Deck 71: Drugs for Modifying Conception

Question 1

An adolescent client who has not yet begun to develop secondary sex characteristics has a testosterone level of 154 mg/dL.Based on this finding,the nurse will:

A)Anticipate that tests will be done to assess the client for an infection.
B)Anticipate that tests will be done to assess the client for thyroid function.
C)Identify the testosterone level as within normal limits.
D)Identify the testosterone level as lower than normal.

Answer 1

Identify the testosterone level as lower than normal.

Question 2

When teaching a class of young adult males about the dangers of steroid use,the nurse would stress which adverse effect that might discourage usage in this particular age group?

A)Hypercholesterolemia
B)Liver failure
C)Psychological dependence
D)Impotence and testicular shrinkage

Answer 2

Impotence and testicular shrinkage

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.

A)The use of anabolic steroids is the most effective way to increase muscle mass.
B)The entire body,especially the liver,is affected by anabolic steroids.
C)The use of anabolic steroids can lead to aggressive behavior.
D)The use of anabolic steroids can lead to infertility.
E)The use of anabolic steroids should be monitored by a health care provider.

Answer 3

The entire body,especially the liver,is affected by anabolic steroids.
The use of anabolic steroids can lead to aggressive behavior.
The use of anabolic steroids can lead to infertility.

Question 4

The nurse is reviewing the process of male maturation with a new mother who has given birth to a male child.The nurse explains that shortly after birth:

A)testosterone production is stimulated by the adrenal glands.
B)the pituitary gland secretes testosterone.
C)the Leydig cells are inactivated until the onset of puberty.
D)luteinizing hormone is released.

Question 5

Which disorder is most likely to predispose a male client to develop hypogonadism?

A)Diabetes mellitus
B)Adrenal insufficiency
C)Mumps
D)Hydrocele

Question 6

The nurse instructs a client that the androgens produced by the adrenal glands support:
Select all that apply.

A)sebaceous gland stimulation.
B)cartilage growth of the larynx,producing a deeper-toned voice.
C)pubic hair growth.
D)skeletal growth spurt.
E)sperm production.

Question 7

What should the nurse instruct a male client with sexual dysfunction?

A)Wear briefs rather than boxers for scrotal support.
B)Depression and anxiety make sexual dysfunction difficult to treat.
C)Decrease the use of over-the-counter medications,including nonsteroidal anti-inflammatory drugs (NSAIDs).
D)Stop smoking and limit alcohol use.

Question 8

What will the nurse instruct a client regarding the actions of testosterone?
Select all that apply.

A)It restricts bone growth.
B)It is responsible for the enlargement of the testes,scrotum,and penis.
C)It contributes to the development of muscle mass.
D)It promotes the synthesis of erythropoietin.
E)It is responsible for virilization.

Question 9

While caring for a male client who has been using anabolic steroids,the nurse must monitor for which adverse effect?

A)Muscle weakness
B)Respiratory disease
C)Liver damage
D)Appearance of masculine characteristics

Question 10

For which health problem would the administration of androgens be contraindicated in a male client?

A)Hypertension
B)Osteoarthritis
C)Peptic ulcer disease
D)Breast cancer

Question 11

For what will the nurse assess an adolescent male client who is experiencing delayed puberty?

A)Addison disease
B)Hypogonadism
C)Pheochromocytoma
D)Hypothyroidism

Question 12

What should the nurse instruct a client about male sexual dysfunction?
Select all that apply.

A)It can be treated medically.
B)It can occur in those with anxiety or depression.
C)It can be improved to achieve successful conception or maintain a satisfactory sex life.
D)It is difficult to treat if the cause is physiological.
E)It can be treated surgically.

Question 13

A client is concerned about recent body changes resulting from androgen therapy and is not sure that the treatment is worth it." What is the best therapeutic response by the nurse?

A)You sound concerned.Make sure you share this concern with the doctor during your next appointment."
B)You sound concerned.These changes in your body are only temporary."
C)You sound concerned,but I don't see any real changes in your body."
D)You sound concerned.Let's talk about the body changes you're experiencing."

Question 14

A client with a low sperm count asks the nurse to explain the disorder.The nurse responds that follicle-stimulating hormone (FSH)regulates:

A)perm production.
B)male progesterone.
C)male estrogen.
D)corticosteroid production.

