Homework answers / question archive / University of North Carolina, Wilmington - CLR 440 McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 9th Edition MULTIPLE CHOICE 1)A 50-year-old male patient reports having decreased libido and testicular atrophy

University of North Carolina, Wilmington - CLR 440 McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 9th Edition MULTIPLE CHOICE 1)A 50-year-old male patient reports having decreased libido and testicular atrophy

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University of North Carolina, Wilmington - CLR 440

McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 9th Edition

MULTIPLE CHOICE

1)A 50-year-old male patient reports having decreased libido and testicular atrophy. The nurse will anticipate that the provider may order which medication to treat these symptoms?

1. 1. Testosterone (Androderm)
   2. Finasteride (Proscar)
   3. Gonadotropin-releasing hormone (Gn-RH)
   4. Sildenafil (Viagra)
2. The nurse is teaching the parents of a boy who has inadequate pituitary function and delayed puberty about testosterone enanthate injections. Which statement by the parents indicates a need for further teaching?
   1. “He will need x-rays of his hands every 6 months.”
   2. “Injections will be given deep into his gluteal muscles.”
   3. “Sexual development will occur in 1–2 years.”
   4. “We should report urinary tract problems immediately.”
3. The nurse is instructing a patient about the buccal muco-adhesive testosterone system (Striant) to treat low testosterone. What information will the nurse include when teaching this patient about this drug?
   1. “If the product slides out of position more than 4 h before the next dose, replace it with a new system.”
   2. “Place the flattened surface against the gum and hold it firmly in place for 30 seconds.”
   3. “The product may be swallowed after it has been in place for at least 4 h.”
   4. “To remove the product, slide it upwards away from the tooth until it releases.”
4. The nurse provides teaching to a man who will begin using an Androderm testosterone patch. Which statement by the patient indicates understanding of the teaching?

1. “I may stop using Androderm when my serum testosterone is normal.”
2. “I should apply this to any skin other than the scrotum or bony areas.”
3. “I will apply two skin patches every morning after a shower.”
4. “My serum testosterone will continue to rise with each day of use.”

5. A man who has been using androgen therapy tells the nurse that he and his wife wish to conceive a pregnancy. The nurse will tell this patient that
   1. androgen therapy will not harm the fetus.
   2. he will need to increase his dose of testosterone to increase his sperm count.
   3. it may take 3 months after cessation of androgen therapy to conceive.
   4. there should be no problems conceiving while using androgen therapy.
6. The nurse is teaching an adult male patient about the use of testosterone gel. Which statement by the patient indicates understanding of the teaching?
   1. “A decreased urinary stream is an expected side effect.”
   2. “I should apply the gel to my forearms every day.”
   3. “I will have hand and wrist x-rays every 6 months.”
   4. “I will need regular evaluation of serum lipid levels.”
7. The oral antiandrogen drug flutamide (Eulexin) is used to treat which condition?
   1. Benign prostatic hypertrophy (BPH)
   2. Breast cancer
   3. Male-pattern baldness
   4. Metastatic prostate cancer
8. A patient will begin taking finasteride (Propecia) to treat benign prostatic hypertrophy (BPH) and asks the nurse how long the medication will be necessary. The nurse will tell the patient that he will need to take this medication for how long? a.         6  months
   2. 12  months
   3. Indefinitely
   4. Until symptoms resolve
9. A 14-year-old male is being evaluated for delayed puberty. Which finding indicates delayed puberty in this child?
   1. Androgen deficiency
   2. Growth hormone deficiency
   3. Height of 2.5 standard deviations below the mean
   4. Lack of epiphyseal closure

 

10.

A male patient wants to begin taking tadalafil (Cialis) to treat erectile dysfunction. Which

aspect of this patient’s history would be of concern?

a.

Angina pectoris

b.

Asthma

c.

Benign prostatic hypertrophy

d.

Color blindness

11.

A patient will begin using sildenafil citrate (Viagra) to treat erectile dysfunction. The nurse

will instruct the patient to take the medication

a.

daily in the morning.

b.

just prior to sexual activity.

c.

30

min-4 h before sexual activity.

d.

twice daily.

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