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Chapter 41: Drugs Affecting The Male Reproductive System
Terms in this set (44)
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?
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.
Anabolic steroids are analogs of testosterone with increased protein building effects.
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
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
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?
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 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?
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."
Carter, age 13, is prescribed testosterone for delayed onset of puberty. What is a priority when monitoring the prepubescent?
A client is using a transdermal system for androgen administration. Which drug would the client most likely be using?
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
When fluoxymesterone is administered to a 14-year-old male for hypogonadism, what is the expected result?
Growth of sexual organs
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 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?
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?
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
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 client is receiving androgen therapy. Which of the following would cause the nurse the greatest concern?
Elevated liver enzyme levels
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 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
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?
A client has been receiving long-term testosterone therapy. The nurse would expect to monitor which of the following?
Liver function studies
The nurse is instructing a client who will be taking finasteride for treatment of benign prostatic hypertrophy and gives the client information about which possible sexual side effects?
• Reduced libido
• Decreased volume of ejaculate
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?
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."
Testosterone is injected directly into the corpus spongiosum.
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?
The nurse is discussing testosterone replacement with a client and instructs the client that this medication is not available in what formulation?
A nurse is instructing a client about vardenafil. The nurse would instruct the client to take the drug how many minutes before sexual stimulation?
Which agent is available for use as a daily dose?
A patient with erectile dysfunction is receiving an injection directly into the cavernosum. The nurse identifies this drug as which of the following?
The nurse would instruct a client who is using a transdermal system for testosterone administration to apply a new patch at which frequency?
From puberty onward, androgens continue to aid in the development and maintenance of secondary sex characteristics that include which of the following?
• Body fat distribution
• Body hair
• Muscle development
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?
• Uncontrolled rage
• Inability to concentrate
• Severe depression
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.
A client is receiving a medication that has androgenic effects. Which of the following would the nurse expect to assess?
The nurse knows that finasteride is used to treat prostatic hypertrophy and in smaller doses is used to treat what condition?
Male pattern baldness
The nurse is aware that a client receiving which category of medication will not be prescribed vardenafil?
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?
• Central nervous system
• Reproductive system
A nurse may be asked to administer androgen drugs to clients with which of the following medical conditions?
• Postmenopausal metastatic breast carcinoma
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 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?