Question 1

The nurse is reviewing the medication list of a patient who will be starting androgen therapy.Which drug classes,if taken with androgens,may have an interaction with them?&#10;A) Oral anticoagulants&#10;B) Nitrates&#10;C) Beta blockers&#10;D) Proton pump inhibitors

Accepted Answer

Oral anticoagulants may have an interaction with androgens, increasing the risk of bleeding.

Question 2

When a male patient is receiving androgen therapy,the nurse will monitor for signs of excessive androgens such as:&#10;A) fluid retention.&#10;B) dehydration.&#10;C) restlessness.&#10;D) visual changes.

Accepted Answer

Excessive androgens can cause fluid retention, which may lead to swelling and edema in various parts of the body. Dehydration, restlessness, and visual changes are not typically associated with excessive androgens.

Question 3

The nurse notes in a female patient's history that she has an order for the androgen methyltestosterone (Android).Based on this finding,the nurse interprets that the patient has which disorder?&#10;A) Fibrocystic breast disease&#10;B) Hereditary angioedema&#10;C) Hypertension&#10;D) Inoperable breast cancer

Accepted Answer

Methyltestosterone is a type of androgen, which is a hormone primarily produced in males but also found at lower levels in females. Androgens like methyltestosterone can be used as a form of hormone therapy in women with inoperable breast cancer, as they can help slow the growth of cancer cells that rely on estrogen to grow. It is not typically used for fibrocystic breast disease, hereditary angioedema, or hypertension.

Question 4

A 21-year-old male athlete admits to using androgenic steroids.The nurse tells him that which of these is a possible adverse effect of these drugs?&#10;A) Liver damage&#10;B) Renal failure&#10;C) Heart failure&#10;D) Stevens-Johnson syndrome

Accepted Answer

Androgenic steroids have been linked to adverse effects on liver function, including the increased risk of liver tumors, hepatotoxicity, and peliosis hepatis. Renal failure, heart failure, and Stevens-Johnson syndrome are not typically associated with androgenic steroid use.

Question 5

A 73-year-old male patient is in the clinic for a yearly physical and is asking for a prescription for sildenafil (Viagra).He has listed on his health history that he is taking a nitrate for angina.The nurse is aware that which problem may occur if sildenafil is taken with a nitrate?

A) Significant increase in pulse rate
B) Significant decrease in blood pressure
C) Increased risk of bleeding
D) Reduced effectiveness of the sildenafil

Accepted Answer

Taking sildenafil with a nitrate can lead to a significant decrease in blood pressure, which can be dangerous and potentially life-threatening for this patient. Therefore, it is contraindicated to give sildenafil to patients who are taking nitrates.

Question 6

During the administration of finasteride (Proscar),the nurse must remember which important precaution?&#10;A) It must be taken on an empty stomach.&#10;B) It must not be handled by pregnant women.&#10;C) It is given by deep intramuscular injection to avoid tissue irritation.&#10;D) The patient needs to be warned that alopecia is a common adverse effect.

Accepted Answer

Finasteride is teratogenic, meaning it can cause fetal harm if handled by pregnant women. Therefore, the nurse must take precautions to ensure that the medication is not handled by pregnant women, including wearing gloves and washing hands thoroughly after handling the medication.

Question 7

A patient is receiving finasteride (Proscar)for treatment of benign prostatic hyperplasia.The nurse will tell him that a possible effect of this medication is:&#10;A) alopecia.&#10;B) increased hair growth.&#10;C) urinary retention.&#10;D) increased prostate size.

Accepted Answer

Finasteride is a medication that is used to treat benign prostatic hyperplasia. One of the possible effects of this medication is increased hair growth, particularly on the scalp. This is because finasteride blocks the conversion of testosterone into dihydrotestosterone (DHT), which is responsible for male pattern baldness. By blocking DHT, finasteride can stimulate hair growth in some individuals.

Question 8

A patient will be receiving testosterone cypionate (Depo-Testosterone)400 mg intramuscularly every 4 weeks.The medication is available in a 200-mg/mL strength.Identify how many milliliters will the nurse draw up for each injection._______

Accepted Answer

The answer of A patient will be receiving testosterone cypionate...

Question 9

A 63-year-old male patient is scheduled for a physical examination,and he tells the nurse that he wants to start taking a vitamin formula that includes saw palmetto for prostate health.Which is the nurse's best response?

A) "I've heard many good things about saw palmetto."
B) "It's not a good idea to start herbal therapy at your age."
C) "There are very few adverse effects with saw palmetto therapy."
D) "The doctor will need to draw some blood and do a digital rectal exam first."

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Accepted Answer

Before starting any new supplement or medication, it is important to assess the patient's overall health and potential interactions with other medications. In this case, a digital rectal exam and bloodwork can assess the patient's prostate health and identify any potential contraindications for saw palmetto therapy. Option A is not a professional response as the nurse should not offer an opinion without proper information. Option B is not appropriate as herbal therapy can be safe and useful for patients of any age if proper precautions are taken. Option C is not entirely true, as saw palmetto may interact with other medications and cause side effects in some patients.

Question 10

A patient is to receive testosterone therapy via a transdermal patch.He asks the nurse,&#34;Why am I getting a patch? Can't I just take a pill?&#34; Which response by the nurse is correct?&#10;A) &#34;The patch reduces the incidence of side effects.&#34;&#10;B) &#34;If you don't take the patch,you will have to have injections instead.&#34;&#10;C) &#34;The patch allows for better absorption of the medication.&#34;&#10;D) &#34;You will only have to change the patch weekly.&#34;

Accepted Answer

Testosterone, like many other hormones, is not well absorbed when taken orally; it is heavily metabolized by the liver before it can reach systemic circulation. The transdermal patch allows for better absorption of the medication as it delivers the hormone directly into the bloodstream through the skin. Additionally, the patch provides a stable, continuous release of the medication, reducing the risk of peaks and troughs that can occur with oral medications.

Deck 35: Mens Health Drugs