Deck 72: Drugs for Disorders and Conditions of the Male Reproductive System

Question 1

The nurse counsels the male patient regarding testosterone secretion based on knowledge that when testosterone levels rise above normal, the body responds by:
1)Increasing the secretion of estrogen to counteract the effects of the excess testosterone.
2)Decreasing the release of testosterone directly from the testes.
3)Increasing the release of leuteinizing hormone (LH)and follicle-stimulating hormone (FSH)to decrease the testosterone secretion.
4)Decreasing the secretion of leutieinizing hormone (LH)and follicle-stimulating hormone (FSH), which results in decreased testosterone production.

Answer 1

4

Question 2

An adolescent male has not yet begun to develop secondary sex characteristics.The physician orders a testosterone level.The plasma concentration of testosterone is reported as 154 mg/dl.Based on this finding, you:
1)Anticipate the physician will order thyroid function testing.
2)Identify the testosterone level as within normal limits.
3)Identify the testosterone level as lower than normal range.
4)Anticipate that the physician will order a CBC to assess for anemia.

Answer 2

3

Question 3

The nurse plans to teach a group of high school athletes about anabolic steroids.What will the teaching plan include? Select all that apply.
1)The use of anabolic steroids should be monitored by your doctor.
2)Your entire body, especially the liver, is affected by anabolic steroids.
3)The use of anabolic steroids can lead to aggressive behavior.
4)The use of anabolic steroids is the most effective way to increase muscle mass.
5)The use of anabolic steroids can lead to infertility.

Answer 3

2, 3, 5

Question 4

Shortly after birth, which of the following occurs in male newborns?
1)Testosterone production is stimulated by the adrenal glands rather than the testes.
2)The Leydig cells are inactivated until the onset of puberty.
3)The pituitary gland secretes testosterone.
4)Testosterone levels are maintained by the Leydig cells.

Question 5

The adolescent male with delayed puberty would be assessed for:
1)Hypogonadism.
2)Addison's disease.
3)Hypothyroidism.
4)Pheochromocytoma.

Question 6

An adult client has been receiving testosterone (Testoderm)for the treatment of primary hypogonadism.Testoderm therapy would be considered effective based on an increase in which laboratory value?
1)Red blood cell count
2)Sperm count
3)Testosterone level
4)Luteinizing hormone

Question 7

Androgens may be used to treat which of the following female clients?
1)Female with male-pattern baldness
2)Female with menstrual irregularities
3)Female with breast cancer
4)Female with endometriosis

Question 8

The androgens produced by the adrenal glands support which of the following? Select all that apply.
1)Pubic hair growth
2)Skeletal growth spurt
3)Cartilage growth of the larynx, producing a deeper-toned voice
4)Sebaceous gland stimulation

Question 9

While caring for a male patient who has been using anabolic steroids, the nurse must monitor for which of the following adverse effects?
1)Liver damage
2)Appearance of masculine characteristics
3)Muscle weakness
4)Cardiovascular disease

Question 10

The student nurse is preparing to administer a high dose of androgen to a female client.The nursing instructor asks for the rationale.What is the best response by the student?
1)"My client has breast cancer."
2)"My client wants to improve athletic performance."
3)"My client is planning on sexual reassignment surgery."
4)"My client has brain cancer."

Question 11

Which of the following disorders might predispose a male to hypogonadism?
1)Mumps
2)Diabetes mellitus
3)Hydrocele
4)Adrenal insufficiency

Question 12

Which symptoms would indicate hypogonadism in a 50-year-old male?
1)Swollen scrotal sac
2)Lack of facial hair and pubic hair
3)Underdeveloped testes
4)Decreased subcutaneous fat

Question 13

The actions of testosterone include: (Select all that apply.)
1)Virilization.
2)Enlargement of the testes, scrotum, and penis.
3)Bone growth.
4)Increase in skeletal muscle mass.
5)Synthesis of erythropoietin.

Question 14

Which of the following hormones regulates sperm production?
1)Luteinizing hormone
2)Follicle-stimulating hormone
3)Interstitial cell-stimulating hormone
4)Testosterone

Question 15

The client receives androgen therapy, and is concerned about recent body changes as a result of therapy.He tells the nurse that he is not sure the treatment is worth it.What is the best therapeutic response by the nurse?
1)"You sound concerned; let's talk about the body changes you're experiencing."
2)"You sound concerned; these changes on your body are only temporary."
3)"You sound concerned, but I don't see any real changes in your body."
4)"You sound concerned; make sure you share this concern with the doctor during your next appointment."

Question 16

All male patients with sexual dysfunction should:
1)Decrease the use of over-the-counter medications, including non-steroidal anti-inflammatories.
2)Stop smoking and limit alcohol use.
3)Assume symptoms of depression and anxiety will lessen as sexual function improves.
4)Wear briefs rather than boxers for scrotal support.

Question 17

The nursing instructor teaches the student nurses about male reproductive function and the role of the follicle-stimulating hormone (FSH).The instructor evaluates that learning has occurred when the students make which statement?
1)"Follicle-stimulating hormone (FSH)regulates production of testosterone."
2)"Follicle-stimulating hormone (FSH)regulates male androgen production."
3)"Follicle-stimulating hormone (FSH)regulates sperm production."
4)"Follicle-stimulating hormone (FSH)regulates male progesterone."

Question 18

A patient has admitted to using anabolic steroids.Which of the following findings would you anticipate?
1)Male-pattern baldness
2)Mental depression
3)Increased sperm count
4)Hypercholesterolemia

Question 19

When teaching a class about the dangers of steroid use to college-age males, the nurse would stress which adverse effect that might discourage usage in this particular age group?
1)Liver failure
2)Hypercholesterolemia
3)Psychological dependence
4)Impotence and testicular shrinkage

Question 20

Male sexual dysfunction can be: (Select all that apply.)
1)Treated medically.
2)Treated surgically.
3)Improved to achieve successful conception or maintain a satisfactory sexual lifestyle.
4)Difficult to treat if the cause is physiological.
5)Difficult to treat if the cause is psychological.

Question 21

A male client comes to the clinic requesting a prescription for tadalafil (Cialis).What priority assessment question should the nurse ask?
1)"Do you take medication for high blood pressure?"
2)"Do you take nitroglycerine?"
3)"Have you received a diagnosis of diabetes?"
4)"Do you have any sexually transmitted diseases?

Question 22

Which of the following laboratory values would concern the nurse caring for an adult client taking testosterone for androgen deficiency?
1)Elevated liver function tests
2)Increased thyroxine
3)Elevated sperm count
4)Increased serum calcium

Question 23

Prior to the administration of sildenafil (Viagra)or tadalafil (Cialis), it is essential to identify which of the following?
1)Diagnosis of angina treated with nitroglycerin
2)Diagnosis of type II diabetes being treated with diet and exercise
3)Diagnosis of lactose intolerance
4)Diagnosis of migraine headaches

Question 24

When assessing a male client who complains of erectile dysfunction, which system(s)might be contributing to the erectile dysfunction that should be assessed? Select all that apply.
1)Nervous
2)Renal
3)Cardiovascular
4)Endocrine
5)Respiratory

Question 25

The nurse administers the first dose of doxazosin (Cardura)to a male client in the clinical setting.What is the next priority action by the nurse?
1)Ask the patient to sit down for a few minutes.
2)Monitor the patient for diaphoresis and onset of a headache.
3)Encourage increased oral hydration following administration.
4)Call his previously arranged ride to take him home, as he cannot drive until it is determined how he responds to the medication.

