Question 1

A 50-year-old male patient reports having decreased libido and testicular atrophy.The nurse will anticipate that the provider may order which medication to treat these symptoms?&#10;A) Testosterone (Androderm)&#10;B) Finasteride (Proscar)&#10;C) Gonadotropin-releasing hormone (Gn-RH)&#10;D) Sildenafil (Viagra)

Accepted Answer

Testosterone is given patients who have low testosterone,evidenced by decreased libido and testicular atrophy in adult men.Finasteride is given to treat benign prostatic hypertrophy.Gn-RH is used to inhibit testosterone production.Sildenafil is used to treat erectile dysfunction.

Question 2

A man who has been using androgen therapy tells the nurse that he and his wife wish to conceive a pregnancy.The nurse will tell this patient that&#10;A) androgen therapy will not harm the fetus.&#10;B) he will need to increase his dose of testosterone to increase his sperm count.&#10;C) it may take 3 months after cessation of androgen therapy to conceive.&#10;D) there should be no problems conceiving while using androgen therapy.

Accepted Answer

Androgens cause decreased sperm counts and usually takes 3 months after cessation of therapy to return sperm counts to normal.During pregnancy,androgens can cross the placenta and cause masculinization of the fetus.Virilization can occur in those secondarily exposed to testosterone gel and may cause teratogenic effects in fetuses.Increasing the testosterone will not increase the sperm count.

Question 3

A patient will begin using sildenafil citrate (Viagra)to treat erectile dysfunction.The nurse will instruct the patient to take the medication&#10;A) daily in the morning.&#10;B) just prior to sexual activity.&#10;C) 30 min-4 h before sexual activity.&#10;D) twice daily.

Accepted Answer

Sildenafil should be taken at least 30 min and less than 4 h prior to sexual activity.It is not taken daily or twice daily.If taken just prior to sexual activity,it does not have time to take effect.

Question 4

The oral antiandrogen drug flutamide (Eulexin)is used to treat which condition?&#10;A) Benign prostatic hypertrophy (BPH)&#10;B) Breast cancer&#10;C) Male-pattern baldness&#10;D) Metastatic prostate cancer

Accepted Answer

This antiandrogen drug is used to treat metastatic prostate cancer.It is not effective to treat other hormonally dependent diseases such as breast cancer,male-pattern baldness,or BPH.

Question 5

A 14-year-old male is being evaluated for delayed puberty.Which finding indicates delayed puberty in this child?&#10;A) Androgen deficiency&#10;B) Growth hormone deficiency&#10;C) Height of 2.5 standard deviations below the mean&#10;D) Lack of epiphyseal closure

Accepted Answer

Low androgen levels indicate delayed puberty.Patients who are short and who have not developed secondary sexual characteristics may have growth hormone deficiency,normal variations in development,or delayed puberty.Growth hormone deficiency may cause short stature.

Question 6

The nurse is instructing a patient about the buccal muco-adhesive testosterone system (Striant)to treat low testosterone.What information will the nurse include when teaching this patient about this drug?

A) "If the product slides out of position more than 4 h before the next dose, replace it with a new system."
B) "Place the flattened surface against the gum and hold it firmly in place for 30 seconds."
C) "The product may be swallowed after it has been in place for at least 4 h."
D) "To remove the product, slide it upwards away from the tooth until it releases."

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Accepted Answer

If the product falls off within the 12-h dosing interval or falls out of position within 4 h of the next dose,it should be discarded and a new product applied.The rounded surface should be placed against the gum.The product should not be swallowed.The product should be removed by sliding downwards toward the tooth.

Question 7

A male patient wants to begin taking tadalafil (Cialis)to treat erectile dysfunction.Which aspect of this patient's history would be of concern?&#10;A) Angina pectoris&#10;B) Asthma&#10;C) Benign prostatic hypertrophy&#10;D) Color blindness

Accepted Answer

Patient with angina usually are treated with nitrates; phosphodiesterase inhibitors such as tadalafil are contraindicated in patients taking nitrates.

Question 8

A patient will begin taking finasteride (Propecia)to treat benign prostatic hypertrophy (BPH)and asks the nurse how long the medication will be necessary.The nurse will tell the patient that he will need to take this medication for how long?

A) 6 months
B) 12 months
C) Indefinitely
D) Until symptoms resolve

Accepted Answer

Continued treatment with finasteride is recommended in order to sustain results since reversal of effect usually occurs within 1 year after cessation of the drug.

Question 9

The nurse is teaching an adult male patient about the use of testosterone gel.Which statement by the patient indicates understanding of the teaching?&#10;A) &#34;A decreased urinary stream is an expected side effect.&#34;&#10;B) &#34;I should apply the gel to my forearms every day.&#34;&#10;C) &#34;I will have hand and wrist x-rays every 6 months.&#34;&#10;D) &#34;I will need regular evaluation of serum lipid levels.&#34;

Accepted Answer

Testosterone can increase lipid levels so these should be monitored regularly.A decreased urinary stream can indicate prostatic hypertrophy and should be reported.Patients should apply the gel where it is least likely to come in contact with other people.Only prepubertal males require bone age evaluation.

Question 10

The nurse is teaching the parents of a boy who has inadequate pituitary function and delayed puberty about testosterone enanthate injections.Which statement by the parents indicates a need for further teaching?

A) "He will need x-rays of his hands every 6 months."
B) "Injections will be given deep into his gluteal muscles."
C) "Sexual development will occur in 1-2 years."
D) "We should report urinary tract problems immediately."

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Accepted Answer

It takes 3-4 years for sexual development to occur with androgen therapy for hypogonadism,so parents should be reminded of this.X-rays are needed every 6 months to assess bone age.Injections are given deep intramuscularly into gluteal muscles.Urinary tract problems can occur and should be reported.

Question 11

The nurse provides teaching to a man who will begin using an Androderm testosterone patch.Which statement by the patient indicates understanding of the teaching?&#10;A) &#34;I may stop using Androderm when my serum testosterone is normal.&#34;&#10;B) &#34;I should apply this to any skin other than the scrotum or bony areas.&#34;&#10;C) &#34;I will apply two skin patches every morning after a shower.&#34;&#10;D) &#34;My serum testosterone will continue to rise with each day of use.&#34;

Accepted Answer

The answer of The nurse provides teaching to a man...

Deck 53: Men’s Reproductive Health