Adams4e Tif Ch46

Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 4/E Chapter 46
Question 1 Type: MCSA The nursing instructor teaches student nurses about male reproductive function and the role of follicle-stimulating hormone (FSH). The instructor evaluates learning has occurred hen the students ma!e hich statement" 1. #Follicle-stimulating hormone (FSH) regulates sperm production.# 2. #Follicle-stimulating hormone (FSH) regulates male androgen production.# 3. #Follicle-stimulating hormone (FSH) regulates production of testosterone.# 4. #Follicle-stimulating hormone (FSH) regulates male progesterone.# Correct Answer: $ ationa!e 1% Follicle-stimulating hormone (FSH) regulates sperm production in men. ationa!e 2% Androgens are male se& hormones not regulated b' follicle-stimulating hormone (FSH). ationa!e 3% . Testosterone is regulated b' luteini(ing hormone ()H)* not follicle-stimulating hormone (FSH). ationa!e 4% Follicle-stimulating hormone (FSH) does not regulate progesterone in men. "!o#a! ationa!e: Co$niti%e &e%e!: Anal'(ing C!ient 'eed: +h'siological ,ntegrit' C!ient 'eed (u#: +h'siological Adaptation 'ursin$/)nte$rated Concepts: -ursing +rocess% .valuation &earnin$ *utcome: /0-$ Question 2 Type: MCSA The student nurse is preparing to administer a high dose of androgen to the female client. The nursing instructor as!s for the rationale. 1hat is the best response b' the student" 1. #M' client ants to improve athletic performance.# 2. #M' client has breast cancer.# 3. #M' client has brain cancer.#
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, /2. Cop'right 34$/ b' +earson .ducation* ,nc.
4. #M' client is planning on se&ual reassignment surger'.# Correct Answer: 3 ationa!e 1% Androgens ill help ith athletic performance* but this is not the reason the drug ould be administered in a clinical setting. ationa!e 2% High doses of androgens are occasionall' used as a palliative measure to treat certain t'pes of breast cancer. ationa!e 3% Androgens ould not have an' effect on brain cancer. ationa!e 4% Se&ual reassignment surger' ould not be the reason for the drug to be administered in a clinical setting. "!o#a! ationa!e: Co$niti%e &e%e!: Anal'(ing C!ient 'eed: +h'siological ,ntegrit' C!ient 'eed (u#: +harmacological and +arenteral Therapies 'ursin$/)nte$rated Concepts: -ursing +rocess% ,mplementation &earnin$ *utcome: /0-3 Question 3 Type: MCSA A male client is considered infertile. He as!s the nurse h' drug companies aren5t developing drugs to treat this problem. 1hat is the best response b' the nurse" 1. #,t5s difficult because the medications have man' side effects that men do not li!e.# 2. #,t5s difficult because about 367 of infertile men also have erectile d'sfunction.# 3. #,t5s difficult because onl' about 67 of infertile men have an endocrine problem.# 4. #,t5s difficult because man' men do not ant to even admit the' have a problem.# Correct Answer: 8 ationa!e 1% All medications have side effects* but if the' ere successful in treating infertilit'* men ould use them. ationa!e 2% .rectile d'sfunction is not considered a prominent problem in male infertilit'. ationa!e 3% 9rug therap' for male infertilit' is not as successful as fertilit' pharmacotherap' for omen* because onl' about 67 of infertile males have an endocrine disorder* hich ould be more treatable. ationa!e 4% Men are illing to admit to a problem* but male infertilit' is difficult to treat.
