Chapter 41 Drugs Affecting the Male Reproductive System PrepU
A client is using a transdermal system for androgen administration. Which drug would the client most likely be using? a) Fluoxymesterone b) Danazol c) Methyltestosterone d) Testosterone
Testosterone
A nurse is reviewing the medication history of a client. The nurse understands that a PDE5 inhibitor would be inappropriate for a client taking which of the following?
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 which of the following? a) Erythromycin b) Ketoconazole c) Nitroglycerin d) Indinavir
Nitroglycerin
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?
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? a) Oxandrolone b) Alprostadil c) Sildenafil d) Danazol
Sildenafil
Causing vasodilation in the pulmonary vascular bed
Testosterone
Which of the following would the nurse expect to administer as a depot injection?
Testosterone
Which of the following would the nurse expect to administer as a depot injection? a) Fluoxymesterone b) Danazol c) Methyltestosterone d) Testosterone
Testosterone
A 52-year-old male client 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?"
You are caring for a 28-year-old patient who is taking exogenous testosterone for treatment of cryptorchidism. What statement by this patient would lead you to believe that patient teaching has been effective?
"I may grow more body hair."
-
-
Alprostadil is an androgen.
False
After teaching a patient who is prescribed sildenafil about using the drug, the nurse determines that the teaching was successful when the patient states which of the following?
"I need to take the pill about an hour before any sexual stimulation."
A male patient has been diagnosed with impotence and is started on a regimen of androgens. Which of the following statements by the patient indicates that he has understood the patient teaching?
"If my skin appears yellow or my urine turns dark, I will contact my physician."
A male patient has been diagnosed with impotence and is started on a regimen of androgens. Which of the following statements by the patient indicates that he has understood the patient teaching? a) "If I experience increasing baldness, I will contact my physician immediately." b) "My blood count will drop, but if I have bruising, I will contact my physician." c) "I know headaches are common, so I won't get alarmed if it is severe." d) "If my skin appears yellow or my urine turns dark, I will contact my physician."
"If my skin appears yellow or my urine turns dark, I will contact my physician."
A male patient has been prescribed testosterone for cryptorchidism. Which of the following statements indicate that the patient teaching was effective?
"My body hair will increase."
A nurse is caring for a 28-year-old patient who is taking exogenous testosterone for treatment of cryptorchidism. What statement by this patient would lead the nurse to believe that patient teaching has been ineffective?
"My sperm count should increase."
A 59-year-old man with a recent history of erectile dysfunction has been assessed and prescribed sildenafil (Viagra). When providing patient education to this man, the nurse should tell him which of the following?
"You might find that your face becomes flushed or you get a headache after you take Viagra."
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 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 patient diagnosed with erectile dysfunction has been advised to take Viagra. For up to how many hours does the action of the drug persist?
4 hours
A nurse is instructing a client about vardenafil. The nurse would instruct the client to take the drug how many minutes before sexual stimulation?
60 minutes
A pt with erectile dysfunction has been prescribed Alprostadil. What nursing action is most appropriate? A) Ensure the pt is comfortable with having an injection in his penis B) Educate the pt about correct placement of the transdermal patch and the schedule for replacement C) Caution the pt against drinking grapefruit juice for the duration of treatment D) Assess the integrity of the pt's testicles
A
Testosterone is approved for use in: A) Treatment of breast cancers B) Increasing muscle strength in athletes C) Oral contraceptives D) Increasing hair distribution in male pattern baldness
A
The nurse is caring for a pt who has experienced significant muscle wasting secondary to cancer. What medication is most likely to benefit this pt? A) Oxandrolone B) Tadalafil C) Danazol D) Alprostadil
A
The pt asks the nurse if there is a medication that can be taken to treat erectile dysfunction that would last longer than 4 hours. What drug is the nurse aware of that the pt could take after work that would still have an effect late that night? A) Tadalafil B) Sildenafil C) Alprostadil D) Vardenafil
A
The woman with breast cancer is prescribed androgen therapy. After taking the medication for several weeks, the pt returns to the clinic for evaluation. What nursing diagnosis would be most likely appropriate for this pt on this visit? A) Disturbed body image B) Ineffective sexuality pattern C) Chronic pain D) Fluid volume deficit
A
To achieve erection, a pt taking Sildenafil would require: A) Sexual stimulation of the penis B) No additional stimulation C) Privacy D) 10 to 15 minutes after taking the oral drug
A
When describing the action of Sildenafil, what would the nurse include? A) Increased nitrous oxide levels in the corpus cavernosum B) Locally relaxes the vascular smooth muscle C) Stimulates acetylcholine at the nerve cells D) Increased parasympathetic nervous system activity
A
SATA. A male pt is receiving an androgen The nurse would assess the pt for what possible adverse effects? A) Acne B) Weight gain C) Hirsutism D) Emotional lability E) Flushing
A B C
SATA. In assessing a pt for androgenic effects, you would expect to find which of the following? A) Hirsutism B) Deepening of the voice C) Testicular enlargement D) Acne E) Elevated body temperature F) Sudden growth
A B D
What effect can administration of androgens have on fetal development?
