Prep you Chapters 39-41

A male clent has been diagnosed with impotence and is started on a regimen of androgens. Which statement by the client indicates that he has understood the teaching?

"If my skin appears yellow or my urine turns dark, I will contact my health care provider."

A 20-year-old woman will soon begin taking oral contraceptives for the first time. What advice should the nurse provide to this client? *(what symptoms)

"Make sure to seek care quickly if you experience bad headaches, calf pain, or changes in vision."

By about which day in the menstrual cycle does ovulation occur?

14

After teaching a woman using an intravaginal estrogen preparation, the nurse determines that the teaching was successful when the client states that she will remain lying for at least how long after instilling the drug?

30 minutes

What occurs during andropause?

Atrophy of the seminiferous tubules

A client is receiving androgen therapy. Which would cause the nurse the greatest concern?

Elevated liver enzyme levels

The layer of the uterus that is influenced by hormone changes in preparation for possible conception and pregnancy is the:

Endometrium

An 8-year-old boy is being administered testosterone injections for treatment of hypogonadism. What should be measured every 6 months?

Hand and wrist epiphyseal growth plates

Which would a nurse expect to occur with the administration of anabolic steroids?

Increase red blood cell mass

Which cells in the testes produce testosterone?

Leydic cells

A group of students are reviewing information about the menstrual cycle. The students demonstrate understanding when they identify what as the onset of the menstrual cycle?

Menarche

When the nurse is interviewing an adolescent, the patient states that she experienced her first menstrual cycle at age 11. The nurse documents this as:

Menarche

A client is started on terbutaline therapy. What would indicate that the therapy has been successful?

Premature birth is avoided for at least 24 hours.

A client is using a transdermal system for androgen administration. Which drug would the client most likely be using?

Testosterone

A female client expresses the desire to suppress her female sex characteristics to facilitate a transition to being male. Which androgen does the nurse anticipate the provider will prescribe?

Testosterone

What aspect of a client's current health status may contraindicate the use of a PDE5 inhibitor?

The client has a history of unstable angina pectoris.

The pubescent girl exhibits many changes as a result of estrogen production. Her mother asks the nurse what secondary sexual characteristics to look for in her daughter. What is the best information for the nurse to provide to the mother about secondary sexual characteristics? (Select all that apply.)

Wider hip structure Pubic and axillary hair Breast development

When considering serious adverse effects, oral contraceptive use would most likely be contraindicated in which client?

a 38-year-old client who smokes 1 to 1½ packs of cigarettes per day

A patient is beginning therapy with a combined oral contraceptive. The nurse would instruct the patient to take the first pill on the:

fifth day of the cycle.

Which would the nurse include in a teaching plan about the signs and symptoms of thrombophlebitis and thromboembolism that should be reported by a client taking estrogen?

Headaches

After teaching a client who is prescribed sildenafil about using the drug, the nurse determines that the teaching was successful when the client states:

I need to take the pill 1 hour before sexual stimulation.

When teaching a group of high school students about using anabolic steroids, the nurse would include information that these drugs are classified as which class of controlled substances?

III

A client with a complex medical history is considering the use of oral contraceptives. The nurse should be aware that many antibiotics and antiseizure medications cause what effect when combined with oral contraceptives?

Increase risk for pregnancy

Damage to what component of the male reproductive system would result in a lack of testosterone?

Leydig cells

A woman who has been prescribed high doses of anabolic steroids should be instructed on which effects?

Masculinization

The release of an egg cell from the ovary is called:

Ovulation

After teaching a group of students about female reproductive hormones, the instructor determines that the teaching was successful when the students identify which hormone as being primarily responsible for maintaining pregnancy?

Progesterone

Which hormone is involved if a couple engages in the rhythm method of birth control?

Progesterone

What cardiovascular condition is associated with the inappropriate use of testosterone? Select all that apply.

Pulmonary emboli (PE) Deep vein thrombosis (DVT) Stroke Myocardial infarction (MI)

A woman is diagnosed with pulmonary hypertension. The nurse explains the drug prescribed and the patient states, "That's a drug that used to treat erectile dysfunction." Which drug would this most likely be?

Sildenafil

The human sexual response involves the activation of which system?

Sympathetic nervous system

The nurse is teaching a health education class on male reproductive anatomy and asks the students to identify the site of sperm production. Which structure, if identified by the group, would indicate to the nurse that the teaching was successful?

Testes

The nurse limits the amount of oral fluids given to a client receiving oxytocin for induction of labor. This is done to prevent what serious complication?

Water intoxication

A 41-year-old male client with a complex medical history has been referred to the endocrinology department. Diagnostic testing and assessment have resulted in a diagnosis of secondary hypogonadism. Which health problem is the most likely etiology of his diagnosis?

diabetes

The nurse is instructing the parents of an 11-year-old male who has testosterone deficiency. Which symptom, if found in this child, would cause the discontinuation of this medication?

enlarged penis

When teaching an adolescent about ovulation, the nurse would include that ovulation is initiated by a surge in:

luteinizing hormone.

