Question 1

Which medications may be used to treat male infertility? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Antiestrogens can help improve sperm count and quality by reducing the negative effects of estrogen on the male reproductive system. HCG and menotropins can help stimulate the production of testosterone and improve sperm production. Saw palmetto and omega-3 fatty acids have not been shown to have a significant effect on male infertility.

Question 2

During an assessment, the nurse realizes a client is experiencing adverse effects of finasteride (Proscar). What did the nurse assess in this client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of During an assessment, the nurse realizes a...

Question 3

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

Accepted Answer

Testosterone can cause masculinizing effects in females, including an increase in facial hair growth. Hypotension, muscle tremors, and hyperglycemia are not commonly associated with testosterone administration in this context.

Question 4

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

Accepted Answer

Doxazosin (Cardura) is an alpha-blocker that can be used to treat both benign prostatic hyperplasia and hypertension. It works by relaxing the muscles in the prostate and blood vessels to improve urine flow and lower blood pressure. Finasteride (Proscar) is a 5-alpha-reductase inhibitor that only treats benign prostatic hyperplasia, while tamsulosin (Flomax) is an alpha-blocker that only treats benign prostatic hyperplasia. Sildenafil (Viagra) is a phosphodiesterase type 5 inhibitor that treats erectile dysfunction and pulmonary arterial hypertension, but not benign prostatic hyperplasia or hypertension.

Question 5

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: Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

If left untreated, BPH can lead to urinary tract infections due to incomplete emptying of the bladder, incontinence due to urinary retention, blood in the urine due to irritation of the prostate gland, and impaired kidney function due to urinary obstruction. While BPH is a risk factor for prostate cancer, it is not a certainty that it will lead to cancer.

Question 6

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

Accepted Answer

Doxazosin is an alpha-adrenergic blocker used primarily to treat urinary symptoms related to benign prostatic hyperplasia (BPH). It works by relaxing the smooth muscle in the prostate to improve urine flow.

Question 7

What does the nurse emphasize when counselling a client about he use of sildenafil (Viagra)?

Accepted Answer

The nurse should emphasize that sildenafil (Viagra) is not effective if the cause of erectile dysfunction is psychological. This is important information to ensure the client understands the limitations of the medication and does not have unrealistic expectations.

Question 8

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

Accepted Answer

Sildenafil (Viagra) inhibits the release of an enzyme called phosphodiesterase-5, which allows for increased levels of cyclic guanosine monophosphate (cGMP) in the smooth muscles of the penis. This promotes relaxation of the smooth muscles, allowing for increased blood flow and thus the ability to achieve an erection.

Question 9

A client is requesting a prescription for Sildenafil (Viagra). What priority assessment question should the nurse ask this client?

Accepted Answer

The nurse should ask the client if they take nitroglycerin because Sildenafil (Viagra) should not be taken with nitrates. This can cause a severe drop in blood pressure and potentially life-threatening complications. It is important for the nurse to assess for any medications the client is taking that may interact with Sildenafil (Viagra). The other options are important assessment questions, but they are not directly related to the safe use of Sildenafil (Viagra).

Question 10

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

Accepted Answer

This statement indicates an understanding of how finasteride (Proscar) works to shrink the prostate by interfering with circulating testosterone.

Question 11

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

Accepted Answer

The answer of What would the nurse teach a client...

Question 12

When teaching a client about an alpha-1 adrenergic blocker to treat prostatic hyperplasia. What does the nurse explain to the client is the length of time before the effect of the drug is expected?

Accepted Answer

Alpha-1 adrenergic blockers for prostatic hyperplasia typically take 1-2 weeks to take effect.

Question 13

MCSA Nursing students have completed their module on disorders of the male reproductive system. Their instructor ask them to list classification of drugs used for the treatment of benign prostatic hyperplasia. Which answer provided by the students indicate understanding of the content?

Accepted Answer

These two choices are the correct classifications of drugs used for the treatment of benign prostatic hyperplasia. Alpha adrenergic blockers relax the smooth muscle in the prostate and bladder neck, improving urinary flow. 5-alpha reductase enhancers inhibit the conversion of testosterone to dihydrotestosterone, which decreases the size of the prostate. Phosphodiesterase inhibitors and androgens are not used for the treatment of benign prostatic hyperplasia.

Question 14

MCSA A client has been ordered doxazosin (Cardura) for his BPH. How does the nurse explain the action of this medication?

Accepted Answer

Cardura acts by relaxing smooth muscle and increasing the lumen of the urethra, which helps to relieve urinary symptoms associated with BPH.

Question 15

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

Accepted Answer

The answer of Which medication would the nurse prepare to...

Question 16

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

Accepted Answer

Sildenafil (Viagra) is contraindicated when taken with nitrates such as isosorbide mononitrate, as it can cause severe hypotension. Opioids, insulin, and proton-pump inhibitors do not have known significant interactions with sildenafil.

Quiz 6: Pharmacology of Alterations in the Endo-crine System

Which medications may be used to treat male infertility? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

During an assessment, the nurse realizes a client is experiencing adverse effects of finasteride (Proscar) . What did the nurse assess in this client? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

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

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

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

What does the nurse emphasize when counselling a client about he use of sildenafil (Viagra) ?