Nokea
An 80-year-old client with chronic renal insufficiency is prescribed anabolic steroid therapy for the management of anemia associated with renal insufficiency. The nurse understands that this client is at increased risk for which of the following?
- A. Hypoglycemic attacks
- B. Serious cardiac disease
- C. Hypotensive shock
- D. Cancer of the prostate
Correct Answer: D
Rationale: Elderly clients undergoing anabolic steroid therapy are at an increased risk of developing cancer of the prostate gland. Therefore, anabolic steroid therapy needs to be administered cautiously in these clients. Hypoglycemic attacks, serious cardiac disease, and hypotensive shock are not seen in elderly clients on anabolic steroid therapy.
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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.
A nurse is conducting a presentation for a young adult women's group about oral contraceptives and the risks. Which of the following would the nurse include as an increased risk?
- A. Fibrocystic breast disease
- B. Ovarian cysts
- C. Endometrial cancer
- D. Hepatic adenoma
Correct Answer: D
Rationale: The risks of hepatic adenoma may be increased with the use of oral contraceptives. Oral contraceptives also increase the risk of cardiovascular diseases, thromboembolic disorders, strokes, visual disturbances, gallbladder disease, hypertension, and fetal abnormalities. The risks of fibrocystic breast disease, ovarian cysts, and endometrial cancer are decreased, not increased, with the use of oral contraceptives.
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.
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 female client receiving fluoxymesterone for metastatic breast cancer is disturbed by the physical changes seen in her body. The nurse provides support to the client based on assessment of which of the following features the client is experiencing related to this therapy?
- A. Deepening of the voice
- B. Hypopigmentation of the skin
- C. Decrease in clitoris size
- D. Increase in body weight
Correct Answer: A
Rationale: Deepening of the voice may be seen as a feature of virilization following male hormone therapy in a female client. Virilization is the acquisition of male characteristics in the female. Other features of virilization include pigmentation, and not hypopigmentation, of the skin and an increase, not a decrease, in the size of the clitoris. An increase in body weight is not a sign of virilization. It may occur due to impaired nutrition of the body.