Chap 41 PrepU
Terms in this set (92)
Mark, age 42, is prescribed sildenafil for the treatment of pulmonary hypertension. As the nurse caring for Mark, you explain that sildenafil works by what mechanism?
Causing vasodilation in the pulmonary vascular bed
Causing vasodilation in the pulmonary vascular bed
A patient diagnosed with erectile dysfunction has been advised to take Viagra. For up to how many hours does the action of the drug persist?
A nurse is reviewing the medication history of a client. The nurse understands that a PDE5 inhibitor would be inappropriate for a client taking which of the following?
A male patient has been diagnosed with impotence and is started on a regimen of androgens. Which of the following statements by the patient indicates that he has understood the patient teaching?
"If my skin appears yellow or my urine turns dark, I will contact my physician."
A nurse suspects a client might be abusing anabolic steroids. Which of the following signs might a client exhibit that would indicate abuse of anabolic steroids? Select all that apply:
• Uncontrolled rage
• Inability to concentrate
• Severe depression
(see full question) The physician has prescribed testosterone for a 77-year-old client with a low testosterone level. The nurse will evaluate this client for what condition that may develop in this client in response to this medication?
Benign prostatic hypertrophy
In older adult men, anabolic steroids may be prescribed for a deficiency condition. If hypertensive, what might be the cause for an increase in blood pressure?
Increased fluid and sodium retention
A woman who has been prescribed high doses of anabolic steroids should be instructed on which of the following effects?
When teaching a group of high school students about using anabolic steroids, the nurse would include information that these drugs are classified as which class of controlled substances?
An 8-year-old boy is being administered testosterone injections for treatment of hypogonadism. Which of the following should be measured every 6 months?
Hand and wrist epiphyseal growth plates
A 59-year-old man with a recent history of erectile dysfunction has been assessed and prescribed sildenafil (Viagra). When providing patient education to this man, the nurse should tell him which of the following?
"You might find that your face becomes flushed or you get a headache after you take Viagra."
The nurse is instructing the parents of an 11-year-old male who has testosterone deficiency. Which symptom, if found in this child, would cause the discontinuation of this medication?
Which agent is available for use as a daily dose?
Androgens may be prescribed to women to treat conditions related to the effects of the female sex hormones. Danazol is prescribed to prevent or treat fibrocystic breast disease and
A client is receiving a medication that has androgenic effects. Which of the following would the nurse expect to assess?
Anabolic steroid use causes an increase in muscular work capacity, which is what makes these agents popular as performance-enhancing drugs. They are dangerous specifically to teens because:
They can damage the heart, liver, and kidneys.
Carter, age 13, is prescribed testosterone for delayed onset of puberty. What is a priority when monitoring the prepubescent?
A group of students are reviewing the drugs available for treating penile erectile dysfunction. The students demonstrate understanding when they identify which drug as a PDE5 inhibitor?
A client is receiving androgen therapy. Which of the following would cause the nurse the greatest concern?
Elevated liver enzyme levels
Mr. Yales is prescribed sildenafil for the treatment of erectile dysfunction. What mechanism of action of sildenafil causes a
The drug inhibits phosphodiesterase (PDE) type 5, consequently decreasing the metabolism of cGMP.
A 24-year-old female athlete is using high doses of anabolic steroids to enhance her performance. She may be at risk for which
of the following conditions?
When fluoxymesterone is administered to a 14-year-old male for hypogonadism, what is the expected result?
Growth of sexual organs
From puberty onward, androgens continue to aid in the development and maintenance of secondary sex characteristics that include which of the following? Select all that apply:
• Body fat distribution
• Muscle development
• Body hair
A male patient has been prescribed testosterone for cryptorchidism. Which of the following statements indicate that the patient teaching was effective?
"My body hair will increase."
Which agent would a client most likely be prescribed for penile erectile dysfunction if the client is very sexually active and the timing of sexual stimulation is not known?
What potentially serious adverse effects do large doses of anabolic steroids produce? Select all that apply.
• Inability to stop taking the drug
• Metabolic disorders
Which of the following would the nurse expect to administer as a depot injection?
A nurse may be asked to administer androgen drugs to clients with which of the following medical conditions? Select all that apply:
• Postmenopausal metastatic breast carcinoma
Headache and flushing are adverse effects associated with PDE 5 inhibitors.
After teaching a patient who is prescribed sildenafil about using the drug, the nurse determines that the teaching was successful when the patient states which of the following?
"I need to take the pill about an hour before any sexual stimulation."
Anabolic steroids are analogs of testosterone with increased protein building effects.
A 66-year-old man has made an appointment with his primary care provider to discuss his recent erectile dysfunction (ED) and has requested a prescription for tadalafil (Cialis) based on television commercials he has seen. What characteristic of this patient would most likely contraindicate the use of tadalafil for his ED?
The patient has unstable angina and uses a nitroglycerin patch
A nurse is educating a group of young sports persons about the adverse effects associated with the use of anabolic steroids. Which of the following conditions is an adverse effect of anabolic steroids occurring typically only in females?
The nurse is reviewing the history of a client who is to receive testosterone. Which of the following would alert the nurse to the need for close monitoring of the client?
You are caring for a 28-year-old patient who is taking exogenous testosterone for treatment of cryptorchidism. What statement by this patient would lead you to believe that patient teaching has been effective?
"I may grow more body hair."
A patient who uses a transdermal testosterone gel for treatment of his oligospermia applies the medication first thing in the morning and washes it off before bed. Indicate what patient education is necessary.
Leave the gel on until the next application is due.
A 30-year-old male is receiving oxymetholone as treatment for anemia. The nurse alerts the patient to which of the following as a possible adverse effect?
• Testicular atrophy
A female patient receiving fluoxymesterone, an androgenic drug, for metastatic breast cancer is disturbed by the physical changes seen in her body. Which of the following features of virilization may be seen in the patient receiving this therapy?
Deepening of the voice
A nurse is instructing a client about vardenafil. The nurse would instruct the client to take the drug how many minutes before sexual stimulation?
A patient is taking androgens and warfarin (Coumadin). What effect will these two medications have on the patient's coagulation?
Coagulation will be decreased.
The nurse is discussing testosterone replacement with a client and instructs the client that this medication is not available in what formulation?
A male taking anabolic steroids may experience which of the following side effects?
A nurse is preparing a class on the various drugs used to treat erectile dysfunction. Which of the following would the nurse include?
The physician has prescribed testosterone for a 77-year-old client with a low testosterone level. The nurse will evaluate this client for what condition that may develop in this client in response to this medication?
Benign prostatic hypertrophy
The nurse knows that finasteride is used to treat prostatic hypertrophy and in smaller doses is used to treat what condition?
Male pattern baldness
A nurse should advise a female client beginning therapy with methyltestosterone (Testred) for the treatment of inoperable advanced breast carcinoma of which of the following adverse reactions? Select all that apply:
• Facial hair growth
A client is admitted to the hospital with benign prostatic hypertrophy, and the physician prescribed tamsulosin. The nurse knows that other drugs in this class of medications are used to treat which condition?
A client has been given a prescription for sildenafil (Viagra) for treatment of erectile dysfunction. The nurse will instruct the client to take this medication at what time prior to the onset of sexual intercourse?
You are a nurse teaching a class at the local high school on the abuse of anabolic steroids. One potential adverse reaction you should cite is
A client is using a transdermal system for androgen administration. Which drug would the client most likely be using?
The nurse is obtaining a history from a 23-year-old man. The nurse suspects that the client may be using DHEA if he displays which symptoms?
Androgen deficiency states are a major indicator for administration of anabolic steroids, which include all of the following except:
A young male patient, age 14, has been prescribed testosterone for delayed onset of puberty. Follow-up care includes a visit to the clinic at least every 6 months for ongoing assessment. It will be most important for the nurse to monitor which of the following?
The nurse determines that teaching about testosterone therapy via a transdermal patch is effective when the patient states that he will change the patch in which time frame?
A woman is diagnosed with pulmonary hypertension. The nurse explains the drug prescribed and the patient states, "That's a drug that used to treat erectile dysfunction." Which drug would this most likely be?
The nurse is preparing to apply testosterone gel (Androgel) to a male client who has a low testosterone level. What is the nurse's top priority action before administering this medication?
Put on gloves.
After reviewing the various methods for administering testosterone to client, the nurse indicates a need for additional review when the nurse identifies which route as appropriate?
Sildenafil may be used in women to treat which of the following?
pulmonary arterial hypertension
The nurse is aware that a client receiving which category of medication will not be prescribed vardenafil?
Which of the following would a nurse expect to occur with the administration of anabolic steroids?