A 20-year-old college student has presented to the campus medical clinic seeking to begin oral contraceptive therapy. The nurse has recognized the need for adequate health education related to the client's request. The nurse should emphasize the fact that successful prevention of pregnancy depends primarily on the client's:

vigilant adherence to the drug regimen.

The nurse is describing changes in the male that occur with aging and parallel the changes that occur in women. The nurse is describing:

Andropause

The nurse is preparing an outline for a class on the physiology of the male sexual response. Which event would the nurse identify as occurring first?

Penile vasodilation

The nurse is aware that a client receiving which category of medication will not be prescribed vardenafil?

Antidysrhythmics

A 20-year-old woman has been prescribed estrogen. As with all women taking estrogen, the nurse will carefully monitor the client for:

cardiovascular complications.

If pregnancy does not occur during the menstrual cycle, the corpus luteum involutes and becomes the:

corpus albicans.

A client asks the nurse about a word they heard from the health care provider. The word was "andropause". The client asks what that is. Which is the nurse's <b>best</b> response?

"A gradual change, related to age, that occurs in the testes."

A client has returned to the health care provider's office for follow up after receiving estrogen for symptoms of menopause. Which question should be included in the follow up?

"Can you describe in detail the difference in how you are feeling today and the last visit?"

A client is receiving a medroxyprogesterone contraceptive injection. The nurse would instruct the client to return for the next dose at which time?

3 months

A client has begun treatment for penile erectile dysfunction. What explanation should the nurse provide regarding the primary effect a prescribed phosphodiesterase type 5 inhibitor will have on this condition?

Blood flow to penis is improved

The nurse is caring for a client who has cancer and who until recently took estrogen. The nurse knows that estrogen may have increased the risk of development of which types of cancer?

Breast cancer Endometrial cancer

What would a nurse attribute to estrogen?

Breast growth

Mark, age 42, is prescribed sildenafil for the treatment of pulmonary hypertension. The nurse caring for Mark would explain that sildenafil works by what mechanism?

Causing vasodilation in the pulmonary vascular bed

When describing the process of fertilization, the nurse would explain that it normally occurs in which structure?

Fallopian tube

If pregnancy does not occur, the prepared inner lining of the uterus is sloughed off during what process?

Menstruation

A 21-year-old woman is prescribed an oral contraceptive pill to prevent pregnancy. The nurse should inform the client of which adverse effects of this medication?

Nausea

During pregnancy, what becomes a massive endocrine gland?

Placenta

When stimulation levels off during the human sexual response, the person is said to be in which of the following phases?

Plateau

A teenage client who is using testosterone to treat a hormone deficiency calls the clinic to report acne-like skin eruptions on the face. How should the nurse counsel this client?

Practice frequent and thorough skin cleansing.

The nurse is reviewing the functions of the ovaries, uterus, clitoris, and vagina with a group of nursing students. What would be the best response by a nursing student about the function of the uterus?

Receives the fertilized ovum and provides housing and nourishment for a fetus

The nurse monitors a patient receiving oxytocin for water intoxication based on the understanding that this condition is the result of:

Release of antidiuretic hormone

Which is a phase of the human sexual response? *(4 THINGS)

Resolution Climax Stimulation Plateau

A nurse is caring for a patient who has been administered menotropins by the intramuscular route for the secretion of sex hormones. The patient reports pain after the drug is injected. Which intervention should the nurse perform for the patient?

Rotate sites and examine previous sites for redness.

Anabolic steroids are analogs of testosterone with increased protein-building effects. (T/F)

True

The nurse would be alert for signs and symptoms of which if methylergonovine is prescribed for a client who is a heavy smoker?

Vasoconstriction

Sildenafil has been prescribed to a client in his 60s, and the nurse is providing health education about the safe and effective use of the drug. The nurse should teach the client to:

avoid taking the drug more than once in any 24-hour period.

What would castration prior to puberty result in? (Select all that apply.)

sterility Failure to develop normal male characteristics

Medroxyprogesterone acetate is indicated for the treatment of women with:

uterine bleeding.

On the advice of her sister, a 52-year-old woman has visited her nurse practitioner to discuss the potential benefits of hormone replacement therapy in controlling the symptoms of menopause. Which response by the nurse is most appropriate?

"It's important to balance the possible benefits of HRT with the fact that it might increase your risk of heart disease and stroke"

A patient who has come to the emergency department after being raped is given a dose of emergency contraception at 12 AM. The nurse would instruct the patient to take another dose of the drug at which time?

12 PM

A client has been given a prescription for sildenafil (Viagra) for treatment of erectile dysfunction. The nurse will instruct the client to take this medication at what time prior to the onset of sexual intercourse?

