Chap 35 (Exam 3) Flashcards

1
Q

A 19 yr old college football player asks a nurse about taking steroids to help him “beef up” his muscles. Which is a true statement?
There should be no problems as long as he does not exceed the recommended dosage
Long-term use may cause a life-threatening liver condition
He would need to be careful to watch for excessive weight loss
These drugs also tend to increase the male’s sperm count

A

Long-term use may cause a life-threatening liver condition

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2
Q

In which situations would androgens be prescribed for a woman? Select all that apply:
Development of secondary sex characteristics
Fibrocystic breast disease
Ovarian cancer
Treatment of endometriosis
Postmenopausal osteoporosis prevention
Inoperable breast cancer

A

Fibrocystic breast disease
Treatment of endometriosis
Inoperable breast cancer

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3
Q

A patient will be receiving testosterone therapy for male hypogonadism and has a new prescription for transdermal testosterone (Testoderm). The nurse needs to include which teaching about the use of this medication?
Apply the patch only to the scrotum
Apply the patch to the chest, back or shoulders
If the adverse effects become bothersome, the patient should stop using the patch
The patch should be applied to a different area of the upper body each day

A

Apply the patch only to the scrotum

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4
Q
Before a patient begins therapy with finasteride (Proscar), the nurse should make sure that which laboratory test has been performed?
Blood glucose levels
Complete blood count
Urinalysis
Prostate-specific antigen (PSA) level
A

Prostate-specific antigen (PSA) level

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5
Q

A patient is taking finasteride (proscar) for the treatment of benign prostatic hyperplasia. His wife, who is 3 months pregnant, is worried about the adverse effects that may occur with this drug. Which statement by the nurse is most important at this time?
“Gastric upset may be reduced is he takes this drug on an empty stomach”
“He should notice therapeutic effects on increased libido and erection within 1 month”
“This medication should not even be handled by pregnant women because it may harm the fetus”
“He may experience transient hair loss while taking this medication”

A

“This medication should not even be handled by pregnant women because it may harm the fetus”

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6
Q
A male patient wants to know if there are any drugs that can be used for baldness. The nurse knows that which drug, in low dosages, is used for androgenetic alopecia in mean?
Finasteride (Propecia)
Vardenafil (Levitra)
Danazol (Danocrine)
Oxandrolone (Oxandrin)
A

Finasteride (Propecia)

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7
Q

A patient has asked for a new prescription for sildenafil (Viagra), an erectile dysfunction drug. As the nurse reviews his current medications, which drug, if taken by the patient, would cause a significant interaction?
Warfarin (Coumadin), an oral anticoagulant
Amoxicillin (Amoxil), an antibiotic
Esomeprazole (Nexium), a proton pump inhibitor
Isosorbide dinitrate (Isordil), a nitrate

A

Isosorbide dinitrate (Isordil), a nitrate

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8
Q
A patient has asked for a new prescription for finasteride (Proscar). The nurse will instruct the patient about which potential adverse effects? Select all that apply:
Loss of erection
Gynecomastia
Headaches
Increased libido
Ejaculatory dysfunction
A

Loss of erection
Gynecomastia
Ejaculatory dysfunction

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