A female fetus may experience masculinization.
A patient with erectile dysfunction is receiving an injection directly into the cavernosum. The nurse identifies this drug as which of the following?
Alprostadil
A woman has been prescribed anabolic steroids. What effect related to the administration of anabolic steroids will result?
Amenorrhea
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 physician'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.
On the advice of his brother, a 53-year-old man has made an appointment to request a prescription for sildenafil. The nurse who works at the clinic is reviewing the man's medical history and would recognize what health problem as being prohibitive to this treatment?
Angina, treated with nitroglycerin
A female athlete is using high doses of anabolic steroids to enhance her performance. The nurse warns this patient that such use of anabolic steroids is likely to result in what? A) Masculinization B) Immobility of joints C) Obesity D) Hypotension
Ans: A Feedback: Adverse effects in women include masculinization effects, hirsutism, and deepening of the voice. A woman using anabolic steroids would not expect it to result in joint immobility, obesity, or hypotension.
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.
The nurse learns a patient receiving a new prescription for oxandrolone takes a lipid-lowering medication daily. What will the nurse tell the patient about this drug interaction? A) Lipid-lowering drug becomes much less effective. B) Increased risk of oxandrolone toxicity with this combination of drugs C) Increased risk of liver damage with this combination of drugs D) Oxandrolone becomes less effective with this combination of drugs.
Ans: A Feedback: Anabolic steroids may alter lipid metabolism and cause a lack of effectiveness for lipid-lowering agents. Lipid-lowering medications do not impact anabolic steroids and there is no increased risk for toxicity of either drug.
The nurse is caring for a patient with cryptorchidism who is 28 years old and taking testosterone to treat his condition. What statement by this patient would lead the nurse to believe that he has understood the teaching provided about the drug? A) My body hair may increase. B) My sexual desire may increase. C) My voice may become higher. D) My skin may become clear and soft.
Ans: A Feedback: Androgenic effects include acne, edema, hirsutism (increased hair distribution), deepening of the voice, oily skin and hair, weight gain, decrease in breast size, and testicular atrophy. Testosterone does not make the skin clear and soft, it does not make the voice higher, and the testicular atrophy is more likely to decrease rather than increase libido.
A child in renal failure is taking androgens to promote red blood cell production and is seen in the clinic every other month. What adverse drug effect would the nurse monitor for with this child? A) Epiphyseal closure B) Acne C) Skin color D) Weight gain
Ans: A Feedback: Because of the effects of androgens on epiphyseal closure, children should be closely monitored with hand and wrist radiographs before treatment and every 6 months after treatment. The other options are also adverse effects and require monitoring but are not as serious as premature epiphyseal closure.
The nurse attributes what assessment finding to the use of androgens by the male patient? A) Testicular atrophy B) Increased fertility C) Increased urination D) Hoarseness
Ans: A Feedback: In adult men, adverse effects include inhibition of testicular function, gynecomastia, testicular atrophy, priapism, baldness, and change in libido. Increased fertility, increased urination, and hoarseness would not be expected assessment findings.
When fluoxymesterone (Androxy) is administered to a 14-year-old boy for hypogonadism, what is the expected result? A) Enlarged sex organs B) Decreased skin thickness C) Increased protein metabolism D) Increased sperm production
Ans: A Feedback: In prepubertal boys, administration of male sex hormone-like drugs will stimulate development of masculine characteristics and cause development of the male sexual organs. Production of sperm will occur when the boy enters puberty. These drugs are not administered to decrease skin thickness or increase protein metabolism.
A 16-year-old boy is diagnosed with delayed onset of puberty and the physician has ordered testosterone, intramuscular (IM), once every 2 weeks. What nursing intervention would be important to the patient? A) Discuss changes that will occur in his body. B) Have patient fast before injection. C) Have patient reduce protein intake. D) Decrease exercise while on this hormonal treatment.
