Question 1

A client who is taking oxandrolone (Oxandrin)is scheduled for a clinic visit.The nurse prepares paperwork to have which of the following routine monitoring studies drawn as ordered?&#10;A) Serum cholesterol and liver function&#10;B) Hemoglobin and renal function&#10;C) Serum electrolytes and renal function&#10;D) Hematocrit and bone density&#10;

Accepted Answer

Oxandrolone can cause liver damage and increase cholesterol levels, so it is important to monitor liver function and serum cholesterol levels in patients taking this medication.

Question 2

The nurse would cautiously monitor a client receiving testosterone (Androderm)who also has which of the following conditions?&#10;A) Hypocalcemia&#10;B) Hyponatremia&#10;C) Hypokalemia&#10;D) Hypercholesterolemia&#10;

Accepted Answer

Testosterone can increase cholesterol levels, so patients with hypercholesterolemia should be monitored closely when receiving testosterone therapy to avoid exacerbating cardiovascular risks.

Question 3

The nurse teaches a client who will begin taking finasteride (Proscar)that which of the following is an expected adverse effect?&#10;A) Decreased libido&#10;B) Increased amount of ejaculate&#10;C) Alopecia&#10;D) Urinary retention&#10;

Accepted Answer

Finasteride is known to cause decreased libido as a potential adverse effect. It works by blocking the conversion of testosterone to dihydrotestosterone, which can lead to decreased sexual desire. Increased amount of ejaculate and alopecia are not expected adverse effects of finasteride, while urinary retention is more commonly associated with the use of alpha-blockers for the treatment of benign prostatic hyperplasia.

Question 4

A 67-year-old man is prescribed testosterone (Androderm).The nurse explains that this reservoir patch should not be placed in which of the following areas?&#10;A) Abdomen&#10;B) Back&#10;C) Thighs&#10;D) Upper arm&#10;

Accepted Answer

The answer of A 67-year-old man is prescribed testosterone (Androderm).The...

Question 5

The nurse explains to a client who is starting drug therapy with oxandrolone (Oxandrin)that full drug effects may not be experienced for up to how long?&#10;A) 1 Week&#10;B) 2 Weeks&#10;C) 1 Month&#10;D) 3 Months&#10;

Accepted Answer

Oxandrolone, an anabolic steroid, typically takes about 1 month for its full effects to be experienced.

Question 6

The clinic nurse anticipates that which of the following clients with unplanned weight loss is not a candidate for therapy with oxandrolone (Oxandrin)?&#10;A) A client with acquired immunodeficiency syndrome&#10;B) A client with severe burns&#10;C) A client with catabolism after surgery&#10;D) A client with severe vomiting in pregnancy&#10;

Accepted Answer

Severe vomiting in pregnancy is not a condition that would require therapy with oxandrolone. The medication is typically used for clients with HIV/AIDS, severe burns, or catabolism after surgery to promote weight gain and preserve lean body mass. However, it should not be used during pregnancy due to potential harm to the fetus.

Question 7

The nurse anticipates that a female client receiving testosterone will have which of the following conditions documented in her medical record?&#10;A) An elevated estrogen level&#10;B) An elevated progesterone level&#10;C) Breast carcinoma&#10;D) Uterine carcinoma&#10;

Accepted Answer

Testosterone is a male hormone and giving it to a female client can increase the risk of breast carcinoma due to the hormonal imbalance. Elevations in estrogen and progesterone levels are not expected with testosterone therapy. Uterine carcinoma is not directly related to testosterone therapy.

Question 8

The nurse who notes that a male client is taking finasteride (Proscar)would question the client about a history of which of the following health problems?&#10;A) Bladder cancer&#10;B) Priapism&#10;C) Testicular cancer&#10;D) Benign prostatic hyperplasia&#10;

Accepted Answer

Finasteride (Proscar) is a medication used to treat benign prostatic hyperplasia (BPH). It works by shrinking the size of the prostate gland. Therefore, the nurse would question the client about their history of BPH. Bladder cancer (A) and testicular cancer (C) are not related to the use of finasteride. Priapism (B) is a side effect associated with the use of medications such as sildenafil and tadalafil, not finasteride.

Question 9

The nurse would be most concerned about fluid retention as an adverse effect of drug therapy with androgens when used by a client who is also taking which of the following drugs?&#10;A) Sodium warfarin (Coumadin)&#10;B) Regular insulin (Humulin R)&#10;C) Nifedipine (Procardia)&#10;D) Misoprostol (Cytotec)&#10;

Accepted Answer

Nifedipine is a calcium channel blocker used to treat hypertension and angina. Androgens can increase fluid retention, and the addition of a calcium channel blocker can exacerbate this effect. Sodium warfarin, regular insulin, and misoprostol are not known to cause fluid retention.

