B) Do not drive for 12-24 hours after starting this medication.
C) You may experience sweating and a headache while taking this medication.
D) Increase fluids with this medication.

Question 8

The drug that will most likely be used for treatment of erectile dysfunction (ED) is

A) leuprolide (Lupron).
B) finasteride (Proscar).
C) tamsulosin (Flomax).
D) sildenafil (Viagra).

Question 9

The newly licensed nurse is preparing to administer a high dose of androgen to the female client. The nurse manager asks for the rationale. What is the best response by the new nurse?

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

Question 10

Androgen is secreted by

A) follicle-stimulating hormone.
B) gonadotropin-releasing hormone.
C) the testes.
D) the pituitary gland.

Question 11

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

A) Grapefruit juice will decrease the effects of sildenafil (Viagra).
B) You can take sildenafil (Viagra) anywhere from 1 to 6 hours before sex.
C) Be sure to take only one pill in a 24-hour period.
D) Sildenafil (Viagra) should be taken with food.

Question 12

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 use nitroglycerine?"
D) "Do you take blood pressure medication?"

Question 13

The goal of androgen therapy in men is to

A) decrease the libido.
B) release follicle-stimulating hormone.
C) increase luteinizing hormone.
D) increase the libido.

Question 14

A male client has been prescribed finasteride (Proscar). Which medication education should the nurse provide?

A) "Pregnant women should not touch this medication."
B) "This drug has only very minor side effects."
C) "You should experience effects of this drug within 1 week of starting treatment."
D) "Swallow this medication whole with a full glass of water."

Question 15

A male patient is being treated for infertility. The nurse evaluates that treatment has met the goal of endocrine pharmacotherapy if which finding is assessed?

A) Patient reports reduced difficulty in achieving and maintaining an erection.
B) Patient's sperm count is 22 million/mL.
C) Patient's ejaculate volume is 2 mL.
D) Patient reports pleasure with intercourse.

Question 16

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 17

The primary function of luteinizing hormone (LH) in men is to

A) regulate sperm production.
B) regulate secondary sex characteristics.
C) regulate growth of male sex organs.
D) regulate testosterone.

Question 18

A client with benign prostatic hyperplasia is to receive finasteride (Proscar). The nurse understands that this drug works by

A) relaxing smooth muscle in the penis.
B) promoting shrinkage of an enlarged prostate gland.
C) increasing testosterone.
D) stimulating RNA synthesis.

Question 19

A male client has erectile dysfunction. Which systems should be assessed that could contribute to the erectile dysfunction?

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

Question 20

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

Question 21

A patient is being treated for benign prostatic hypertrophy (BPH). The nurse evaluates that the patient understands the disease when which statement is made?

A) "These medications are not a cure."
B) "Taking an antihistamine might make my problem worse."
C) "Avoiding caffeine intake may reduce my symptoms."
D) "Surgery is the best treatment for this condition."
E) "I should avoid drinking fluids in the late evening."

Question 22

A client's sperm sample analysis reveals azoospermia. The nurse would ask about the presence of which diseases in the client's history?

A) Sexually transmitted infections
B) Erectile dysfunction
C) Mumps
D) Tuberculosis
E) Atherosclerosis

Question 23

Which comments would the nurse interpret as indicating that a high school athlete understands the risks of using anabolic steroids?

A) "The only legal way I can take these drugs is if I inject them myself."
B) "Once I stop taking these drugs, my body will return to normal."
C) "As long as my coach says these drugs are okay, they won't hurt me."
D) "I might become mentally dependent on these drugs."
E) "I should not take ibuprofen while taking these other drugs."

Question 24

The nurse advised the wife of a man who is receiving treatment with a testosterone cream to report any assessment findings of virilization. The patient would report which findings?

A) Increased oiliness of the skin
B) Increased hair growth on the upper lip
C) Deepening of the voice
D) Regression of the clitoris
E) Reduced menstrual flow

Question 25

The nurse is teaching a patient about his diagnosis of benign prostatic hyperplasia (BPH). The nurse would point to which spot on this diagram to show the patient the relationship of his prostate to the urethra?

A) A
B) B
C) C
D) D

Question 26

A client has been prescribed testosterone. Which medication education should the nurse provide?

A) "Place the patch on a place that does not have hair."
B) "Avoid placing the patch on active areas like the thigh or arm."
C) "The patch should be changed every 7 days."
D) "Observe for a rash at the patch site."
E) "Keep these patches away from children."

Question 27

A male patient has been started on a 5-alpha reductase inhibitor for the treatment of benign prostatic hyperplasia (BPH). Which information should the nurse provide?

A) "Use a condom during intercourse."
B) "Keep this medication in a secure place away from children."
C) "Do not give blood while you are taking this medication."
D) "Do not do heavy exercise while taking this medication."
E) "Reduce your sodium intake while taking this drug."

Question 28

Which finding is an adverse effect of 5-alpha reductase inhibitors?

A) Headache
B) Acne
C) Sexual dysfunction
D) Chest pain

Question 29

A patient has been prescribed androgen therapy. Pretreatment weight was 160 pounds. The nurse would teach the patient to call the clinic if the patient's weight is _______ pounds or over at the end of the week.

Question 30

A client has been using sildenafil (Viagra) for several months. Which client reports would the nurse interpret as an adverse effect of this medication?

A) Nasal congestion
B) Earache
C) Blurry vision
D) Priapism
E) Photophobia