Ans: A Feedback: It is important for this patient to understand what will happen and the changes he will see to reduce the anxiety that could occur if he didnt understand. Discuss the development of masculine characteristics as well as common adverse effects such as acne. Having the patient fast before the injection would not be necessary, nor would decreasing exercise or reducing protein intake.
A 69-year-old man is prescribed testosterone. The patient is found to have hypertension and a history of congestive failure after assessment by the nurse. What is this patient at increased risk for? A) Fluid retention B) Impotence C) Liver failure D) Kidney failure
Ans: A Feedback: Older adults often have hypertension and other cardiovascular disorders that may be aggravated by sodium and water retention associated with androgens and anabolic steroids. Testosterone would not increase the risk of impotence. Liver and kidney failure could be exacerbated by the drug if they were preexisting conditions but since that is not indicated by the question, this would be a lower risk than fluid retention.
A 68-year-old male patient tells the nurse that he has been unable to get an erection for the past 6 months and he guesses his sex life is over. The provider orders diagnostic testing to determine whether sildenafil (Viagra) is appropriate for the patient. What is the most correct nursing diagnosis for this patient? A) Sexual dysfunction B) Disturbed body image C) Ineffective sexuality pattern D) Disturbed tactile sensory perception
Ans: A Feedback: The patient is experiencing sexual dysfunction so that would be the most appropriate nursing diagnosis. The patient did not discuss feeling let down by or unhappy with his body so disturbed body image is incorrect. The effectiveness of sexual pattern is not known. No problem with sensory perception is indicated by this question.
The 22-year-old patient tells the nurse he doesnt have trouble obtaining and maintaining an erection but wonders if taking Viagra would improve the sexual experience anyway. What is the nurses best response? A) The only thing Viagra does is improve blood flow to the penis to make it erect. B) Viagra improves stamina and sensation, making the sexual experience better. C) Viagra has its greatest effect if both the man and woman take it at the same time. D) Viagra does nothing to improve the sexual experience.
Ans: A Feedback: Viagra improves blood flow into the penis and that is its only effect. It does not improve stamina or sensation. Research has indicated it has no effect on womens sexual response. To say only that Viagra does nothing would not provide adequate information for the patient.
The nurse is caring for a patient who has been taking androgens and has been admitted to the ICU following a car accident. What lab results will the nurse interpret as more indicative of androgen therapy than actual disease states? (Select all that apply.) A) Decreased thyroid function B) Increased creatinine levels C) Increased creatinine clearance D) Elevated liver enzymes E) Increased white blood cell (WBC) count
Ans: A, B, C Feedback: While a patient is taking androgens, thyroid function may be decreased, as well as increased creatinine and creatinine clearance, results that are not associated with disease states. These effects can last up to 2 weeks after the discontinuation of therapy. Elevated liver enzymes may indicate a potentially life-threatening effect that has been documented is hepatocellular cancer. Increased WBC count would indicate an infection. Increased liver enzymes and WBC are not associated with androgen therapy but instead indicate a disease state.
The nurse assesses the young adult athlete who has been taking anabolic steroids to enhance his performance. What findings would the nurse associate with this practice? (Select all that apply.) A) Personality changes B) Sexual dysfunction C) Increased serum lipid levels D) Cardiomyopathy E) Weight loss
Ans: A, B, C, D Feedback: Cardiomyopathy, hepatic carcinoma, personality changes, and sexual dysfunction are all associated with the excessive and off-label use of anabolic steroids for athletic performance enhancement. Adverse effects associated with prescription use include inhibition of testicular function, gynecomastia, testicular atrophy, priapism, baldness, change in libido, serum electrolyte changes, liver dysfunction, insomnia, and weight gain, not weight loss.
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.
A patient is prescribed oxymetholone (Anadrol-50) for treatment of angioedema. The nurse knows the patient has type 2 diabetes and will instruct the patient that the combination of oxymetholone with antidiabetic agents may lead to what? A) Hyperglycemia B) Hypoglycemia C) Jaundice D) Urinary retention
Ans: B Feedback: Because of its effects on the liver, oxymetholone (Anadrol-50) may interact with antidiabetic agents to decrease their metabolism and increase their effectiveness, leading to hypoglycemia. The dosage of the antidiabetic agents should be reduced and the patient monitored closely. It would not lead to hyperglycemia, jaundice, and urinary retention.