30 minutes

A client diagnosed with erectile dysfunction has been advised to take Viagra. For up to how many hours does the action of the drug persist?

4 HRs

The nurse is instructing a client who will be taking finasteride for treatment of benign prostatic hypertrophy and gives the client information about which possible sexual side effects? (Select all that apply.)

Decreased libito decreased ejaculaiton

Which hormones are not released during childhood?

Gonadotropin-releasing hormone (GnRH)

A male clent who uses a transdermal testosterone gel for treatment of his oligospermia applies the medication first thing in the morning and washes it off before bed. What client education is necessary?

Leave the gel on until the next application is due.

A 38-year-old female client has just visited the health care provider and has received a prescription for birth control pills. The client calls the nurse and states that she doesn't need birth control pills because she had voluntary sterilization after her third child. The nurse explains that birth control pills may be used for what other reason?

Menstrual disorders

Insufficient levels of oxytocin would affect what event related to pregnancy?

Onset of labor contractions

A 26-year-old client who delivered a baby 24 hours prior, reports cramping pain while breast-feeding. The nurse caring for the client understands that breast-feeding causes the release of which hormone, which can cause uterine cramping?

Oxytocin

After teaching a class on the female reproductive system, the nurse determines that the teaching was successful when the class identifies what as a primary function of the ovaries?

Secretion of estrogen and progesterone

What is most important to tell the client who will be taking adrenergic blocking drugs for benign prostatic hypertrophy?

Take the medication same time everyday

Castration involves the removal of what structure of the male reproductive system?

Testes

What would a nurse attribute to the effect of testosterone? *(3 THINGS)

Vocal cord thickening Increased hematocrit Facial hair growth

After puberty, secondary male sexual characteristics can be maintained by:

androgens

A client taking hormonal contraceptives will soon turn 35 years of age. She is moderately obese and has smoked for 15 years. Which action should the nurse encourage the client to take to best minimize risk for complications associated with contraception use?

beginning smoking cessation

The release of gonadotropin releasing hormone by the hypothalamus signals the onset of:

puberty

A nurse teaching a 57-year-old client about the factors that must be considered around the use of hormone replacement therapy (HRT) should discuss what increased risk associated with the therapy?

venous thromboembolism

Which is an adverse effect caused by all uterine stimulants because of their antidiuretic effect?

water intoxication

A 52-year-old has made an appointment with his primary care provider and has reluctantly admitted that his primary health concern is erectile dysfunction (ED). He describes the problem as increasing in severity and consequent distress. Which of the nurse's assessment questions is most likely to address a common cause of ED?

"Are you taking any medications for high blood pressure?"

The nurse is on the phone with a woman who is taking an antispasmodic for overactive bladder syndrome. The woman states that her mouth is very dry, but she is afraid to drink because she does not want the urge to urinate to increase. What is the nurse's best response to this client?

"You shouldn't restrict your fluid intake because it will only make your bladder problems worse."

A nurse is teaching a young adult client about oral contraceptives, which the client will soon begin taking. The client's primary concern is the effectiveness of the medication in preventing pregnancy. The nurse should teach the client that oral contraceptives, when taken consistently, are how effective in preventing pregnancy?

100%

In an ideal 28-day menstrual cycle, the secretory phase occurs during which days?

15 to 28

A group of students are reviewing material in preparation for a test on the male and female breasts. The students demonstrate understanding of the material when they state:

A primary function of the female breast is to produce milk.

The nurse is reviewing the structure and function of various organs in the female reproductive system. Which information should the nurse include about the ovum?

All the ova a female will ever have are present at birth

A client is prescribed testosterone gel. Which would the nurse include in the teaching plan? Select all that apply.

Allowing the application site to dry before getting dressed. Applying the gel once daily in the morning. Washing hands with soap and water after applying.

A 17-year-old boy has been admitted to the emergency department after suffering a knee sprain during a football practice. The nurse notes that the client has exceptional muscle mass, and the boy quietly admits that this is mostly attributable to the use of steroids, which he obtains from a teammate. What should the nurse teach the boy about anabolic steroid abuse?

Anabolic steroids are universally dangerous but are especially harmful to adolescents.

Matt, age 16, has been taking testosterone since age 7 for the treatment of hypogonadism. He is in the health care provider's office today for follow-up care. He asks about taking anabolic steroids instead of testosterone because he heard this will increase his growth. What is the primary difference between anabolic steroids and testosterone?

Anabolic steroids have a greater anabolic effect.

Which phase of the human sexual response results from massive sympathetic stimulation?

Climax

A client is menopausal and has been given a prescription for estrogen. She asks the nurse what some of the risks are in taking this medication. The nurse's best response is:

Estrogen increases the risk of certain cancers, myocardial infarctions, and blood clots.

Gonadotropin-releasing hormone (GnRH) stimulates the anterior pituitary to release which hormones? (Select all that apply.)

FSH LH