Question 15

Why would the nurse administer a high dose of androgen to a female client?

A)To improve athletic performance
B)To treat brain cancer
C)To treat breast cancer
D)As preparation for sexual reassignment surgery

Question 16

The nurse would consider testosterone therapy for the treatment of primary hypogonadism to be effective based on a change in which laboratory value?

A)Testosterone level
B)Luteinizing hormone
C)Sperm count
D)White blood cell count

Question 17

The nurse suspects an adult client is experiencing hypogonadism after assessing:

A)underdeveloped testes.
B)lack of facial and pubic hair.
C)a swollen scrotal sac.
D)decreased subcutaneous fat.

Question 18

The nurse counsels a male client regarding testosterone secretion based on knowledge that when testosterone levels rise above normal,the body responds by:

A)decreasing the secretion of luteinizing hormone (LH)and follicle-stimulating hormone (FSH),which results in a decrease in testosterone production.
B)increasing the secretion of estrogen to counteract the effects of the excess testosterone.
C)decreasing the release of testosterone directly from the testes.
D)increasing the release of luteinizing hormone (LH)and follicle-stimulating hormone (FSH)to decrease the testosterone secretion.

Question 19

During a discussion on male fertility with a client,the nurse explains that the hormone that regulates testosterone production is:

A)progesterone.
B)thyrotoxine.
C)luteinizing hormone.
D)gonadotropin-releasing hormone.

Question 20

A client admits using anabolic steroids to increase muscle mass.What is the nurse most likely to assess in this client?

A)Hypercholesterolemia
B)Increased sperm count
C)Male-pattern baldness
D)Mental depression

Question 21

After administering the first dose of doxazosin (Cardura)to a client,the nurse should:

A)Ask the client to sit down for a few minutes.
B)Call the client's previously arranged ride to take him home,as he cannot drive until it is determined how he responds to the medication.
C)Encourage increased oral hydration following administration.
D)Monitor the client for diaphoresis and onset of headache.

Question 22

A client is requesting a prescription for tadalafil (Cialis).What priority assessment should the nurse ask this client?

A)Do you have any sexually transmitted diseases?"
B)Do you take nitroglycerin?"
C)Have you received a diagnosis of diabetes?"
D)Do you take medication for high blood pressure?"

Question 23

Which medication would the nurse prepare to administer as primary treatment of oligospermia?

A)Clomiphene (Clomid)
B)Human chorionic gonadotropin (HCG)
C)Antiestrogens
D)Menotropin (Menopur)

Question 24

The nurse has completed medication education for a client who is prescribed testosterone.The nurse evaluates that learning has been effective when the client makes which statements?
Select all that apply.

A)I will weigh myself twice weekly and report any sudden weight gain."
B)I need to have my serum cholesterol levels checked frequently."
C)I need check my blood pressure weekly while on this medication."
D)I don't need to use birth control while taking this medication."
E)My blood glucose may go up while on this medication."

Question 25

Which assessment finding indicates a therapeutic effect of finasteride (Proscar)therapy in a client?

A)Less painful urination
B)Resolution of hematuria
C)Ability to initiate a steady urine stream
D)Decreased flow rate of urine

Question 26

A client has benign prostatic hyperplasia and hypertension.Which medication could the client safely receive that might treat both conditions?

A)Finasteride (Proscar)
B)Doxazosin (Cardura)
C)Sildenafil (Viagra)
D)Tamsulosin (Flomax)

Question 27

Which laboratory value would concern the nurse who is caring for an adult client taking testosterone for an androgen deficiency?

A)Elevated sperm count
B)Increased serum calcium
C)Increased serum potassium
D)Elevated liver function tests

Question 28

A male client complains of nocturia and a feeling of fullness" in the lower pelvic region.What assessment would the nurse ask?

A)What is your age?"
B)Are you sexually active?"
C)Do you take a daily shower or a tub bath?"
D)Are you constipated?"

Question 29

What should the nurse instruct a client about the function of the prostate gland?

A)It secretes fluids for the ejaculate.
B)It produces sperm.
C)It stimulates the release of testosterone.
D)It produces testosterone.

Question 30

The use of which medication could predispose a client to erectile dysfunction?

A)Insulin
B)Oral hypoglycemic agents
C)Phenothiazines
D)Nonsteroidal anti-inflammatory drugs (NSAIDs)

Question 31

Which statement indicates that client teaching about male sexual dysfunction has been effective?

A)I will start exercising this week by walking 15 to 30 minutes each day before I get ready for work."
B)I will take an omega-3 fatty acid supplement three times a day with meals."
C)I will drink one glass of wine daily to help me wind down and reduce my anxiety."
D)I will stop taking acetaminophen (Tylenol)and ibuprofen (Motrin)."

Question 32

When completing the medication history of a male client with sexual dysfunction,the two drug classes that the nurse will assess as being most commonly associated with male sexual dysfunction are:

A)bronchodilators and antidepressants.
B)antihypertensives and penicillin-based antibiotics.
C)antidepressants and antihypertensives.
D)nonsteroidal anti-inflammatory drugs (NSAIDs)and antidepressants.

Question 33

A client is prescribed finasteride but does not have a history of prostate disorder.What is the best assessment for the nurse to ask at this time?

A)Do you have erectile dysfunction?"
B)Do you have male-pattern baldness?"
C)Do you have a stomach ulcer?"
D)Do you have high blood pressure?"

Question 34

When reviewing a male client's medication history,the nurse realizes that sildenafil (Viagra)would be contraindicated when taken with which medication?

A)Opioids
B)Isosorbide mononitrate
C)Insulin
D)Proton-pump inhibitor

Question 35

A male client who is prescribed Sildenafil (Viagra)asks the nurse how the medication works.What is the nurse's best response?

A)It causes an erection to occur."
B)It restricts blood flow to the penis."
C)It stimulates the release of phosphodiesterase-5,an enzyme that causes an erection."
D)It inhibits the release of an enzyme that relaxes smooth muscle in the penis to allow blood flow leading to an erection."

Question 36

When conducting medication teaching with a client,how can the nurse best describe the action of doxazosin (Cardura)?

A)It increases renal secretion of sodium.
B)It shrinks the size of the prostate.
C)It relaxes smooth muscle in the prostate.
D)It mobilizes excess fluid from the tissues.

Question 37

A client has been receiving androgen medication.What laboratory test should the nurse plan to assess?

A)Thyroid function
B)Blood glucose
C)Cardiac enzymes
D)Hemoglobin and hematocrit

Question 38

What would the nurse teach a client who is prescribed sildenafil (Viagra)?

A)Sildenafil (Viagra)works best when taken with high-fat meal.
B)Sildenafil (Viagra)can be taken up to 6 hours before sexual intercourse is planned.
C)Grapefruit juice will decrease the effectiveness of sildenafil (Viagra).
D)The maximum safe dosage is one pill per 24-hour period.

Question 39

When assessing a client with erectile dysfunction,on which body systems would the nurse focus?
Select all that apply.

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

Question 40

Which assessment findings would be expected in a client who has had testosterone therapy?

A)Virilization
B)Precocious puberty
C)Electrolyte imbalance
D)Hepatomegaly

Question 41

A college freshman wants to use anabolic steroids to ensure a place on the soccer team.How should the nurse respond?
Select all that apply.

A)Steroids can cause a low sperm count."
B)Steroids can cause testicular atrophy."
C)Steroids can cause impotence."
D)Steroids cause more facial hair to grow."
E)Steroids can cause high blood pressure."

Question 42

For which nonreproductive health problems would the nurse expect to provide androgen therapy?
Select all that apply.

A)Aplastic anemia
B)Anemia associated with chronic renal disease
C)Muscle wasting associated with acquired immunodeficiency syndrome (AIDS)
D)Male breast cancer
E)Prostate cancer

Question 43

The major reason pharmacotherapy for male infertility is less successful than pharmacotherapy for female infertility is that:

A)males are typically less compliant in adhering to a medication regimen than are females.
B)endocrine problems affect only about 5% of males.
C)it takes more time to treat male infertility than female infertility.
D)it is more costly to treat male infertility than female infertility.

Question 44

A client with prostate cancer is being treated with leuprolide (Lupron).The nurse would counsel the client regarding which side effect?