A student athlete presents at the clinic for his physical checkup. The athlete tells the nurse that he is using large doses of creatine to increase muscle size and strength. What should the nurse instruct the student to do while taking this medication? A) Take nonsteroidal anti-inflammatory drugs (NSAIDs) to stop pain from expanding muscles. B) Drink plenty of fluids while using this drug and watch for swelling. C) Stop eating red meat or other animal products. D) Take cimetidine (Tagamet) to relieve the stomach upset associated with the use of this therapy.
Ans: B Feedback: Creatine is a protein by-product that has to be processed through the kidneys. If an athlete is using it to try to increase muscle size, he should be advised to drink plenty of fluids to help flush it through the kidney and to watch for any swelling that could indicate change in renal function. NSAIDs could aggravate renal problems and cause more swelling. Getting protein from food sources is a natural way to provide the body with proteins. If stomach upset occurs, the athlete should stop using the herbal therapy and not add another drug to his regimen, especially cimetidine that can increase risk of kidney damage.
A 55-year-old man presents at the clinic complaining of erectile dysfunction. The patient has a history of diabetes mellitus. The physician orders tadalafil (Cialis) to be taken 1 hour before sexual intercourse. The nurse reviews the patients history before instructing the patient on the use of this medication. What disorder (or condition) would contraindicate the use of tadalafil (Cialis)? A) Cataracts B) Penile implant C) Hypotension D) Lung cancer
Ans: B Feedback: Patients with a penile implant should not take tadalafil. Patients with cataracts, hypotension, or lung cancer may take tadalafil if needed but should do so with caution and should be carefully monitored for adverse effects.
The nurse gives a class at the local high school on the use of anabolic steroids. The nurse explains that one of the most serious and all too common side effects of using these drugs without a prescription and medical follow-up is what? A) Renal stones B) Death C) Cirrhosis D) Malignant hyperthermia
Ans: B Feedback: Prolonged use of high doses may cause potentially life-threatening conditions, placing the patient at risk of death. Conditions such as peliosis hepatis, hepatic neoplasms, and hepatocellular carcinoma are often seen with high-dose street use of these drugs. Renal stones, cirrhosis, and malignant hyperthermia are not associated with the use of anabolic steroids.
A patient has been prescribed sildenafil citrate. What should the nurse teach the patient about this medication? A) Take the medication with a glass of grapefruit juice. B) The drug should be taken 1 hour before attempting intercourse. C) Facial flushing or headache should be reported to the physician immediately. D) A dose exceeding 80 mg will result in a change of vision, making everything appear blue.
Ans: B Feedback: The drug should be taken approximately 1 hour before intercourse to allow adequate time for absorption and therapeutic effects to occur. Facial flushing, mild headache, indigestion, and running nose are common side effects of sildenafil citrate and do not need to be reported unless they become acute. The blue haze that occurs with the 100-mg dosage is transient (it lasts about 1 hour). Grapefruit juice should be avoided 2 days before until 2 days after taking the medication because it prolongs the drugs metabolism and excretion.
The 63-year-old male patient receives a prescription for androgens. The nurse evaluates that the patient understood drug teaching when he makes what statement? A) If I experience acne, I will contact my physician immediately. B) If I experience flushing, sweating, nervousness, or emotional lability Ill know its the drug. C) I will report any difficulty urinating such as trouble starting my flow. D) These pills may make my skin turn yellow but it will go away when the drug is stopped.
Ans: C Feedback: Benign prostatic hypertrophy, a common problem in older men, may be aggravated by androgenic effects that may enlarge the prostate further, leading to urinary difficulties and increased risk of prostate cancer. Nurses should teach these men the signs and symptoms of prostatic enlargement and the importance of reporting these manifestations immediately to prevent worsening of symptoms. Acne need not be reported immediately. Flushing, sweating, nervousness, and emotional lability are more usually experienced by women. Yellowing of the skin may be an indication of liver disease, which should be reported immediately.
The patient is prescribed oxandrolone 2.5 mg twice a day and is told to increase the dosage to gain weight to a maximum of 20 mg/d. If each tablet contains 2.5 mg, how many tablets would the nurse tell the patient he may take per day to avoid exceeding the 20 mg/d maximum? A) 4 B) 6 C) 8 D) 10
Ans: C Feedback: Calculate the number of tablets required to administer 20 mg by dividing 20 mg by 2.5 mg. 20/2.5 = 8 tablets
The nurse administers danazol (Danocrine) be a woman for what purpose? A) Reverse folic acid deficiencies B) Increase hair growth C) Decrease symptoms of endometriosis D) Prevent toxic shock syndrome.