Question 26

Which of the following medications could predispose a male client to erectile dysfunction?
1)Insulin
2)Non-steroidal anti-inflammatory drugs (NSAIDs)
3)Phenothiazides
4)Oral hypoglycemics

Question 27

The patient asks the nurse the purpose of the prostate gland.The nurse answers based on knowledge that the prostate gland:
1)Produces sperm.
2)Produces testosterone.
3)Stimulates the release of testosterone.
4)Produces secretions that nourish sperm.

Question 28

A nurse observes that a patient is receiving finasteride (Proscar).The patient denies any history of prostate disorder.What is the best assessment question to ask at this time?
1)"Do you have a stomach ulcer?"
2)"Do you have high blood pressure?"
3)"Do you have erectile dysfunction?"
4)"Do you have male-pattern baldness?"

Question 29

A patient is diagnosed with both benign prostatic hypertrophy and hypertension.Which medication could the patient safely receive that might treat both conditions?
1)Tamsulosin (Flomax)
2)Doxazosin (Cardura)
3)Finasteride (Proscar)
4)Sildenafil (Viagra)

Question 30

Which of the following medications is indicated for the primary treatment of oligospermia?
1)Human chorionic gonadotropin (HCG)
2)Menotropin (Pergonal)
3)Clomiphene (Clomid)
4)Anti-estrogens (Tamoxifen)

Question 31

Which of the following assessment findings indicates a therapeutic effect when receiving therapy with finasteride (Proscar)?
1)Less painful urination
2)Decreased flow rate of urine
3)Resolution of hematuria
4)No episodes of nocturia

Question 32

When teaching a male patient with sexual dysfunction, the nurse evaluates that teaching has been effective when the patient states:
1)"I will start exercising this week by walking 15-30 minutes each day before I get ready for work."
2)"I will stop taking Tylenol and ibuprofen."
3)"I will take an omega-3 fatty acid supplement three times a day with meals."
4)"I will drink one glass of wine daily to help me wind down and reduce my anxiety."

Question 33

The two drug classes most commonly associated with male sexual dysfunction are:
1)Anti-psychotics and antidepressants.
2)Antidepressants and antihypertensives.
3)Non-steroidal anti-inflammatories (NSAIDs)and antidepressants.
4)Antihypertensives and beta blockers.

Question 34

Which of the following statements best describes the action of doxazosin (Cardura)?
1)It mobilizes excess fluid from the tissues.
2)It relaxes smooth muscle in the prostate.
3)It shrinks the size of the prostate.
4)It increases renal secretion of sodium.

Question 35

Which of the following findings might be evident in a client who has undergone testosterone therapy?
1)Virilization
2)Electrolyte imbalances
3)Hepatomegaly
4)Precocious puberty

Question 36

When teaching a client about sildenafil (Viagra), the nurse would include which of the following information?
1)Grapefruit juice will decrease the effectiveness of sildenafil (Viagra).
2)Sildenafil (Viagra)works best when taken with food.
3)The maximum safe dosage is one pill per 24-hour period.
4)Sildenafil (Viagra)can be taken up to six hours before sexual intercourse is planned.

Question 37

Sildenafil (Viagra)is contraindicated for a male patient who is taking nitroglycerin for angina because:
1)Sexual activity greatly increases anginal pain.
2)There is a risk of overstimulating the cardiovascular system.
3)There is a possibility of life-threatening hypotension if both are taking together.
4)There is a potentiation of the effects of the sildenafil (Viagra)when combined with the organic nitrates.

Question 38

The nurse has completed medication education for the client who is receiving danazol (Danocrine).The nurse evaluates that learning has been effective when the client makes which statement(s)? Select all that apply.
1)"I need to have my blood pressure monitored weekly while on this medication."
2)"I will come to the office once a week for blood sugar checks."
3)"I will weigh myself twice weekly and report any sudden weight gain."
4)"I need to use effective birth control while taking this medication."
5)"I need to have my serum cholesterol levels checked frequently."

