Chapter 41  Drugs Affecting the Male Reproductive System

Chapter 41  Drugs Affecting the Male Reproductive System

Complete Chapter Questions And Answers
 

Sample Questions

1. A nurse is caring for an adolescent with hypogonadism who has been prescribed fluoxymesterone
(Androxy) for replacement. What adverse effect of this drug will the nurse alert the patient to that could
result in self-esteem concerns?

A) Acne

B) Dizziness

C) Insomnia

D) Fatigue

Ans: A

Feedback:

All these options are possible adverse effects of the drug. However, for the adolescent, acne is the only
one that could cause image concerns, which could lead to low self-esteem. Dizziness, insomnia, and
fatigue would not cause self-esteem concerns.

2. A postmenopausal patient has been diagnosed with breast cancer. The patient is being treated with
methyltestosterone (Testred). What assessment finding would the nurse suspect is a complication from
the medication?

A) Increased blood pressure

B) Jaundice

C) Weight loss

D) High-pitched voice

Ans: B

Feedback:

A potentially life-threatening effect of an androgen is hepatocellular cancer. Jaundice would indicate
that the liver function has been compromised. Usually weight gain and deepening of the voice are
adverse effects of this drug. An increase in blood pressure is not associated with methyltestosterone.

3. The nurse administers an androgen and assesses the patient for what action caused by this drug?

Test Bank – Focus on Nursing Pharmacology (7th Edition by Amy Karch) 668

A) Decreased production of red blood cells

B) Decreased protein anabolism

C) Increased protein catabolism

D) Increased retention of nitrogen

Ans: D

Feedback:

Androgens act to increase the retention of nitrogen, sodium, potassium, and phosphorous. They
increase production of red blood cells and protein anabolism and decrease protein catabolism.

4. An older male patient, who has difficulty swallowing pills and tablets, will begin taking an androgen.
What drug would the nurse identify as a good choice for this patient?

A) Danazol (Danocrine)

B) Fluoxymesterone (Androxy)

C) Methyltestosterone (Testred)

D) Testosterone (Androderm)

Ans: D

Feedback:

A good choice for this patient would be testosterone because the drug can be administered in long-
acting depository forms and by dermatologic patch. These forms would eliminate the need for the
patient to swallow a pill or tablet. The other options shown here are available only in oral form.

5. A 28-year-old female patient is taking danazol (Danocrine) as treatment for endometriosis. The patient
is upset about increased facial hair, a weight gain of 15 pounds, and a change in her voice; she
discusses her concerns with the nurse. What nursing diagnoses would be most appropriate for this
patient?

A) Acute pain related to need for injections

B) Deficient knowledge regarding drug therapy

C) Disturbed body image related to drug therapy

D) Sexual dysfunction related to androgenic effects

Ans: C

Feedback:

The patient is concerned about the way she looks and the sound of her voice. The most appropriate
nursing diagnosis would be disturbed body image. Danazol is not administered by injections; therefore,
acute pain would not be applicable. Sexual dysfunction and deficient knowledge would be possible
nursing diagnoses for this patient, but the concerns expressed by the patient fail to support these
diagnoses.