Ans: C Feedback: Danazol may be used in women to prevent or treat endometriosis or fibrocystic breast disease. Danazol is not prescribed for increased hair growth, to reverse folic acid deficiencies, or to prevent toxic shock syndrome.
The patient is prescribed sildenafil 25 mg PO one hour before sexual intercourse is planned. The patient returns for follow-up care and says that 25 mg did not produce an erection so he increased the dosage. How much of an increase would be enough to concern a nurse? A) 50 mg B) 75 mg C) 100 mg D) 25 mg
Ans: C Feedback: Normal dosage range is 25 to 100 mg so the nurse should not be concerned unless the dosage exceeded 100 mg.
A patient will begin taking sildenafil (Viagra) for penile erectile dysfunction (ED). What is the nurses priority teaching point about this drug? A) He will have an erection exactly 1 hour after taking the drug. B) The drug should not be taken with a penile implant or any anatomic penile obstruction. C) Avoid drinking grapefruit juice for 2 days before and after taking the drug. D) It is important to know the cause of ED because sildenafil does not treat all causes.
Ans: C Feedback: Patients who are using sildenafil need to be advised to avoid drinking grapefruit juice while using the drug. Grapefruit juice can cause a decrease in the metabolism of the PDE5 inhibitor, leading to increased serum levels and a risk of toxicity. They need to know that it takes 48 hours for grapefruit juice to be processed by the body, so they need to avoid it for several days before and after taking the drug. The patient should be screened for penile implants, anatomic penile obstruction, and the cause of ED before the drug is prescribed. Sildenafil has a median onset of 27 minutes and duration of 4 hours so the patient may have an erection as early as 27 minutes after taking it.
A patient has high blood pressure and penile erectile dysfunction. He asks the nurse if he could try tadalafil (Cialis) after seeing an advertisement on television. What medications, if taken by the patient, would the nurse recognize as increasing the risk associated with taking tadalafil? A) Beta-blockers B) Angiotensin-converting enzyme (ACE) inhibitors C) Alpha-adrenergic blockers D) Calcium channel blockers
Ans: C Feedback: Serious drops in blood pressure, leading to potentially fatal myocardial infarction or cerebrovascular event, have been reported when Cialis is combined with alpha-adrenergic blockers. This reaction has not been reported with beta-blockers, calcium channel blockers, or ACE inhibitors.
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.
Which of the following would be most important to assess in a patient receiving testosterone for a prolonged period of time?
Liver function studies
What therapeutic effect will the nurse assess for in the male patient taking anabolic steroids? A) Thinning of the skin B) Body hair loss C) Increase in red blood cells (RBCs) and hemoglobin D) Gynecomastia
Ans: C Feedback: Therapeutic effects include promotion of body tissue-building processes, reverse catabolic or tissue-destroying processes, and increased hemoglobin and red blood cell mass. Thinning of the skin and body hair loss are not associated effects of anabolic steroids. Gynecomastia is an adverse effect and would not be a therapeutic effect for which the drug was administered.
What supplement would be safest for a diabetic female athlete wishing to improve athletic performance? A) Bee pollen B) Damiana C) Wild yam D) Spirulina
Ans: C Feedback: Wild yam is an estrogen-like herb used to increase athletic performance, slow the aging process, and improve energy and stamina. It can be toxic to the liver and may cause breast pain but is the safest of these supplements. Bee pollen is associated with serious allergic reactions and random studies have found wide variety of ingredients in each product. Damiana interferes with antidiabetic agents so it would not be appropriate for this patient. Spirulina may contain toxic metals and can cause serious reactions in children and pets. It interferes with vitamin B12absorption and there are no studies to prove it is effective in the claims it makes.
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.
The nurse assesses the patient taking anabolic steroids for what serious adverse effects? A) Elevated blood urea nitrogen (BUN) B) Elevated blood glucose level C) Bradycardia D) Jaundice
Ans: D Feedback: Anabolic steroids all have black box warnings as alerts to the potentially serious effects of liver tumors, hepatitis, and blood lipid level changes that might be associated with increased risk of coronary artery disease. As a result, the nurse should assess for jaundice that could be an early indication of liver dysfunction. Elevated BUN, blood glucose levels, and bradycardia are not commonly reported adverse effects.
The nurse administers an androgen and assesses the patient for what action caused by this drug? 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.
An woman is prescribed androgens. The nurse teaches the patient to anticipate what effect from the drug? A) Atrophy of breasts B) Rapid bone growth C) Loss of pubic hair D) Nervousness
Ans: D Feedback: Antiestrogen effects flushing, sweating, vaginitis, nervousness, and emotional lability can be anticipated when these drugs are used in women. When androgens are administered to women you would not expect the results to include atrophy of the breasts, rapid bone growth, or loss of pubic hair.