"!o#a! ationa!e: Co$niti%e &e%e!: Anal'(ing C!ient 'eed: +h'siological ,ntegrit' C!ient 'eed (u#: +harmacological and +arenteral Therapies 'ursin$/)nte$rated Concepts: -ursing +rocess% ,mplementation &earnin$ *utcome: /0-/ Question 4 Type: MCSA The client receives androgen therap' and is concerned about recent bod' changes as a result of the therap'. He tells the nurse he is not sure if the treatment is orth it. 1hat is the best therapeutic response b' the nurse" 1. #:ou sound concerned; ,5ll as! 'our doctor if an'thing can be done.# 2. #:ou sound concerned; let5s tal! about 'our bod' changes.# 3. #:ou sound concerned* but the effects on 'our bod' are onl' temporar'.# 4. #:ou sound concerned* but 'ou reall' do not loo! an' different to me.# Correct Answer: 3 ationa!e 1% Telling the client the nurse ill spea! to the ph'sician is inappropriate* as there ma' be nothing that can be done to correct the results of the therap'. ationa!e 2% For the conversation to be therapeutic* the nurse must first assess the client5s perception of the problem. ationa!e 3% The effects last throughout the course of therap' and are not temporar'. ationa!e 4% Telling the client he does not loo! an' different does not ac!no ledge his concerns and is nontherapeutic. "!o#a! ationa!e: Co$niti%e &e%e!: Appl'ing C!ient 'eed: +h'siological ,ntegrit' C!ient 'eed (u#: +harmacological and +arenteral Therapies 'ursin$/)nte$rated Concepts: -ursing +rocess% ,mplementation &earnin$ *utcome: /0-3 Question + Type: MCSA
A male client comes to the emergenc' department complaining of nocturia and nonspecific fullness in the lo er pelvic region. 1hat is the best assessment <uestion for the nurse to as! the client" 1. #Are 'ou constipated"# 2. #Are 'ou se&uall' active"# 3. #Ho old are 'ou"# 4. #9o 'ou ta!e dail' sho ers"# Correct Answer: 8 ationa!e 1% Constipation could cause the feeling of fullness* but not the nocturia. ationa!e 2% The se&ual activit' of the client ma' be important* but this <uestion ould not be specific enough. ationa!e 3% The age of the client ould help determine the etiolog' of the problem; these are common s'mptoms of benign prostatic h'perplasia (=+H). ationa!e 4% As!ing about dail' h'giene is not an issue at this time. "!o#a! ationa!e: Co$niti%e &e%e!: Anal'(ing C!ient 'eed: +h'siological ,ntegrit' C!ient 'eed (u#: +h'siological Adaptation 'ursin$/)nte$rated Concepts: -ursing +rocess% Assessment &earnin$ *utcome: /0-0 Question 6 Type: MCSA The nurse plans medication education for a client ho receives a prescription for sildenafil (>iagra). 1hat ill the best plan b' the nurse include" 1. ?rapefruit @uice ill decrease the effects of sildenafil (>iagra). 2. :ou can ta!e sildenafil (>iagra) an' here from $ to 0 hours before se&. 3. =e sure to ta!e onl' one pill in a 3/-hour period. 4. Sildenafil (>iagra) should be ta!en ith food. Correct Answer: 8 ationa!e 1% ?rapefruit @uice can lead to increased* not decreased* levels of sildenafil (>iagra).
