Chapter 57: Drugs for Men’s Health and Reproductive Disorders

Chapter 57: Drugs for Men’s Health and Reproductive Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A 50-year-old male patient reports having decreased libido and testicular atrophy. The nurse will anticipate that the provider may order which medication to treat these symptoms?

a.	Testosterone (Androderm)
b.	Finasteride (Proscar)
c.	Gonadotropin-releasing hormone (Gn-RH)
d.	Sildenafil (Viagra)

 

 

ANS:  A

Testosterone is given patients who have low testosterone, evidenced by decreased libido and testicular atrophy in adult men. Finasteride is given to treat benign prostatic hypertrophy. Gn-RH is used to inhibit testosterone production. Sildenafil is used to treat erectile dysfunction.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Pages 875-876

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

2. The nurse is teaching the parents of a boy who has inadequate pituitary function and delayed puberty about testosterone enanthate injections. Which statement by the parents indicates a need for further teaching?

a.	“He will need x-rays of his hands every 6 months.”
b.	“Injections will be given deep into his gluteal muscles.”
c.	“Sexual development will occur in 1 to 2 years.”
d.	“We should report urinary tract problems immediately.”

 

 

ANS:  C

It takes 3 to 4 years for sexual development to occur with androgen therapy for hypogonadism, so parents should be reminded of this. X-rays are needed every 6 months to assess bone age. Injections are given deep intramuscularly into gluteal muscles. Urinary tract problems can occur and should be reported.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 876

TOP:   NURSING PROCESS: Nursing Intervention: Patient Teaching

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

3. The nurse is instructing a patient about the buccal muco-adhesive testosterone system (Striant) to treat low testosterone. What information will the nurse include when teaching this patient about this drug?

a.	“If the product slides out of position more than 4 hours before the next dose, replace it with a new system.”
b.	“Place the flattened surface against the gum and hold it firmly in place for 30 seconds.”
c.	“The product may be swallowed after it has been in place for at least 4 hours.”
d.	“To remove the product, slide it upwards away from the tooth until it releases.”

 

 

ANS:  A

If the product falls off within the 12-hour dosing interval or falls out of position within 4 hours of the next dose, it should be discarded and a new product applied. The rounded surface should be placed against the gum. The product should not be swallowed. The product should be removed by sliding downwards toward the tooth.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   Page 876

TOP:   NURSING PROCESS: Nursing Intervention: Patient Teaching

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

4. The nurse provides teaching to a man who will begin using an Androderm testosterone patch. Which statement by the patient indicates understanding of the teaching?

a.	“I may stop using Androderm when my serum testosterone is normal.”
b.	“I should apply this to any skin other than the scrotum or bony areas.”
c.	“I will apply two skin patches every morning after a shower.”
d.	“My serum testosterone will continue to rise with each day of use.”

 

 

ANS:  B

Androderm should be applied to any intact skin other than the scrotum or over a bony area. When the medication is withdrawn, testosterone levels will drop. The patient should apply two patches every day at 10 PM. The first day of use results in serum testosterone levels in the normal range, and serum levels do not accumulate with continued use.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 876

TOP:   NURSING PROCESS: Nursing Intervention: Patient Teaching

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies