Pharm 2. Chapter 41
Terms in this set (32)
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."
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."
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?
Testosterone is injected directly into the corpus spongiosum.
When fluoxymesterone is administered to a 14-year-old male for hypogonadism, what is the expected result?
Growth of sexual organs
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?
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 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."
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.
What potentially serious adverse effects do large doses of anabolic steroids produce? Select all that apply.
• Inability to stop taking the drug
• Metabolic disorders
Anabolic steroids are analogs of testosterone with increased protein building effects.
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?
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?
Which of the following would the nurse expect to administer as a depot injection?
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."
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
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 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
The nurse would instruct a client who is using a transdermal system for testosterone administration to apply a new patch at which frequency?
Which agent is available for use as a daily dose?
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 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?
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 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 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.
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
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
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 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
Using herbal or dietary supplements as safe, natural alternatives for building muscle may result in:
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
A patient is taking androgens and warfarin (Coumadin). What effect will these two medications have on the patient's coagulation?
Coagulation will be decreased.