ationa!e 2% The optimum time for administration is $ hour before se&* but it can be ta!en up to / hours before se&. ationa!e 3% Ta!ing onl' one pill in a 3/-hour period is the recommended dosing for sildenafil (>iagra). ationa!e 4% Sildenafil (>iagra) should be ta!en on an empt' stomach* not ith food. "!o#a! ationa!e: Co$niti%e &e%e!: Appl'ing C!ient 'eed: +h'siological ,ntegrit' C!ient 'eed (u#: +harmacological and +arenteral Therapies 'ursin$/)nte$rated Concepts: -ursing +rocess% ,mplementation &earnin$ *utcome: /0-A Question , Type: MCSA A client has benign prostatic h'perplasia (=+H) and h'pertension. 1hich medication could the client safel' receive for h'pertension" 1. Tera(osin (H'trin) 2. Sildenafil (>iagra) 3. Finasteride (+roscar) 4. Tamsulosin (Floma&) Correct Answer: $ ationa!e 1% Tera(osin (H'trin) is an alpha$-adrenergic bloc!er that rela&es smooth muscle in the prostate* and can also reduce blood pressure. ationa!e 2% Sildenafil (>iagra) has no effect on benign prostatic h'pertroph'. ationa!e 3% Finasteride (+roscar) has no effect on blood pressure. ationa!e 4% Tamsulosin (Floma&) can cause severe h'potension* but is not used for routine blood pressure management. "!o#a! ationa!e: Co$niti%e &e%e!: Appl'ing C!ient 'eed: +h'siological ,ntegrit' C!ient 'eed (u#: +harmacological and +arenteral Therapies 'ursin$/)nte$rated Concepts: -ursing +rocess% ,mplementation
&earnin$ *utcome: /0-0 Question Type: MCSA The nurse is assessing a client and notes that he is receiving finasteride (+roscar). The client denies having an' histor' of a significant prostate disorder. 1hat is the best assessment <uestion for the nurse to as! at this time" 1. #9o 'ou have male pattern baldness"# 2. #9o 'ou have erectile d'sfunction"# 3. #9o 'ou have a stomach ulcer"# 4. #9o 'ou have high blood pressure"# Correct Answer: $ ationa!e 1% Finasteride (+roscar) is also sold as +ropecia* hich is used to promote hair gro th. ationa!e 2% Finasteride (+roscar) is not indicated for erectile d'sfunction. ationa!e 3% Finasteride (+roscar) is not indicated for stomach ulcers. ationa!e 4% Finasteride (+roscar) is not indicated for high blood pressure. "!o#a! ationa!e: Co$niti%e &e%e!: Anal'(ing C!ient 'eed: +h'siological ,ntegrit' C!ient 'eed (u#: +harmacological and +arenteral Therapies 'ursin$/)nte$rated Concepts: -ursing +rocess% Assessment &earnin$ *utcome: /0-A Question . Type: MCMA The nurse plans to teach a class on anabolic steroids to a group of high school athletes. 1hat ill the best plan b' the nurse include" Note: Credit will be given only if all correct choices and no incorrect choices are selected. (tandard Te/t: Select all that appl'. 1. The use of anabolic steroids can lead to infertilit'. 2. :our entire bod' is affected b' anabolic steroids* especiall' 'our liver.
3. The use of anabolic steroids is the most effective a' to increase muscle mass. 4. The use of anabolic steroids should be monitored b' 'our doctor. +. The use of anabolic steroids can lead to ver' aggressive behavior. Correct Answer: $*3*6 ationa!e 1% The use of anabolic steroids can lead to infertilit'. ationa!e 2% The entire bod' is affected b' anabolic steroids* and the' can lead to liver damage. ationa!e 3% 1eight training can effectivel' build muscle mass. ationa!e 4% Anabolic steroids are illegal* so their use ould not be monitored b' a ph'sician. ationa!e +% =ehavioral changes* including aggression* are associated ith anabolic steroids. "!o#a! ationa!e: Co$niti%e &e%e!: Anal'(ing C!ient 'eed: +h'siological ,ntegrit' C!ient 'eed (u#: +harmacological and +arenteral Therapies 'ursin$/)nte$rated Concepts: -ursing +rocess% +lanning &earnin$ *utcome: /0-8 Question 10 Type: MCMA A male client has erectile d'sfunction. 1hich s'stems should be assessed that could contribute to the erectile d'sfunction" Note: Credit will be given only if all correct choices and no incorrect choices are selected. (tandard Te/t: Select all that appl'. 1. Cardiovascular 2. ,ntegumentar' 3. .ndocrine 4. -ervous +. Benal Correct Answer: $*8*/*6