A 9-year-old boy is taking testosterone injections for treatment of hypogonadism. What should be measured every 6 months on this child? A) Liver function test (LFT) B) Cholesterol level C) Vision D) Hand and wrist radiographs
Ans: D Feedback: Because of the effects of these hormones on epiphyseal closure, children should be closely monitored with hand and wrist radiographs before treatment and every 6 months after treatment. It would not be necessary to measure LFTs, cholesterol levels, or the childs vision.
When a 5-year-old patient is prescribed oxandrolone (Oxandrin) to promote weight gain, how would the nurse expect the drug to be administered? A) Long-term B) Short-term C) Continuous D) Intermittent
Ans: D Feedback: Oxandrin is given intermittently to pediatric patients and should not be used on a daily basis for short, long, or continuous therapy.
The nurse is aware that a client receiving which category of medication will not be prescribed vardenafil?
Antidysrhythmics
A patient with delayed puberty has been advised to undertake Androderm transdermal therapy. Which of the following instructions should the nurse provide the patient to help promote an optimal response to this therapy?
Apply immediately after removing the cover.
The nurse is closely following a client who began treatment with testosterone several months earlier. When assessing the client for potential adverse effects of treatment, the nurse should prioritize which assessment?
Assessment of serum calcium levels
A pt with erectile dysfunction has been prescribed a PDE5 inhibitor. What dietary modification should the nurse emphasize? A) Limiting high-potassium foods and salt substitutes B) Avoidance of grapefruit juice C) Limiting intake of shellfish D) Avoidance of aged cheese and red wine
B
Erectile penile dysfunction is a condition in which: A) Problems with childhood authority figures prevent a male erection B) The corpus cavernous does not fill with blood to allow for penile erection C) The sympathetic nervous system fails to function D) Past exposure to sexually transmitted disease cases physical damage within the penis
B
What actions does the nurse anticipate after administering testosterone? A) Decreased retention of sodium B) Decreased protein catabolism C) Decreased production of red blood cells D) Decreased retention of nitrogen
B
What drug could the nurse administer to a pt requiring androgen therapy who is incapable of swallowing pills or tablets? A) Fluoxymesterone B) Testosterone C) Methyltestosterone D) Danazol
B
SATA. A 30 year old male is receiving Oxymetholone as treatment for anemia. The nurse alerts the pt to what possible adverse effects? A) Hirsutism B) Gynecomastia C) Baldness D) Testicular atrophy E) Priapism
B D E
SATA. A child treated with anabolic steroids because of anemia associated with renal disease will need: A) Early sex education classes because of the effects of the drug B) X-rays of the long bones every 3 to 6 months so the drug can be stopped when the bone size is appropriate to the child's age C) To learn to shave D) To learn to cope with an altered body image E) Regular monitoring of liver function tests F) Monitoring for the development of edema
B D E F
(see full question) The physician has prescribed testosterone for a 77-year-old client with a low testosterone level. The nurse will evaluate this client for what condition that may develop in this client in response to this medication?
Benign prostatic hypertrophy
The physician has prescribed testosterone for a 77-year-old client with a low testosterone level. The nurse will evaluate this client for what condition that may develop in this client in response to this medication?
Benign prostatic hypertrophy
The physician has prescribed testosterone for a 77-year-old client with a low testosterone level. The nurse will evaluate this client for what condition that may develop in this client in response to this medication? a) Benign prostatic hypertrophy b) Breast enlargement c) Impotence d) Fatigue
Benign prostatic hypertrophy
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 which of the following?
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 which of the following? a) Hemoglobin levels b) Sodium and potassium levels c) Fluid intake and output d) Bone growth
Bone growth
Carter, age 13, is prescribed testosterone for delayed onset of puberty. What is a priority when monitoring the prepubescent?
