Nokea
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.
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When completing the ongoing assessment of clients receiving estrogen, progestin, or combination products, which of the following would the nurse include? Select all that apply.
- A. Blood pressure
- B. Pulse
- C. Respiratory rate
- D. Temperature
- E. Therapeutic effects
Correct Answer: A,B,C,E
Rationale: The nurse's ongoing assessment of clients receiving estrogen, progestin, or combination products should include blood pressure, pulse, respiratory rate, weight, and questioning about adverse effects and therapeutic effects.
A client taking oral contraceptive drugs complains of occasional bloating of the abdomen. Which of the following instructions should the nurse offer the client to help alleviate the condition?
- A. Limit fluid intake with meals.
- B. Take the drug along with food.
- C. Decrease the intake of salt.
- D. Elevate the legs when sitting.
Correct Answer: A
Rationale: The nurse should instruct the client to limit fluid intake with meals if she experiences bloating of the abdomen after oral contraceptive use. Light to moderate exercise also may be helpful. Taking the drug with food alleviates nausea and GI irritation, and not the bloating of the abdomen. A decrease in salt intake causes a decrease in the intake of sodium, which may be beneficial when there is an excess fluid volume, and not when there is bloating of the abdomen. Elevating the legs when sitting prevents thromboembolism seen with oral contraceptive use. It does not prevent bloating of the abdomen.
A female client is prescribed norethindrone (Aygestin) The nurse understands that this drug is indicated for which of the following? Select all that apply.
- A. Treatment of amenorrhea
- B. Treatment of edema
- C. Treatment of endometriosis
- D. Pregnancy prevention
- E. Prevention of estrogen-dependent breast carcinoma
Correct Answer: A,C,D
Rationale: Progestins, like norethindrone (Aygestin), are used to treat amenorrhea, endometriosis, and functional uterine bleeding and to prevent pregnancy.
A nurse is developing a teaching plan for a client who is prescribed testosterone gel. The nurse instructs the client to apply the gel to which location? Select all that apply.
- A. Shoulders
- B. Upper arms
- C. Abdomen
- D. Thighs
- E. Groin
Correct Answer: A,B,C
Rationale: Testosterone gel (AndroGel) is applied once daily (preferably in the morning) to clean, dry, intact skin of the shoulders, upper arms, or abdomen.
A client with delayed puberty has been advised to undertake transdermal androgen therapy, Androderm. Which of the following instructions should the nurse provide the client to help promote an optimal response to this therapy?
- A. Apply the Androderm to the underside of the scrotum.
- B. Repeat the application to the scrotum after 3 days.
- C. Moisten the skin before the application.
- D. Apply immediately after removing the cover.
Correct Answer: D
Rationale: Applying the system immediately after opening the pouch and removing the protective cover may help obtain an optimal response to the transdermal androgen delivery system. The drug should not be applied to the underside of the scrotum. It is applied to clean, dry skin on the abdomen, thigh, back, or upper arm. Thus, the skin should not be moistened before the application; rather, it should be dry. Seven days should be allowed between applications to a specific site, and application to the same site should not be repeated after 3 days.