ationa!e 1% Cardiovascular disorders can contribute to .9. ationa!e 2% 9isorders of the integumentar' s'stem are unli!el' to contribute to .9. ationa!e 3% .ndocrine disorders contribute to .9. ationa!e 4% +enile erection has both neuromuscular and vascular components. ationa!e +% Cidne' disorders ma' contribute to .9. "!o#a! ationa!e: Co$niti%e &e%e!: Anal'(ing C!ient 'eed: +h'siological ,ntegrit' C!ient 'eed (u#: +h'siological Adaptation 'ursin$/)nte$rated Concepts: -ursing +rocess% Assessment &earnin$ *utcome: /0-6 Question 11 Type: MCSA The client has been prescribed do&a(osin (Cardura). 1hat teaching should the nurse provide" 1. Ta!e 'our first dose as soon as 'ou get 'our prescription at the pharmac'. 2. 9o not drive for $3-3/ hours after starting this medication. 3. :ou ma' e&perience s eating and a headache hile ta!ing this medication. 4. ,ncrease fluids ith this medication. Correct Answer: 3 ationa!e 1% The first dose should not be ta!en at the pharmac'. ationa!e 2% 9o&a(osin ma' cause Dfirst doseE phenomenon hich results in a greater initial drop in =+ than ith subse<uent doses. The client should not drive for $3-3/ hours until this effect has passed. ationa!e 3% 9o&a(osin (Cardura) does not cause diaphoresis or headache. ationa!e 4% There is no reason to encourage fluids. "!o#a! ationa!e: Co$niti%e &e%e!: Anal'(ing C!ient 'eed: +h'siological ,ntegrit' C!ient 'eed (u#: +harmacological and +arenteral Therapies
'ursin$/)nte$rated Concepts: -ursing +rocess% ,mplementation &earnin$ *utcome: /0-F Question 12 Type: MCSA The client comes to the clinic and as!s for a prescription for tadalafil (Cialis). 1hat is a priorit' assessment <uestion for the nurse to as!" 1. #9o 'ou have diabetes mellitus"# 2. #9o 'ou have an' se&uall' transmitted diseases"# 3. #9o 'ou use nitrogl'cerine"# 4. #9o 'ou ta!e blood pressure medication"# Correct Answer: 8 ationa!e 1% Having diabetes mellitus is not a contraindication to the use of tadalafil (Cialis). ationa!e 2% Having a se&uall' transmitted disease is not a contraindication to the use of tadalafil (Cialis). ationa!e 3% Combining tadalafil (Cialis) ith nitrogl'cerine can lead to serious h'potension. ationa!e 4% Ta!ing blood pressure medication is not a contraindication to the use of tadalafil (Cialis). "!o#a! ationa!e: Co$niti%e &e%e!: Anal'(ing C!ient 'eed: +h'siological ,ntegrit' C!ient 'eed (u#: +harmacological and +arenteral Therapies 'ursin$/)nte$rated Concepts: -ursing +rocess% Assessment &earnin$ *utcome: /0-F Question 13 Type: MCMA The nurse has completed medication education for the client receiving dana(ol (9anocrine). The nurse evaluates learning has been effective hen the client ma!es hich statements" Note: Credit will be given only if all correct choices and no incorrect choices are selected. (tandard Te/t: Select all that appl'. 1. #, ma' develop acne hile on this medication.#
2. #, need to eigh m'self t ice ee!l'.# 3. #This medication ma' cause m' hair to thin.# 4. #, need to have m' serum cholesterol levels chec!ed fre<uentl'.# +. #, ma' notice that m' breasts enlarge hile ta!ing this medication.# Correct Answer: $*3*/*6 ationa!e 1% Acne is a fre<uent adverse effect of androgens such as dana(ol. ationa!e 2% Testosterone can cause salt retention leading to ater retention* so the client should eigh herself t ice a ee!. ationa!e 3% An adverse effect of dana(ol and other androgen products is hirsutism. ationa!e 4% Testosterone therap' can increase cholesterol levels and lead to cardiovascular disease* so serum cholesterol levels must be monitored. ationa!e +% ?'necomastia is an adverse effect of dana(ol and other androgens. "!o#a! ationa!e: Co$niti%e &e%e!: Anal'(ing C!ient 'eed: +h'siological ,ntegrit' C!ient 'eed (u#: +harmacological and +arenteral Therapies 'ursin$/)nte$rated Concepts: -ursing +rocess% .valuation &earnin$ *utcome: /0-F Question 14 Type: MCSA A male client has been prescribed finasteride (+roscar). 1hich medication education should the nurse provide" 1. D+regnant omen should not touch this medication.E 2. DThis drug has onl' ver' minor side effects.E 3. D:ou should e&perience effects of this drug ithin $ ee! of starting treatment.E 4. DS allo this medication hole ith a full glass of ater.E Correct Answer: $ ationa!e 1% Finasteride (+roscar) ma' be absorbed through the s!in and cause damage to a male fetus.
