Nokea
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.
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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 group of nursing students are reviewing information about male and female hormones. The students demonstrate understanding of the information when they identify which of the following as an anabolic steroid? Select all that apply.
- A. Nandrologe
- B. Oxyrietholone
- C. Oxandrolone
- D. Testosterone
- E. Fluoxymesterone
Correct Answer: A,B,C
Rationale: Anabolic steroids include nandrolone, oxymetholone, and oxandrolone. Testosterone and fluoxymesterone are testosterones. Note: 'Nandrologe' and 'Oxyrietholone' appear to be misspellings in the original document; the correct terms are 'nandrolone' and 'oxymetholone.'
After reviewing the various contraceptive options with a client, the client opts for the etonogestrel/ethinyl estradiol vaginal ring. After teaching the client about this choice, the nurse determines that the teaching was effective when the client states which of the following?
- A. Once I insert the ring, it won't come out.
- B. The ring should stay in place for 3 weeks.
- C. When bleeding starts, that's the signal to change the ring.
- D. I can reuse the ring several times before discarding it.
Correct Answer: B
Rationale: When using the vaginal ring, the client should insert the ring and keep it in place for 3 weeks and then remove it on the same day of the week it was inserted. The ring can be expelled accidentally, such as with straining on defecation or removing a tampon. Typically, bleeding occurs once the ring is removed. The ring should be discarded after each use.
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 nurse is describing the action of estrogen in the female body to a client. Which of the following would the nurse include? Select all that apply.
- A. Diuresis
- B. Calcium and phosphorus conservation
- C. Thinning of the cervical mucus
- D. Protein catabolism
- E. Stimulation of fallopian tube contraction
Correct Answer: B,C,E
Rationale: The actions of estrogen on the female body include fluid retention, calcium and phosphorus conservation, protein anabolism, thinning of the cervical mucus, stimulation of fallopian tube contraction, growth of axillary and pubic hair, restoration of the endometrium after menstruation, and at puberty promotion of growth and development of the vagina, uterus, fallopian tubes, and breasts.