A)Increased risk of infection
B)Decreased libido and hair loss
C)Nausea with possible vomiting
D)Increased risk of bleeding

Question 45

During a physical assessment,the nurse suspects a client is at risk for developing male sexual dysfunction.What did the nurse assess in this client?
Select all that apply.

A)Blood pressure 170/92 mmHg
B)Fasting capillary blood glucose level 220 mg/dL
C)Body mass index 30
D)Smokes two packs of cigarettes per day
E)Age 45

Question 46

The nurse is instructing a group of preadolescent males on the influence of testosterone on normal growth and development.What will the nurse include in this teaching?
Select all that apply.

A)Testosterone causes the testes,scrotum,and penis to enlarge.
B)Testosterone causes pubic and axillary hair to grow.
C)Testosterone causes the cartilage of the larynx to grow.
D)Testosterone causes an increase in acne.
E)Testosterone levels fluctuate every 28 days.

Question 47

Which medications may be used to treat male infertility?
Select all that apply.

A)Saw palmetto
B)Antiestrogens
C)Human chorionic gonadotropin (HCG)
D)Menotropins
E)Omega-3 fatty acids

Question 48

During a genitourinary health history,a male client says,I think I have a sexual dysfunction." For which conditions will the nurse assess this client?
Select all that apply.

A)Lack of interest in sexual activity
B)Inability to obtain or sustain an erection
C)Disorder with ejaculation
D)Inability to conceive a child
E)Burning with urination

Question 49

A female client is receiving testosterone in conjunction with antineoplastics for breast cancer.For which side effects would the nurse monitor this client?

A)Facial hair growth
B)Hypotension
C)Muscle tremors
D)Hyperglycemia

Question 50

Which nursing intervention would be appropriate for the male client receiving testosterone therapy?

A)Assess for muscle wasting.
B)Assess for signs of fluid retention.
C)Assess for development of blood dyscrasias.
D)Monitor for a decrease in hematocrit.

Question 51

The nurse is reviewing the current medications of a client with oligospermia.Which client medications would have a negative effect on sperm production?
Select all that apply.

A)Colchicine
B)Spironolactone
C)Cimetidine
D)Acetaminophen
E)Metoprolol

Question 52

Which client statement indicates that teaching about finasteride (Proscar)has been effective?

A)It reduces the inflammation and swelling associated with my prostatitis."
B)It interferes with my circulating testosterone and causes my prostate to shrink so I can urinate again."
C)It relaxes the smooth muscle in my urethra to facilitate the outflow of urine."
D)It kills prostate cells that could lead to cancer."

Question 53

A client is prescribed leuprolide (Lupron)for the treatment of prostate cancer.The nurse describes possible side effects of this medication,including:
Select all that apply.

A)Erectile dysfunction.
B)Low sperm count.
C)Decreased libido.
D)Loss of motivation.
E)Euphoria.

Question 54

An adolescent male client is recovering from surgery to remove the adrenal glands.The nurse understands that this surgery will have which effect on the client's growth and development?
Select all that apply.

A)Reduced amount of pubic hair
B)Negative effect on the growth spurt
C)No effect
D)Increased facial and pubic hair
E)Excessive deepening of the voice

Question 55

During a physical examination,the nurse suspects an adolescent client may be using anabolic steroids after assessing:
Select all that apply.

A)below-normal height for age.
B)elevated blood pressure.
C)increased acne.
D)argumentative behavior.
E)hunger and increased thirst.

Question 56

The nurse should instruct a pregnant client to avoid skin contact with:

A)sildenafil (Viagra).
B)avanafil (Stendra).
C)tadalafil (Cialis).
D)finasteride (Proscar).

Question 57

What would the nurse include when explaining the process of testosterone production to a mother who has given birth to a male infant?
Select all that apply.

A)The same hormones from the pituitary gland control reproductive function in both males and females.
B)Luteinizing hormone regulates the production of testosterone by specialized cells in the testes.
C)Testosterone secretion begins at school age.
D)Testosterone production declines rapidly after middle age.
E)Testosterone production increases rapidly during puberty.

Question 58

When counseling a male client about the goal of therapy with sildenafil (Viagra),the nurse emphasizes that sildenafil:

A)might be beneficial for his female sexual partner as well.
B)results in less satisfying intercourse than might have been enjoyed previously.
C)is not effective if the cause of erectile dysfunction is psychological.
D)elicits an erection in an impotent male.

