Chapter 65: Androgens

Chapter 65: Androgens

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A nurse provides teaching for a female patient with anemia who has had cancer chemotherapy and who will begin treatment with testosterone. Which statement by the patient indicates understanding of the teaching?

a.	“Facial hair may develop with this drug but will go away over time.”
b.	“I may experience an increase in breast size while taking this drug.”
c.	“Testosterone may increase my high-density lipoprotein (HDL) cholesterol and reduce my low-density lipoprotein (LDL) cholesterol.”
d.	“Testosterone treats anemia by stimulating the synthesis of a renal hormone.”

 

 

ANS:  D

Testosterone can be used to treat refractory anemias in men and women. It works by stimulating the synthesis of erythropoietin, a renal hormone that stimulates the production of red blood cells. Virilization effects can be permanent if the hormone is not withdrawn, so patients developing facial hair and other signs should be told to report this to the provider. Breast enlargement occurs in males taking this drug. Testosterone reduces HDL cholesterol and increases LDL cholesterol.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   pp. 789-790 | p. 792 | p. 795

TOP:   Nursing Process: Implementation

MSC:  NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies

 

2. A clinic nurse is assessing an adolescent male patient who has been receiving androgen therapy for hypogonadism via a transdermal patch. The patient’s last clinic visit was 4 weeks earlier. Which part of the interval history is of most concern to the nurse?

a.	Five-pound weight gain
b.	Increased growth of pubic hair
c.	Rash at the site of the patch
d.	Presence of acne

 

 

ANS:  A

Patients receiving testosterone may experience edema secondary to sodium and water retention. Treatment involves discontinuing the drug and giving diuretics if needed. Masculinization of both females and males may occur and boys may experience growth of pubic hair, which is an expected effect. Patients may develop a sensitivity rash at the site of transdermal application. Acne is an expected effect.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   p. 792

TOP:   Nursing Process: Evaluation

MSC:  NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential

 

3. An adult male patient will begin androgen therapy for testicular failure. Which statement by the patient indicates understanding of the treatment regimen?

a.	“I will need to have x-rays of my hands and feet every 6 months.”
b.	“My libido may improve while I am taking this medication.”
c.	“Taking this drug may lead to the development of prostate cancer.”
d.	“This will restore fertility, so I can have a child.”

 

 

ANS:  B

Treatment with androgen replacement therapy in patients with testicular failure helps to restore libido. A side effect of androgens is premature epiphyseal closure; this is not a concern in adults, so radiographs to evaluate this are not indicated. Androgens can promote the growth of prostate cancer when it occurs, but they do not cause it. Androgens do not restore fertility.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   pp. 789-790 | p. 792 | p. 795

TOP:   Nursing Process: Implementation

MSC:  NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies

 

4. A 14-year-old male patient has not begun puberty. His parents tell the nurse that their son does not want to go to school, because he gets teased. The nurse learns that the boy’s father did not begin puberty until age 16 years. Laboratory tests on this child do not reveal true hypogonadism. What will the nurse tell these parents when they ask what can be done for their son?

a.	“A limited course of androgen therapy may be prescribed, but it is not necessary.”
b.	“He will eventually begin puberty, so this is nothing to worry about.”
c.	“He will probably have to receive injections of androgens for 3 to 4 years.”
d.	“The risk of accelerated growth plate closure is too great to warrant androgen therapy.”

 

 

ANS:  A

Although treatment is not required in this patient, the psychologic effects of delayed puberty indicate a limited course of androgen therapy. Telling the parents not to worry does not address their concerns. This patient will not be a candidate for long-term androgen replacement therapy. Limited treatment can minimize the risk of epiphyseal closure, especially with close monitoring and radiographs.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   p. 790

TOP:   Nursing Process: Implementation

MSC:  NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies