McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach,
11th Edition
MULTIPLE CHOICE
1. A 50-year-old male patient reports having decreased libido and testicular atrophy. The
nurse will anticipate that the provider may order which medication to treat these
symptoms?
a. Testosterone (Androderm)
b. Finasteride (Proscar)
c. Gonadotropin-releasing hormone (Gn-RH)
d. Sildenafil (Viagra)
ANS: A
Testosterone is given patients who have low testosterone, evidenced by decreased
libido and testicular atrophy in adult men. Finasteride is given to treat benign prostatic
hypertrophy. Gn-RH is used to inhibit testosterone production. Sildenafil is used to
treat erectile dysfunction.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
Assessment MSC: NCLEX: Physiological Integrity:
Pharmacological and Parenteral Therapies
2. The nurse is teaching the parents of a boy who has inadequate pituitary function and
delayed puberty about testosterone cypionate injections. Which statement by the parents
indicates a need for further teaching?
a. “He will need radiographs (x-rays) of his hands every 4-6 months.”
b. “Injections will be given deep into his gluteal muscles.”
c. “Sexual development will occur in 3–4 months.”
d. “His serum testosterone levels will need to be monitored.”
ANS: C
It takes 3–4 years for sexual development to occur with androgen therapy for
hypogonadism, so parents should be reminded of this. X-rays are needed every 4-6
months to assess bone effects. Injections are given deep intramuscularly into gluteal
muscles. Serum testosterone levels will need to be monitored to maintain normal
levels and direct changes in testosterone dosing.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
Nursing Intervention: Patient Teaching MSC: NCLEX:
Physiological Integrity: Pharmacological and Parenteral Therapies
, 3. The nurse is instructing a patient about the buccal mucoadhesive testosterone system
(Striant) to treat low testosterone. What information will the nurse include when teaching
this patient about this drug?
a. “If the product slides out of position within 4 hours before the next dose, replace it
with a new system.”
b. “Place the flattened surface against the gum and hold it firmly in place for 30
seconds.”
c. “The product may be swallowed after it has been in place for at least 4 h.”
d. “To remove the product, slide it upwards away from the tooth until it releases.”
ANS: A
If the product falls off within the 12-h dosing interval or falls out of position within 4
h of the next dose, it should be discarded and a new product applied. The rounded
surface should be placed against the gum. The product should not be swallowed. The
product should be removed by sliding downwards toward the tooth.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing
Process: Nursing Intervention: Patient Teaching MSC: NCLEX:
Physiological Integrity: Pharmacological and Parenteral Therapies
4. The nurse provides teaching to a man who will begin using an Androderm testosterone
patch. Which statement by the patient indicates understanding of the teaching?
a. “I may stop using Androderm when my serum testosterone is normal.”
b. “I should apply this to any skin other than the scrotum or bony areas.”
c. “I will apply two skin patches every morning after a shower.”
d. “My serum testosterone will continue to rise with each day of use.”
ANS: B
Androderm should be applied to any intact skin other than on the scrotum or over a
bony area. When the medication is withdrawn, testosterone levels will drop. The
patient should apply one to two patches every day at 10 PM. The first day of use
results in serum testosterone levels in the normal range, and serum levels do not
accumulate with continued use.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
Nursing Intervention: Patient Teaching MSC: NCLEX: Physiological
Integrity: Pharmacological and Parenteral Therapies
5. A man who has been using androgen therapy tells the nurse that he and his wife wish to
conceive a pregnancy. The nurse will tell this patient that
a. androgen therapy poses no potential for harm to the fetus.
b. he will need to increase his dose of testosterone to increase his sperm count.
c. use of androgen therapy can decrease sperm count which may remain low for 3
months or more after therapy is stopped.
d. there should be no problems conceiving while using androgen therapy.
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