Deck 46: Drugs for Disorders and Conditions of the Male Reproductive System Ma

Question 1

The client receives an androgen medication.What laboratory test does the nurse plan to assess?
1)Hemoglobin and hematocrit
2)Blood urea nitrogen levels
3)Serum magnesium
4)Cardiac enzymes

Answer 1

1

Question 2

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? Credit will be given only if all correct choices and no incorrect choices are selected.
1)The use of anabolic steroids can lead to infertility.
2)Your entire body is affected by anabolic steroids,especially your liver.
3)The use of anabolic steroids is the most effective way to increase muscle mass.
4)The use of anabolic steroids should be monitored by your doctor.
5)The use of anabolic steroids can lead to very aggressive behavior.

Answer 2

1,2,5

Question 3

A male client comes to the emergency department complaining of nocturia and nonspecific fullness in the lower pelvic region.What is the best assessment for the nurse to ask the client?
1)"Are you constipated?"
2)"Are you sexually active?"
3)"How old are you?"
4)"Do you take daily showers?"

Answer 3

3

Question 4

The goal of androgen therapy in men is to
1)decrease the libido.
2)release follicle-stimulating hormone.
3)increase luteinizing hormone.
4)increase the libido.

Question 5

A client has benign prostatic hyperplasia (BPH)and hypertension.Which medication could the client safely receive for hypertension?
1)Terazosin (Hytrin)
2)Sildenafil (Viagra)
3)Finasteride (Proscar)
4)Tamsulosin (Flomax)

Question 6

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

Question 7

The drug that will most likely be used for treatment of erectile dysfunction (ED)is
1)leuprolide (Lupron).
2)finasteride (Proscar).
3)tamsulosin (Flomax).
4)sildenafil (Viagra).

Question 8

Androgen is secreted by
1)follicle-stimulating hormone.
2)gonadotropin-releasing hormone.
3)the testes.
4)the pituitary gland.

Question 9

A male client has erectile dysfunction.Which systems should be assessed that could contribute to the erectile dysfunction? Credit will be given only if all correct choices and no incorrect choices are selected.
1)Cardiovascular
2)Integumentary
3)Endocrine
4)Nervous
5)Renal

Question 10

The client has been prescribed doxazosin (Cardura).What teaching should the nurse provide?
1)Take your first dose as soon as you get your prescription at the pharmacy.
2)Do not drive for 12-24 hours after starting this medication.
3)You may experience sweating and a headache while taking this medication.
4)Increase fluids with this medication.

Question 11

A client with benign prostatic hyperplasia is to receive finasteride (Proscar).The nurse understands that this drugs works by
1)relaxing smooth muscle in the penis.
2)promoting shrinkage of an enlarged prostate gland.
3)increasing testosterone.
4)stimulating RNA synthesis.

Question 12

The primary function of follicle-stimulating hormone (FSH)in men is to
1)regulate sperm production.
2)regulate secondary sex characteristics.
3)regulate growth of male sex organs.
4)regulate testosterone.

Question 13

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?
1)"My client wants to improve athletic performance."
2)"My client has breast cancer."
3)"My client has brain cancer."
4)"My client is planning on sexual reassignment surgery."

Question 14

A male client has been prescribed finasteride (Proscar).Which medication education should the nurse provide?
1)"Pregnant women should not touch this medication."
2)"This drug has only very minor side effects."
3)"You should experience effects of this drug within 1 week of starting treatment."
4)"Swallow this medication whole with a full glass of water."

Question 15

The nurse has completed medication education for the client receiving danazol (Danocrine).The nurse evaluates learning has been effective when the client makes which statements? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"I may develop acne while on this medication."
2)"I need to weigh myself twice weekly."
3)"This medication may cause my hair to thin."
4)"I need to have my serum cholesterol levels checked frequently."
5)"I may notice that my breasts enlarge while taking this medication."

Question 16

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?
1)"Follicle-stimulating hormone (FSH)regulates sperm production."
2)"Follicle-stimulating hormone (FSH)regulates male androgen production."
3)"Follicle-stimulating hormone (FSH)regulates production of testosterone."
4)"Follicle-stimulating hormone (FSH)regulates male progesterone."

Question 17

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 for the nurse to ask at this time?
1)"Do you have male pattern baldness?"
2)"Do you have erectile dysfunction?"
3)"Do you have a stomach ulcer?"
4)"Do you have high blood pressure?"

Question 18

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

Question 19

The client comes to the clinic and asks for a prescription for tadalafil (Cialis).What is a priority assessment for the nurse to ask?
1)"Do you have diabetes mellitus?"
2)"Do you have any sexually transmitted diseases?"
3)"Do you use nitroglycerine?"
4)"Do you take blood pressure medication?"

Question 20

The nurse plans medication education for a client who receives a prescription for sildenafil (Viagra).What will the best plan by the nurse include?
1)Grapefruit juice will decrease the effects of sildenafil (Viagra).
2)You can take sildenafil (Viagra)anywhere from 1 to 6 hours before sex.
3)Be sure to take only one pill in a 24-hour period.
4)Sildenafil (Viagra)should be taken with food.

Question 21

A client's sperm sample analysis reveals azoospermia.The nurse would ask about the presence of which diseases in the client's history? Credit will be given only if all correct choices and no incorrect choices are selected.
1)Sexually transmitted infections
2)Erectile dysfunction
3)Mumps
4)Tuberculosis
5)Atherosclerosis

Question 22

Which comments would the nurse interpret as indicating that a high school athlete understands the risks of using anabolic steroids? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"The only legal way I can take these drugs is if I inject them myself."
2)"Once I stop taking these drugs,my body will return to normal."
3)"As long as my coach says these drugs are okay,they won't hurt me."
4)"I might become mentally dependent on these drugs."
5)"If I take ibuprofen with these drugs it will protect me from bad side effects."

Question 23

A client has been using sildenafil (Viagra)for several months.Which client reports would the nurse interpret as an adverse effect of this medication? Credit will be given only if all correct choices and no incorrect choices are selected.
1)Nasal congestion
2)Earache
3)Blurry vision
4)Priapism
5)Photophobia

Question 24

Which of the following is an adverse effect of 5-alpha reductase inhibitors?
1)Headache
2)Acne
3)Sexual dysfunction
4)Chest pain

Question 25

A client has been prescribed testosterone.Which medication education should the nurse provide? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"Place the patch on a place that does not have hair."
2)"Avoid placing the patch on active areas like the thigh or arm."
3)"The patch should be changed every 7 days."
4)"Observe for a rash at the patch site."
5)"Keep these patches away from children."