Question 59

A testosterone (Testoderm)patch has been prescribed for a client.Where will the nurse instruct the client to place the patch on the skin?

A)On the scrotum
B)On the lower leg
C)On the head
D)On the thigh

Question 60

When teaching a client about an alpha-1 adrenergic blocker to treat prostatic hyperplasia,the nurse will explain that this medication will begin to work within:

A)1-2 months.
B)5-7 days.
C)1-2 weeks.
D)1 or 2 days.

Question 61

Which client statement indicates that medication teaching about vardenafil (Levitra)has been effective?
Select all that apply.

A)This medication acts within 30 to 60 minutes after I take it."
B)The effects of this medication can last for 4 to 5 hours."
C)I may have a headache or runny nose from taking this medication."
D)I cannot use this medication if I start taking a medication with nitrates."
E)This medication takes 4 hours to take effect."

Question 62

A client has completed treatment with intramuscular injections of human chorionic gonadotropin (HCG)for oligospermia.Which medications might be prescribed to ensure testosterone levels remain elevated in this client?
Select all that apply.

A)Tamoxifen (Novadex)
B)Clomiphene (Clomid)
C)Sildenafil (Viagra)
D)Tadalafil (Cialis)
E)Vardenafil (Levitra)

Question 63

During an assessment,the nurse realizes a client is experiencing adverse effects of finasteride (Proscar).What did the nurse assess in this client?
Select all that apply.

A)Gynecomastia
B)Body rash
C)Transient dizziness
D)Blue-tinged vision
E)Weight loss

Question 64

A client with hypertension and diabetes mellitus asks the nurse what can be done to prevent the onset of erectile dysfunction.What measures can the nurse suggest?
Select all that apply.

A)Maintaining optimal body weight
B)Stopping smoking
C)Limiting alcohol intake
D)Exercising more
E)Following a low-sodium,low-fat diet

Question 65

A client experiencing moderate symptoms of benign prostatic hyperplasia (BPH)is prescribed tamsulosin (Flomax).What will the nurse instruct the client about this medication?
Select all that apply.

A)This medication will not affect your blood pressure."
B)This medication improves urine flow."
C)You will see an improvement in symptoms in 1 to 2 weeks."
D)You may experience a headache or dizziness with this medication."
E)Notify your health care provider if you experience fatigue when taking this medication."

Question 66

A client is prescribed sildenafil (Viagra)for erectile dysfunction.What teaching will the nurse provide to the client about this medication?
Select all that apply.

A)Take this medication 30 minutes to 1 hour before sexual activity.
B)Take no more than one dose of the medication within a 24-hour period.
C)Seek attention from a health care provider if an erection lasts longer than 4 hours.
D)Avoid eating a high-fat meal before taking this medication.
E)Chest pain and blue-tinged vision are expected side effects.

Question 67

A client who has been diagnosed with benign prostatic hyperplasia (BPH)does not want to take medication to treat the disorder.The nurse instructs the client that if this disorder is left untreated,possible complications include:
Select all that apply.

A)urinary tract infections.
B)incontinence of urine.
C)blood in the urine.
D)impaired kidney function.
E)prostate cancer.

Question 68

A client is prescribed transdermal testosterone gel for replacement therapy.What should the nurse instruct the client about this medication?
Select all that apply.

A)Apply the gel once per day in the morning to clean,dry skin.
B)Apply the gel to the upper arms,shoulders,or abdomen.
C)Avoid showering or swimming for several hours after applying the gel.
D)Avoid skin-to-skin contact with anyone who might be pregnant.
E)Keep all daily scheduled appointments to have testosterone levels assessed.

Question 69

The nurse reviews a client's current medications and realizes that which medications would be contraindicated in testosterone replacement therapy?
Select all that apply.

A)Oral anticoagulants
B)Corticosteroids
C)Finasteride
D)Antibiotics
E)Antihypertensives

Question 70

A client is being evaluated for erectile dysfunction.The nurse anticipates that which diagnostic tests would be prescribed to determine the cause of the disorder?
Select all that apply.

A)Serum testosterone level
B)Prostate-specific antigen
C)Prolactin level
D)Thyroxin level
E)Serum sodium level