ationa!e 2% Finasteride (+roscar) ma' cause impotence* impaired fertilit'* diminished libido* and e@aculator' d'sfunction. Gther minor effects include headache* rash* di((iness* and asthenia. ationa!e 3% ,t ma' ta!e 8-0 months for ma&imum effect of this medication. ationa!e 4% Finasteride (+roscar) ma' be crushed for oral administration. "!o#a! ationa!e: Co$niti%e &e%e!: Anal'(ing C!ient 'eed: +h'siological ,ntegrit' C!ient 'eed (u#: +harmacological and +arenteral Therapies 'ursin$/)nte$rated Concepts: -ursing +rocess% ,mplementation &earnin$ *utcome: /0-A Question 1+ Type: MCSA The client receives an androgen medication. 1hat laborator' test does the nurse plan to assess" 1. Hemoglobin and hematocrit 2. =lood urea nitrogen levels 3. Serum magnesium 4. Cardiac en('mes Correct Answer: $ ationa!e 1% An adverse effect of androgens is pol'c'themia* so hemoglobin and hematocrit should be monitored in this client. ationa!e 2% Androgens do not affect =H-. ationa!e 3% Androgens do not affect magnesium levels. ationa!e 4% Androgens do not cause m'ocardial infarction. "!o#a! ationa!e: Co$niti%e &e%e!: Appl'ing C!ient 'eed: +h'siological ,ntegrit' C!ient 'eed (u#: +harmacological and +arenteral Therapies 'ursin$/)nte$rated Concepts: -ursing +rocess% +lanning &earnin$ *utcome: /0-3
Question 16 Type: MCSA The primar' function of follicle-stimulating hormone (FSH) in men is to 1. regulate sperm production. 2. regulate secondar' se& characteristics. 3. regulate gro th of male se& organs. 4. regulate testosterone. Correct Answer: $ ationa!e 1% FSH regulates sperm. ationa!e 2% Testosterone regulates secondar' se& characteristics. ationa!e 3% Androgen regulates gro th of male se& organs. ationa!e 4% )uteini(ing hormone regulates testosterone. "!o#a! ationa!e: Co$niti%e &e%e!: Bemembering C!ient 'eed: +h'siological ,ntegrit' C!ient 'eed (u#: +h'siological Adaptation 'ursin$/)nte$rated Concepts: -ursing +rocess% Assessment &earnin$ *utcome: /0-$ Question 1, Type: MCSA Androgen is secreted b' 1. follicle-stimulating hormone. 2. gonadotropin-releasing hormone. 3. the testes. 4. the pituitar' gland. Correct Answer: 8 ationa!e 1% The pituitar' releases follicle-stimulating hormone.