Question 10

The nurse concludes that which of the following drugs noted on the client's medication list may help improve the symptoms of benign prostatic hyperplasia?&#10;A) Benztropine (Cogentin)&#10;B) Tolterodine (Detrol)&#10;C) Tamsulosin (Flomax)&#10;D) Imipramine (Tofranil)&#10;

Accepted Answer

Tamsulosin is an alpha-adrenergic blocker that helps to relax the smooth muscle in the prostate gland and bladder neck, thereby improving urinary symptoms in clients with benign prostatic hyperplasia. Benztropine is used as an anticholinergic agent to treat Parkinson's disease or extrapyramidal side effects from antipsychotic medications. Tolterodine is a medication used to treat overactive bladder. Imipramine is a tricyclic antidepressant that may improve urinary incontinence but is not a first-line treatment option for benign prostatic hyperplasia.

Question 11

The nurse understands that which of the following routes of administration allows testosterone to be highly metabolized by the liver before it reaches the systemic circulation?&#10;A) Transdermal&#10;B) Subcutaneous&#10;C) Oral&#10;D) Buccal&#10;

Accepted Answer

The answer of The nurse understands that which of the...

Question 12

In reinforcing explanations about testosterone therapy for a male client,the nurse needs to share that the drug may increase the adverse effects of which of the following types of cancer?&#10;A) Prostate&#10;B) Bladder&#10;C) Kidney&#10;D) Intestinal&#10;

Accepted Answer

The answer of In reinforcing explanations about testosterone therapy for...

Question 13

The nurse teaches a client beginning drug therapy with finasteride (Proscar)that the full drug effects may take how long to achieve?&#10;A) 1 to 2 weeks&#10;B) 2 to 4 weeks&#10;C) 1 to 3 months&#10;D) 3 to 6 months&#10;

Accepted Answer

The answer of The nurse teaches a client beginning drug...

Question 14

The school nurse conducting health teaching about the risks of androgen abuse would target which of the following groups as being at highest risk?&#10;A) Students who do not socialize well in school&#10;B) Students who act out in class excessively&#10;C) Students who are on athletic teams&#10;D) Students with excessive absence or tardiness&#10;

Accepted Answer

The answer of The school nurse conducting health teaching about...

Question 15

The nurse explains to a female client beginning drug therapy with testosterone that which of the following possible adverse effects may be irreversible?&#10;A) Oily skin&#10;B) Increased growth of body hair&#10;C) Irregular menses&#10;D) Deepening of the voice&#10;

Accepted Answer

The answer of The nurse explains to a female client...

Question 16

The nurse notes that dutasteride (Avodart)has been delivered to the nursing unit pharmacy in-box.The nurse anticipates that this drug has been ordered for a client with which of the following health problems?

A) Impotence
B) Testicular cancer
C) Hypogonadism
D) Benign prostatic hyperplasia

Accepted Answer

The answer of The nurse notes that dutasteride (Avodart)has been...

Question 17

The nurse would be most concerned about the risk of drug interactive effects when a client who is taking which of the following drugs is started on androgen therapy with oxandrolone (Oxandrin)?&#10;A) Furosemide (Lasix)&#10;B) Sodium warfarin (Coumadin)&#10;C) Cimetidine (Tagamet)&#10;D) Acetaminophen (Tylenol)&#10;

Accepted Answer

The answer of The nurse would be most concerned about...

Question 18

The nurse who is preparing to administer a dose of testosterone to a client anticipates having to sign out the dose,recalling that the drug carries a classification of&#10;A) schedule II.&#10;B) schedule III.&#10;C) schedule IV.&#10;D) schedule V.&#10;

Accepted Answer

The answer of The nurse who is preparing to administer...

Question 19

The nurse formulates which of the following as a goal of therapy for a client taking finasteride (Proscar)?&#10;A) Weight gain of 1 to 2 pounds per week&#10;B) Stronger urinary stream without hesitancy&#10;C) Restoration of full head of hair in 1 month&#10;D) Increase in libido&#10;

Accepted Answer

The answer of The nurse formulates which of the following...

Question 20

The client who is receiving finasteride (Proscar),which causes shrinkage of the enlarged prostate gland,should be monitored for which of the following adverse effects?&#10;A) Bradycardia&#10;B) Increased amount of ejaculate&#10;C) Increased libido&#10;D) Impotence&#10;

Accepted Answer

The answer of The client who is receiving finasteride (Proscar),which...

Deck 53: Drugs Affecting the Male Reproductive System