Chapter 38: Gonadal Hormones

Chapter 38: Gonadal Hormones

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A female patient with a history of endometriosis presents with bilateral lower quadrant pain reportedly at midcycle. Which gonadal drug is indicated for treating symptoms of endometriosis?

ANS:  B

Progesterones are used to treat secondary amenorrhea, breakthrough uterine bleeding, and endometriosis. They may be combined with estrogens as contraceptives. Estrogen products are used for relieving the hot flash symptoms of menopause; for contraception; for hormone replacement therapy after an oophorectomy; in conjunction with appropriate diet, calcium, and physical therapy in the treatment of osteoporosis; for treatment of severe acne in females; and to slow the disease progress (and minimize discomfort) in patients with advanced prostatic cancer and certain types of breast cancer. Androgens are used to treat hypogonadism, eunuchism, androgen deficiency, and palliation of breast cancer in postmenopausal women with certain cell types of cancer. When androgens are used for palliation of cancer in women, they suppress cancer cell growth. Gonadotropin is a hormone secreted in the pituitary; it regulates the release of the gonadal hormones.

DIF:    Cognitive Level: Comprehension     REF:   Page 592        OBJ:   3

TOP:   Nursing Process Step: Assessment

MSC:  NCLEX Client Needs Category: Physiological Integrity

NOT:  CONCEPT(S): Clinical Judgment; Hormonal Regulation

2. What is the rationale for using an androgen as part of breast cancer treatment?

ANS:  D

When androgens are used for palliation of breast cancer in women, they suppress cancer cell growth. Androgens affect muscle growth, not fat stores. Estrogen affects fat stores. Although androgens may be used to stimulate appetite and improve nutrition, this is not the indication in this case. Although androgens may be used to prevent wasting, this is not the indication in this case.

DIF:    Cognitive Level: Comprehension     REF:   Page 593        OBJ:   2 | 3

TOP:   Nursing Process Step: Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity

NOT:  CONCEPT(S): Clinical Judgment; Hormonal Regulation; Cellular Regulation

3. The health of a patient receiving androgen therapy for breast cancer declines and she becomes bed bound. Which condition will this patient be at risk of developing?

ANS:  B

Immobilized patients receiving androgens for palliative breast cancer treatment are at risk for hypercalcemia. The nurse should monitor patients for nausea, vomiting, constipation, poor muscle tone, and lethargy. Immobilization does not affect electrolyte balance, blood glucose, or fluid balance in this case.

DIF:    Cognitive Level: Comprehension     REF:   Page 593        OBJ:   4

TOP:   Nursing Process Step: Assessment

MSC:  NCLEX Client Needs Category: Physiological Integrity

NOT:  CONCEPT(S): Clinical Judgment; Safety; Hormonal Regulation

4. Which patient on oral contraceptive therapy will be at greatest risk for heart attack?

ANS:  C

The incidence of fatal heart attacks is increased for women older than 35 years of age who use gonadal hormones and smoke. Osteoporosis, eczema, and cervical dysplasia do not increase risk for heart attack.

DIF:    Cognitive Level: Application           REF:   Pages 589-590

OBJ:   4                    TOP:   Nursing Process Step: Assessment

MSC:  NCLEX Client Needs Category: Physiological Integrity

NOT:   CONCEPT(S): Clinical Judgment; Hormonal Regulation; Safety