ADN111B Pharmacology

Acne

A 24-year-old female athlete is using high doses of anabolic steroids to enhance her performance. She may be at risk for which condition?

Hypoglycemia

A 32-year-old male on glyburide drug therapy is prescribed a transdermal testosterone patch. This combination of therapies requires the nurse to closely monitor the patient for what possible adverse reaction?

blood glucose level

A 52-year-old male with type 2 diabetes is using an anabolic steroid for treatment of hormonal deficiency. He is taking the sulfonylurea glyburide to treat his diabetes. The nurse caring for this client would closely monitor his:

sexual dysfunction

A 68-year-old male client tells the nurse that he has been unable to maintain an erection for the past 6 months, and he guesses his sex life is over. The provider orders diagnostic testing to determine whether sildenafil is appropriate for the client. What is the most appropriate nursing diagnosis for this client?

If signs of early puberty are identified the therapy should be stopped

A 9 year old child has been prescribed testosterone. What information should the nurse provide the client's parents regarding the continuation of the therapy?

gluteal muscle

A client is prescribed androgen therapy to be given by IM injection. The nurse would select which site for administration?

It is prescribed in once-a-day dosing.

A client is prescribed sildenafil. Which statement should be included in teaching the client about the medication?

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

Metabolism of the medication will be extensive in the first pass through liver.

A client presenting with an androgen deficiency state is prescribed an oral anabolic steroid. Why is a higher dose of steroid indicated in this situation?

Leave the gel on until the next application is due.

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

It increases the risk for prostate cancer

A client with a history of benign prostatic hypertrophy (BPH) is seeking androgenic medication treatment for penile erectile dysfunction. What information should the nurse provide the client regarding this therapy?

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?

Sildenafil

A group of students are reviewing the drugs available for treating penile erectile dysfunction. The students demonstrate understanding when they identify which drug as a PDE5 inhibitor?

The development of acne

A male adolescent is prescribed testosterone. In order to help the client deal with the added social stress that the medication may cause, the nurse should discuss which possible adverse effect?

Erectile Dysfunction

A male client is taking an antihypertensive medication for the treatment of high blood pressure and informs the nurse about difficulty maintaining a penile erection. What condition does the nurse identify the client needs education regarding?

Nitroglycerin

A nurse is reviewing the medication history of a client. The nurse understands that a PDE5 inhibitor would be inappropriate for a client taking:

These drugs can damage the heart, liver, and kidneys.

A school nurse is educating a group of adolescents on the dangers of anabolic steroids. What statement by the nurse would explain why they are dangerous specifically to this age group?

Female child may have masculinized features

A student asks the pharmacology instructor what effect the administration of androgens can have on a fetus if administered during pregnancy. What should the instructor respond?

Practice frequent and thorough skin cleansing.

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?

Bone growth

A young male patient, age 14, has been prescribed testosterone for delayed onset of puberty. Follow-up care includes a visit to the clinic at least every 6 months for ongoing assessment. It will be most important for the nurse to monitor:

Fluid and sodium retention

An older adult male prescribed anabolic steroids for a deficiency condition has presented with blood pressure above the normal baseline. What might be the cause for an increase in blood pressure associated with anabolic steroid therapy?

Antiarrhythmics

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

Jaundice Addiction Liver cancer Aggressive behavior

The nurse is providing education to a client who has expressed interest in using anabolic steroids to gain muscle mass. What potentially serious adverse effects should the nurse describe related to the use of large doses of anabolic steroids? Select all that apply.

Cardiovascular disease

The nurse is reviewing the history of a client who is to receive testosterone. Which of the following would alert the nurse to the need for close monitoring of the client?

Discontinue the medication

The nurse receives a call from a male client who takes finasteride (Proscar) for treatment of BPH, and tells the nurse that his wife may be pregnant. What does the nurse expect the health care provider to do?

The client has a history of unstable angina pectoris.

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

Place the patches on the back, abdomen, upper arms, or thighs.

When educating a client prescribed testosterone transdermal patch therapy, the nurse will provide what information regarding patch placement?

Development of sexual organs

When fluoxymesterone is administered to a 14-year-old male, what is the expected result?

Class III

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?

Hypotension Impotence Ejaculatory disorders

Which adverse effects should be addressed in a teaching plan for a client prescribed finasteride? Select all that apply.