Basic Pharmacology For Nurses,15th Edition by Bruce D. Clayton
Basic Pharmacology For Nurses,15th Edition by Bruce D. Clayton
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Chapter 39: Gonadal Hormones
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| A. | Estrogen |
| B. | Progesterone |
| C. | Androgens |
| D. | Gonadotropins |
ANS: B
| Feedback | |
| A | 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. |
| B | Progesterones are used to treat secondary amenorrhea, breakthrough uterine bleeding, and endometriosis. They may be combined with estrogens as contraceptives. |
| C | 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. |
| D | Gonadotropin is a hormone secreted in the pituitary; it regulates the release of the gonadal hormones. |
DIF: Cognitive Level: Comprehension REF: 605
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
| A. | For maintenance of fat stores |
| B. | To promote nutrition |
| C. | To prevent wasting associated secondary to cancer growth |
| D. | For palliative treatment to suppress cancer cell growth |
ANS: D
| Feedback | |
| A | Androgens affect muscle growth, not fat stores. Estrogen affects fat stores. |
| B | Although androgens may be used to stimulate appetite and improve nutrition, this is not the indication in this case. |
| C | Although androgens may be used to prevent wasting, this is not the indication in this case. |
| D | When androgens are used for palliation of breast cancer in women, they suppress cancer cell growth. |
DIF: Cognitive Level: Comprehension REF: 606
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
| A. | Electrolyte imbalances |
| B. | Hypercalcemia |
| C. | Hyperglycemia |
| D. | Fluid overload |
ANS: B
| Feedback | |
| A | Immobilization does not affect electrolyte balance. |
| 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. |
| C | Immobilization does not affect blood glucose in this case. |
| D | Immobilization does not affect fluid balance in this case. |
DIF: Cognitive Level: Comprehension REF: 606-607
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
| A. | 34-year-old woman with a history of osteoporosis |
| B. | 28-year-old woman with history of eczema |
| C. | 36-year-old woman who smokes half a pack per day |
| D. | 36-year-old woman who has a history of abnormal Pap smears |
ANS: C
| Feedback | |
| A | Osteoporosis does not increase risk for heart attack. |
| B | Eczema does not increase risk for heart attack. |
| C | The incidence of fatal heart attacks is increased for women older than 35 years of age who use gonadal hormones and smoke. |
| D | Cervical dysplasia does not increase risk for heart attack |
DIF: Cognitive Level: Application REF: 602
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
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