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

Question 1

Which does the nurse anticipate to be prescribed for the treatment of a client's erectile dysfunction (ED)?

A) Leuprolide (Lupron)
B) Finasteride (Proscar)
C) Tamsulosin (Flomax)
D) Sildenafil (Viagra)

Answer 1

Sildenafil (Viagra)

Question 2

Which finding indicates that endocrine pharmacotherapy has been successful in treating a male client?

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.

Answer 2

Patient's sperm count is 22 million/mL.

Question 3

Which describes the goal of androgen therapy in men?

A) Increase the sperm count
B) Release follicle-stimulating hormone
C) Increase luteinizing hormone
D) Increase the libido

Answer 3

Increase the libido

Question 4

Which is the mechanism of action for finasteride (Proscar)?

A) Relaxes smooth muscle in the penis
B) Promotes the shrinkage of an enlarged prostate gland
C) Increases the testosterone level
D) Stimulates RNA synthesis

Question 5

The nurse is preparing to assess a client suspected of having benign prostatic hyperplasia. Which common finding should the nurse anticipate?

A) Dysuria
B) Hematuria
C) Nocturia
D) Polyuria

Question 6

The nurse reviewing the records of a female client notes a prescription for high doses of androgen. For which condition should the nurse understand the client is being treated?

A) Cervical cancer
B) Breast cancer
C) Uterine cancer
D) Ovarian cancer

Question 7

Which information should the nurse include in the education for a client prescribed finasteride (Proscar)?

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

Question 8

Which statement made by a client indicates an understanding of the role of follicle-stimulating hormone (FSH) and the male reproductive system?

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 9

Which information should the nurse include in the education about anabolic steroids for a group of high school athletes? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) The use of anabolic steroids can lead to infertility.
B) The 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.

Question 10

Which information should the nurse include in the education for a client prescribed sildenafil (Viagra)?

A) Grapefruit juice can 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 11

A client receiving androgen therapy expresses concern about recent body changes as a result of the therapy. Which is the most therapeutic response by the nurse?

A) "Would you like to speak with your healthcare provider?"
B) "Can we talk about your concerns?"
C) "Are you aware that these changes are only temporary?"
D) "Can you tell me specifically what changes you are talking about?"

Question 12

The nurse reviewing the records of a client notes that he does not have a history of benign prostatic hyperplasia but is receiving finasteride (Proscar). Which assessment question should the nurse ask the client?

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 13

Which prescription is most appropriate for a client with benign prostatic hyperplasia (BPH) and hypertension?

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

Question 14

Which question should the nurse ask the client that is requesting a refill of prescribed tadalafil (Cialis)?

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 15

Which information should the nurse include in the teaching for a client prescribed doxazosin (Cardura)?

A) Take your first dose as soon as you get your prescription.
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 16

Which system disorders are associated with erectile dysfunction (ED)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

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

Question 17

Which describes the primary function of luteinizing hormone (LH) in men?

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

Question 18

Which physical assessment findings support a diagnosis of hypogonadism in an 18-year-old male? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Facial hair is minimal, soft, and light in color
B) Absent pubic hair
C) Decreased subcutaneous fat
D) Small testicles
E) Pale skin

Question 19

Which is responsible for the secretion of androgen?

A) Follicle-stimulating hormone
B) Gonadotropin-releasing hormone
C) Testes
D) Pituitary gland

Question 20

Which response should the nurse provide a client that asks why infertility drugs are not being developed for men?

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 21

Which history of clinical conditions should the nurse inquire about from a client with azoospermia? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

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

Question 22

Which comments made by a high school athlete should the nurse interpret as indicating an understanding of the risks of using anabolic steroids? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

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 23

The nurse has provided education for a client with benign prostatic hyperplasia (BPH). Which statement made by the patient indicates an understanding of the condition?

A) "The urethra is enlarged."
B) "The glands around the urethra are enlarged."
C) "The obstruction is around the glans penis."
D) "The ureteral openings are swollen."

Question 24

The nurse has completed the education for a client being treated for benign prostatic hypertrophy (BPH). Which statements by the client indicate an understanding of the disease? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

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 25

Which information should the nurse include in the teaching for a client prescribed an alpha1-adrenergic blocker for the treatment of benign prostatic hyperplasia?

A) Take the first dose of the medication in the morning with breakfast.
B) Monitor your blood pressure on a weekly basis and report any B/P over 140/90 mmHg.
C) Call your healthcare provider if you are unable to take the prescription for 2 days.
D) Hold the prescription if you are experiencing dizziness.

Question 26

Which information should the nurse include in the teaching for a client prescribed testosterone? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

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

Which should the nurse recognize as adverse effects from the use of sildenafil (Viagra)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

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

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 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? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

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 30

Which should the nurse include in the education for a client prescribed testosterone buccally?

A) Inflammation may occur in the mucosal tissue.
B) Fluctuations of libido and energy may occur.
C) Produces a continuous supply of testosterone in the blood.
D) The dosage can last for 2 weeks.