Increased red blood cell mass
A 24-year-old female athlete is using high doses of anabolic steroids to enhance her performance. She may be at risk for which of the following conditions?
A nurse should advise a client beginning therapy with testosterone (Androderm) of which of the following adverse effects? Select all that apply:
• Fluid retention
• Male pattern baldness
Alprostadil is an androgen.
The nurse would instruct a client who is using a transdermal system for testosterone administration to apply a new patch at which frequency?
Using herbal or dietary supplements as safe, natural alternatives for building muscle may result in:
A client has been receiving long-term testosterone therapy. The nurse would expect to monitor which of the following?
Liver function studies
Mr. Craig, age 55, is seen by his family physician today for follow-up care. He was hospitalized 2 months ago for a myocardial infarction. Mr. Craig is taking the following medications: atenolol, Zetia, and Zestril. In addition to requesting a refill of his medication for his cardiac condition, he also asks for something to help with his erectile dysfunction, which has increased in severity over the last year. What would be the most appropriate response to Mr. Craig with regard to sildenafil?
Prior to being prescribed sildenafil, you will need to have a stress test.
What effect can administration of androgens have on fetal development?
A female fetus may experience masculinization.
Testosterone is injected directly into the corpus spongiosum.
Which of the following medications can be used to treat anemia? (Choose one)
Which of the following results with the administration of testosterone?
Decreased protein catabolism
A patient with delayed puberty has been advised to undertake Androderm transdermal therapy. Which of the following instructions should the nurse provide the patient to help promote an optimal response to this therapy?
Apply immediately after removing the cover.
After teaching a group of students about anabolic steroids, the instructor determines that the teaching was successful when the students identify which agent as an example?
Which of the following is an example of an androgen that can be used to treat hypogonadism? (Choose one)
Which of the following would be most important to assess in a patient receiving testosterone for a prolonged period of time?
Liver function studies
A nurse's pre-administration assessment for a client about the receive oxymetholone (Anadrol-50) should include which of the following? Select all that apply:
• Fasting lipid panel
• Hepatic function tests
A patient with erectile dysfunction is receiving an injection directly into the cavernosum. The nurse identifies this drug as which of the following?
A teenage client who is using testosterone to treat a hormone deficiency calls the clinic to complain of acne-like skin eruptions on the face. How should the nurse counsel this client?
Practice frequent and thorough skin cleansing
Matt, age 16, has been taking testosterone since age 7 for the treatment of hypogonadism. He is in the physician's office today for follow-up care. He asks about taking anabolic steroids instead of testosterone because he heard this will increase his growth. What is the primary difference between anabolic steroids and testosterone?
Anabolic steroids have a greater anabolic effect.
The physician has ordered alprostadil to a client who has erectile dysfunction. The nurse will instruct the client to administer this medication in what way?
Self-injection into the penis
An 80-year-old patient with chronic renal insufficiency is advised to undertake anabolic steroid therapy for the management of anemia associated with renal insufficiency. Which of the following risks increases in elderly patients undergoing anabolic steroid therapy?
Cancer of the prostate
The androgen, testosterone, is available in several dosage forms, in which of the following routes is testosterone not able to be given? (Choose one)
A woman has been prescribed anabolic steroids. What effect related to the administration of anabolic steroids will result?
A professional athlete has been self-administering anabolic steroids for years and has begun to have health issues. Which of the following body tissues are affected adversely by anabolic steroid use? Select all that apply.
• Central nervous system
• Reproductive system
Androgens are used as replacement therapy for hypergonadism.
Sid informs his physician that sildenafil therapy is not working for him. What is most likely to be the reason for this and needs to be carefully assessed for by the nurse?
Ingestion of high-fat meal along with the drug
A nurse is caring for patients receiving androgen therapy. For which of the following conditions may androgen therapy be given as replacement therapy? Select all that apply.
• Testosterone deficiency
• Delayed puberty
• Failure of development of the testes
Testosterone therapy would be recommended for all these patients except for:
Correct response: A 35-year-old male with erectile dysfunction due to diabetes mellitus
A nurse is working with a patient in the clinic who has erectile dysfunction. The patient has been prescribed sildenafil (Viagra). The patient wants to do everything he can to promote effectiveness of the drug. The nurse will instruct him to
avoid taking the drug with a high-fat meal.
A 30-year-old debilitated client is receiving anabolic steroids. Which of the following might the client experience?