Question 39

The male client is taking finasteride (Proscar).On a follow-up visit, he tells the nurse he and his wife are planning to conceive.What is the best response by the nurse?
1)"Congratulations; tell your wife not to handle your medication."
2)"Congratulations, but you will need to stop taking your medication."
3)"Congratulations, but your wife will not be able to become pregnant while you are on this medication."
4)"Congratulations, but you will really need to discuss this with your doctor."

Question 40

A male presents in the Emergency Department with complaints of nocturia and a "feeling of fullness" in his lower pelvic region.What assessment question would the nurse ask?
1)"Are you sexually active?"
2)"Do you take a daily shower or a tub bath?"
3)"Are you constipated?"
4)"What is your age?"

Question 41

When counseling a client about the goal of therapy with sildenafil (Viagra), the nurse emphasizes that sildenafil:
1)Elicits an erection in an impotent male.
2)Is not effective if the cause of erectile dysfunction is psychological.
3)Results in less-satisfying intercourse than might have been enjoyed previously.
4)Might be beneficial for his female sexual partner to use as well.

Question 42

The nurse stresses to the client that a pregnant woman should not have skin contact with which medication?
1)Sildenafil (Viagra)
2)Testosterone (Testoderm)
3)Finasteride (Proscar)
4)Tadalafil (Cialis)

Question 43

Which of the following nursing interventions would be appropriate for the male patient receiving testosterone therapy?
1)Monitor for a decrease in hematocrit.
2)Assess for signs of fluid retention.
3)Assess for development of blood dyscrasias.
4)Assess for muscle wasting.

Question 44

A female client receives testosterone in conjunction with antineoplastics for breast cancer.She would be monitored for which side effect?
1)Hypertension
2)Facial hair growth
3)Muscle tremors
4)Hyperglycemia

Question 45

The nurse identifies which of the following drugs as being contraindicated for concurrent use with sildenafil (Viagra)?
1)Nitroglycerin
2)Sulfonamides
3)Sodium bicarbonate
4)Reglan

Question 46

The major reason why pharmacotherapy of male infertility is less successful than is pharmacotherapy of female infertility is:
1)Males are typically less compliant in adhering to a medication regimen than are females.
2)It is more costly to treat male infertility than female infertility.
3)Endocrine problems affect only about 5% of males.
4)It takes more time to treat male infertility than female infertility.

Question 47

The client who is initiating testosterone therapy with a Testoderm patch will be instructed to place the patch:
1)On his shoulder.
2)On his upper arm.
3)On his scrotum.
4)On his lower abdomen.

Question 48

An alpha-1-adrenergic blocker most likely will begin to work within ___________ after the medication is initiated as a treatment for benign prostatic hyperplasia.
1)1 or 2 days
2)5-7 days
3)1-2 weeks
4)1-2 months

Question 49

Which of the following medications may be used to treat male infertility? Select all that apply.
1)Human chorionic gonadotropin (HCG)
2)Menotropins
3)Anti-estrogens
4)Saw palmetto
5)Omega-3 fatty acids

Question 50

When teaching a patient about finasteride (Proscar), the nurse knows teaching has been effective when the patient verbalizes:
1)"It interferes with my circulating testosterone and causes my prostate to shrink so I can pee again."
2)"It relaxes the smooth muscle in my urethra to facilitate the outflow of urine."
3)"It reduces the inflammation and swelling associated with my prostatitis."
4)"It kills prostate cells that could lead to cancer."

Question 51

A client with prostate cancer is being treated with leuprolide (Lupron).The nurse would counsel the client regarding which side effect?
1)Increased risk of infection
2)Increased risk of bleeding
3)Nausea with possible vomiting
4)Decreased libido and hair loss

Question 52

Which drug is of value to male clients who have both benign prostatic hyperplasia and hypertension?
1)Amlodipine (Norvasc)
2)Doxazosin (Cardura)
3)Tamsulosin (Flomax)
4)Nifedipine (Procardia)