Bone growth
A potentially deadly drug-drug interaction can occur if a PDE5 inhibitor (sildenafil, avanafil, tadalafil, or vardenafil) is combined with: A) Corticosteroids B) Oral contraceptives C) Organic nitrates C) Halothane anesthetics
C
A pt with a history of erectile dysfunction has requested medication. What assessment should the nurse prioritize during the health history? A) Assess the quality of the pt's relationship with his partner B) Assess the pt body image C) Assess the pt's expectations for the medication D) Assess the pt's sperm count, if results are available
C
After teaching a pt who is prescribed Sildenafil about using the drug, the nurse determines that the teaching was successful when the pt makes what statement? A) I should take the medication just before I start having sex B) I can take the pill in the morning before I engage in sex later in the day C) I need to take the pill about an hour before any sexual stimulation D) I should take the pill after dinner if I'm planning to have sex later that night
C
Anabolic steroids would be indicated for the treatment of: A) Hair loss B) Angioedema C) Debilitation and severe weight loss D) Breast cancers in males
C
Men taking Alprostadil for treatment of erectile dysfunction must: A) Take the drug orally about 1 hour before before anticipated intercourse B) Arrange for sexual stimulation to promote erection C) Learn to inject the drug directly into the penis D) Avoid the use of nitrates for cardiovascular disorders
C
The nurse is taking the health history of a pt who is requesting a prescription for Viagra. What aspect of the pt's health history should the nurse prioritize? A) The pt experienced ototoxicity from Gentamicin several years ago B) The pt is allergic to tree nuts and shellfish C) The pt has a history of angina D) The pt has type 2 diabetes, controlled with diet
C
What drug would the nurse appropriately administer to treat erectile dysfunction? A) Danazol B) Testosterone C) Tadalafil D) Oxandrolone
C
Which pt would be most likely to benefit from testosterone injections? A) An adult pt with testicular cancer B) An older pt with benign prostatic hyperplasia C) A 16 year old who has not yet begun puberty D) A 13 year old pt with orchitis
C
An 80-year-old patient with chronic renal insufficiency is advised to undertake anabolic steroid therapy for the management of anemia associated with renal insufficiency. Which of the following risks increases in elderly patients undergoing anabolic steroid therapy?
Cancer of the prostate
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?
Cardiovascular disease
Mark, age 42, is prescribed sildenafil for the treatment of pulmonary hypertension. As the nurse caring for Mark, you explain that sildenafil works by what mechanism?
Causing vasodilation in the pulmonary vascular bed
A patient is taking androgens and warfarin (Coumadin). What effect will these two medications have on the patient's coagulation?
Coagulation will be decreased
Testosterone therapy would be recommended for all these patients except for:
Correct response: A 35-year-old male with erectile dysfunction due to diabetes mellitus
Illegal use of large quantities of unprescribed anabolic steroids to enhance athletic performance has been associated with: A) Increased sexual prowess B) Muscle rupture from overexpansion C) Development of chronic obstructive pulmonary disease D) Cardiomyopathy and liver cancers
D
The nurse is assessing a pt for whom androgens are being considered. After obtaining the pt's health history, what data should the nurse prioritize for reporting to the care provider? A) The pt received the pneumococcal vaccine 6 weeks ago B) The pt reports an allergy to Penicillin C) The pt eats a low-carbohydrate, high-protein diet D) The pt has hepatitis A earlier in the year
D
The nurse is explaining the negative effects of anabolic steroids for enhancing athletic performance to the adolescent female pt experiencing negative effects. The pt asks the nurse if there is research to prove herbal and alternative therapies can improve performance. What is the nurse's best response? A) Spirulina is completely safe and there are studies to prove its effectiveness B) Creatine is all natural, is effective as a performance enhancer, and can be used long term C) Bee pollen has been proven to be very effective D) Wild yam has been found to have many estrogen-like effects and is used to increase athletic performance
D
Viagra is known to: A) Cause unexpected and enlarged erections B) Make a person young and agile C) Promote interpersonal relationships between partners D) Increase nitrous oxide levels in the corpus cavernosum, causing vascular relaxation and promoting blood flown into the corpus cavernosum
D
What would the nurse expect to be administered as a depot injection? A) Danazol B) Fluoxymesterone C) Methyltestosterone D) Testosteron
D
SATA. The nurse reviews the pt's medical history prior to giving him the prescription for a PDE5 inhibitor written by the provider. What drugs the pt is found to be taking would cause the nurse to question the provider about giving the pt this prescription? A) Itraconazole B) Ketoconazole C) Erythromycin D) Nitrates E) Alpha-adrenergic blockers
D E
The nurse determines that teaching about testosterone therapy via a transdermal patch is effective when the patient states that he will change the patch in which time frame?
Daily
Which of the following results with the administration of testosterone?
Decreased protein catabolism
A female patient receiving fluoxymesterone, an androgenic drug, for metastatic breast cancer is disturbed by the physical changes seen in her body. Which of the following features of virilization may be seen in the patient receiving this therapy?
