Nokea
A female client with inoperable advanced breast cancer is prescribed methyltestosterone. The nurse would be alert for the development of which of the following? Select all that apply.
- A. Amenorrhea
- B. Acne
- C. Facial hair growth
- D. Somnolence
- E. Mania
Correct Answer: A,B,C
Rationale: A nurse should advise a female client beginning therapy with methyltestosterone (Testred) for the treatment of inoperable advanced breast carcinoma of the following adverse reactions: amenorrhea, other menstrual irregularities, acne, male-pattern baldness, and virilization (facial hair growth, voice deepening, and clitoromegaly).
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A nurse suspects a client might be abusing anabolic steroids. Which of the following signs might a client exhibit that would indicate abuse of anabolic steroids? Select all that apply.
- A. Uncontrolled rage
- B. Jaundice
- C. Inability to concentrate
- D. Acne
- E. Severe depression
Correct Answer: A,B,C,D,E
Rationale: A client abusing anabolic steroids might exhibit the following signs: uncontrolled rage, severe depression, suicidal tendencies, malignant or benign liver tumors, aggressive behavior, inability to concentrate, personality changes, acne, jaundice, anorexia, male-pattern baldness, fluid and electrolyte imbalances, and muscle cramps.
A nurse is teaching a client about the use of estradiol (Estrace). The nurse wams the client of which of the following dermatologic reactions that may continue after drug discontinuation? Select all that apply.
- A. Dermatitis
- B. Stevens-Johnson syndrome
- C. Pruritus
- D. Chloasma
- E. Melasma
Correct Answer: D,E
Rationale: Chloasma and melasma are dermatologic reactions that can result from the use of estrogens, like estradiol (Estrace), and may continue when use of the drug is discontinued.
A nurse educating a client on Ortho Tri-Cyclen Lo should strongly caution the client not to smoke because smoking increases the risk of which of the following adverse events? Select all that apply
- A. Venous thromboembolism
- B. Arterial thromboembolism
- C. Hemorrhagic stroke
- D. Myocardial infarction
- E. Thrombotic stroke
Correct Answer: A,B,C,D,E
Rationale: Smoking while taking oral contraceptives, like Ortho Tri-Cyclen Lo, increases a client's risk for venous and arterial thromboembolism, myocardial infarction, and thrombotic and hemorrhagic stroke.
A nurse is caring for a client receiving norethindrone for endometriosis. After administering the drug, the nurse would assess the client for which of the following? Select all that apply.
- A. Breast tenderness
- B. Edema
- C. Somnolence
- D. Hyperglycemia
- E. Thinning hair
Correct Answer: A,B
Rationale: Adverse reactions associated with norethindrone, a progestin, include breast tenderness, edema, insomnia, breakthrough bleeding, weight changes, and acne. Hyperglycemia and thinning hair are not associated with norethindrone.
A nurse may be asked to administer androgen drugs to clients with which of the following medical conditions? Select all that apply.
- A. Anemia of renal insufficiency
- B. Hypogonadism
- C. Postmenopausal metastatic breast carcinoma
- D. Male-pattern baldness
- E. Benign prostatic hypertrophy
Correct Answer: B,C
Rationale: A nurse may be asked to administer androgen drugs to clients with the following medical conditions: testosterone deficiency, hypogonadism, delayed puberty, testosterone deficiency after puberty, postmenopausal metastatic breast carcinoma, and premenopausal, hormone-dependent metastatic breast carcinoma.