ationa!e 2% ?onadotropin is released from the h'pothalamus. ationa!e 3% Androgen is secreted b' the testes. ationa!e 4% The pituitar' releases follicle-stimulating hormone. "!o#a! ationa!e: Co$niti%e &e%e!: Bemembering C!ient 'eed: +h'siological ,ntegrit' C!ient 'eed (u#: 'ursin$/)nte$rated Concepts: &earnin$ *utcome: /0-$ Question 1Type: MCSA The goal of androgen therap' in men is to 1. decrease the libido. 2. release follicle-stimulating hormone. 3. increase luteini(ing hormone. 4. increase the libido. Correct Answer: / ationa!e 1% Androgens do not decrease the libido. ationa!e 2% Androgens do not release FSH. ationa!e 3% Androgens do not increase luteini(ing hormone. ationa!e 4% Androgen therap' increases the libido and treats erectile d'sfunction. "!o#a! ationa!e: Co$niti%e &e%e!: Hnderstanding C!ient 'eed: +h'siological ,ntegrit' C!ient 'eed (u#: +harmacological and +arenteral Therapies 'ursin$/)nte$rated Concepts: -ursing +rocess% +lanning &earnin$ *utcome: /0-3 Question 1. Type: MCSA
The drug that ill most li!el' be used for treatment of erectile d'sfunction (.9) is 1. leuprolide ()upron). 2. finasteride (+roscar). 3. tamsulosin (Floma&). 4. sildenafil (>iagra). Correct Answer: / ationa!e 1% )euprolide is an androgen used in high doses for prostate cancer. ationa!e 2% Finasteride is used for benign prostatic h'pertroph'. ationa!e 3% Tamsulosin is used for benign prostatic h'pertroph'. ationa!e 4% Sildenafil is an agent for .9. "!o#a! ationa!e: Co$niti%e &e%e!: Hnderstanding C!ient 'eed: +h'siological ,ntegrit' C!ient 'eed (u#: +harmacological and +arenteral Therapies 'ursin$/)nte$rated Concepts: -ursing +rocess% +lanning &earnin$ *utcome: /0-6 Question 20 Type: MCSA A client ith benign prostatic h'perplasia is to receive finasteride (+roscar). The nurse understands that this drugs or!s b' 1. rela&ing smooth muscle in the penis. 2. promoting shrin!age of an enlarged prostate gland. 3. increasing testosterone. 4. stimulating B-A s'nthesis. Correct Answer: 3 ationa!e 1% Agents for .9* such as phosphodiesterase-6 inhibitors* rela& smooth muscle in the penis. ationa!e 2% 6-alpha reductase inhibitors promote shrin!age of the prostate gland.
ationa!e 3% Androgens increase testosterone. ationa!e 4% Androgens stimulate B-A s'nthesis. "!o#a! ationa!e: Co$niti%e &e%e!: Hnderstanding C!ient 'eed: +h'siological ,ntegrit' C!ient 'eed (u#: +harmacological and +arenteral Therapies 'ursin$/)nte$rated Concepts: -ursing +rocess% ,mplementation &earnin$ *utcome: /0-A Question 21 Type: MCSA 1hich of the follo ing is an adverse effect of 6-alpha reductase inhibitors" 1. Headache 2. Acne 3. Se&ual d'sfunction 4. Chest pain Correct Answer: 8 ationa!e 1% Headache is common ith phosphodiesterase-6 inhibitors. ationa!e 2% Acne is an adverse effect of androgens. ationa!e 3% Se&ual d'sfunction is common ith 6-alpha reductase inhibitors. ationa!e 4% Chest pain is an adverse effect of phosphodiesterase-6 inhibitors. "!o#a! ationa!e: Co$niti%e &e%e!: Bemembering C!ient 'eed: +h'siological ,ntegrit' C!ient 'eed (u#: +harmacological and +arenteral Therapies 'ursin$/)nte$rated Concepts: &earnin$ *utcome: /0-A Question 22 Type: MCMA
1hich comments ould the nurse interpret as indicating that a high school athlete understands the ris!s of using anabolic steroids" Note: Credit will be given only if all correct choices and no incorrect choices are selected. (tandard Te/t: Select all that appl'. 1. DThe onl' legal a' , can ta!e these drugs is if , in@ect them m'self.E 2. DGnce , stop ta!ing these drugs* m' bod' ill return to normal.E 3. DAs long as m' coach sa's these drugs are o!a'* the' onIt hurt me.E 4. D, might become mentall' dependent on these drugs.E +. D,f , ta!e ibuprofen ith these drugs it ill protect me from bad side effects.E Correct Answer: / ationa!e 1% Self-in@ection does not ma!e the use of steroids legal. ationa!e 2% The effects of anabolic steroids often last long after the drug is discontinued. ationa!e 3% Coaches are not the e&perts on the use of anabolic steroids and their effects on the bod'. Beputable coaches should not tolerate the use of these drugs. ationa!e 4% +s'chologic dependence is possible ith use of anabolic steroids. ationa!e +% ,buprofen use could result in additive liver damage. "!o#a! ationa!e: Co$niti%e &e%e!: Anal'(ing C!ient 'eed: +h'siological ,ntegrit' C!ient 'eed (u#: +harmacological and +arenteral Therapies 'ursin$/)nte$rated Concepts: -ursing +rocess% .valuation &earnin$ *utcome: /0.8 Question 23 Type: MCMA A clientIs sperm sample anal'sis reveals a(oospermia. The nurse ould as! about the presence of hich diseases in the clientIs histor'" Note: Credit will be given only if all correct choices and no incorrect choices are selected. (tandard Te/t: Select all that appl'.
1. Se&uall' transmitted infections 2. .rectile d'sfunction 3. Mumps 4. Tuberculosis +. Atherosclerosis Correct Answer: $*8*/ ationa!e 1% ST,s are a common cause of obstruction of the vas deferens hich ould result in sperm not passing into the e@aculate. ationa!e 2% .9 ould not result in a(oospermia. ationa!e 3% Mumps and other infections ma' result in bloc!age of the vas deferens hich ould prevent the passage of sperm into the e@aculate. ationa!e 4% ,nfections such as chronic T= ma' result in obstruction of the vas deferens hich could result in a(oospermia. ationa!e +% Atherosclerosis is more li!el' to be a reason for erectile d'sfunction. "!o#a! ationa!e: Co$niti%e &e%e!: Appl'ing C!ient 'eed: +h'siological ,ntegrit' C!ient 'eed (u#: +h'siological Adaptation 'ursin$/)nte$rated Concepts: -ursing +rocess% Assessment &earnin$ *utcome: /0./ Question 24 Type: MCMA A client has been prescribed testosterone. 1hich medication education should the nurse provide" Note: Credit will be given only if all correct choices and no incorrect choices are selected. (tandard Te/t: Select all that appl'. 1. D+lace the patch on a place that does not have hair.E 2. DAvoid placing the patch on active areas li!e the thigh or arm.E 3. DThe patch should be changed ever' A da's.E
4. DGbserve for a rash at the patch site.E +. DCeep these patches a a' from children.E Correct Answer: $*/*6 ationa!e 1% The patch should be placed on hair-free s!in. ationa!e 2% As long as the s!in is dr' and hair-free the activit' of the area is not an issue. ationa!e 3% The patch is changed dail'. ationa!e 4% S!in irritation or rash ma' occur at the patch site. ationa!e +% Children should not be e&posed to these patches or the patch site. "!o#a! ationa!e: Co$niti%e &e%e!: Appl'ing C!ient 'eed: +h'siological ,ntegrit' C!ient 'eed (u#: +harmacological and +arenteral Therapies 'ursin$/)nte$rated Concepts: -ursing +rocess% ,mplementation &earnin$ *utcome: /0.A Question 2+ Type: MCMA A client has been using sildenafil (>iagra) for several months. 1hich client reports ould the nurse interpret as an adverse effect of this medication" Note: Credit will be given only if all correct choices and no incorrect choices are selected. (tandard Te/t: Select all that appl'. 1. -asal congestion 2. .arache 3. =lurr' vision 4. +riapism +. +hotophobia Correct Answer: $*8*/*6 ationa!e 1% -asal congestion can occur as an adverse effect of sildenafil.
ationa!e 2% .arache is not a !no n adverse effect of sildenafil. ationa!e 3% =lurr' vision is a !no n adverse effect of sildenafil. ationa!e 4% Sustained erection is a !no n adverse effect of sildenafil. ationa!e +% ,ncreased sensitivit' to light is a !no n adverse effect of sildenafil. "!o#a! ationa!e: Co$niti%e &e%e!: Anal'(ing C!ient 'eed: +h'siological ,ntegrit' C!ient 'eed (u#: +harmacological and +arenteral Therapies 'ursin$/)nte$rated Concepts: -ursing +rocess% .valuation &earnin$ *utcome: /0.A

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Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 4/E Chapter 46

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