Deepening of the voice
A female patient receiving fluoxymesterone, an androgenic drug, for metastatic breast cancer is disturbed by the physical changes seen in her body. Which of the following features of virilization may be seen in the patient receiving this therapy? a) Decrease in clitoris size b) Deepening of the voice c) Hypopigmentation of the skin d) Increase in body weight
Deepening of the voice
A client is receiving androgen therapy. Which of the following would cause the nurse the greatest concern?
Elevated liver enzyme levels
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
The nurse would instruct a client who is using a transdermal system for testosterone administration to apply a new patch at which frequency?
Every Day
The nurse would instruct a client who is using a transdermal system for testosterone administration to apply a new patch at which frequency?
Every day
Androgens are used as replacement therapy for hypergonadism.
False
Testosterone is injected directly into the corpus spongiosum.
False
True or False: Alprostadil is available as a transdermal patch for the treatment of erectile dysfunction.
False; Alprostadil is administered intracavernously
True or False: Testosterone is injected directly into the corpus spongiosum.
False; Alprostadil is injected directly in the corpus cavernosum
True or False: Androgens are used as replacement therapy for hypergonadism
False; Hypogonadism is an indication for use of androgens as replacement therapy
True or False: Headache and flushing are signs of a hypersensitivity reaction of PDE5 inhibitors.
False; The PDE5 inhibitors often result in flushing and headache, but ease adverse effects are heated to vasodilation, not hypersensitivity
Using herbal or dietary supplements as safe, natural alternatives for building muscle may result in:
Feminizing effects.
Which of the following is an example of an androgen that can be used to treat hypogonadism? (Choose one)
Fluoxymesterone
When fluoxymesterone is administered to a 14-year-old male for hypogonadism, what is the expected result?
Growth of sexual organs
When fluoxymesterone is administered to a 14-year-old male for hypogonadism, what is the expected result? a) Euphoria b) Growth of sexual organs c) Decreased muscle mass d) All the above
Growth of sexual organs
An 8-year-old boy is being administered testosterone injections for treatment of hypogonadism. Which of the following should be measured every 6 months?
Hand and wrist epiphyseal growth plates
An 8-year-old boy is being administered testosterone injections for treatment of hypogonadism. Which of the following should be measured every 6 months? a) Visual acuity b) Hand and wrist epiphyseal growth plates c) Electroencephalogram d) Electrocardiogram
Hand and wrist epiphyseal growth plates
The nurse is obtaining a history from a 23-year-old man. The nurse suspects that the client may be using DHEA if he displays which symptoms?
Hirsutism
Androgen deficiency states are a major indicator for administration of anabolic steroids, which include all of the following except:
Hypergonadism.
A client is admitted to the hospital with benign prostatic hypertrophy, and the physician prescribed tamsulosin. The nurse knows that other drugs in this class of medications are used to treat which condition?
Hypertension
A client is admitted to the hospital with benign prostatic hypertrophy, and the physician prescribed tamsulosin. The nurse knows that other drugs in this class of medications are used to treat which condition? a) Erectile dysfunction b) Heart failure c) Androgen deficiency d) Hypertension
Hypertension
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
Which statement correctly identifies the triggering factor associated with benign prostatic hypertrophy (BPH)?
Increase in the dihydrotestosterone (DHT) androgen
In older adult men, anabolic steroids may be prescribed for a deficiency condition. If hypertensive, what might be the cause for an increase in blood pressure?
Increased fluid and sodium retention
Which of the following would a nurse expect to occur with the administration of anabolic steroids?
Increased red blood cell mass
Sid informs his physician that sildenafil therapy is not working for him. What is most likely to be the reason for this and needs to be carefully assessed for by the nurse?
Ingestion of high-fat meal along with the drug
The androgen, testosterone, is available in several dosage forms, in which of the following routes is testosterone not able to be given? (Choose one)
Intravenously
A male taking anabolic steroids may experience which of the following side effects?
Jaundice
A patient 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. Indicate what patient education is necessary.
Leave the gel on until the next application is due.
A client has been receiving long-term testosterone therapy. The nurse would expect to monitor which of the following?
Liver function studies
The nurse knows that finasteride is used to treat prostatic hypertrophy and in smaller doses is used to treat what condition?
Male pattern baldness
A woman who has been prescribed high doses of anabolic steroids should be instructed on which of the following effects?
Masculinization
A woman who has been prescribed high doses of anabolic steroids should be instructed on which of the following effects? a) Immobility of joints b) Hypotension c) Obesity d) Masculinization
Masculinization
A 24-year-old female athlete is using high doses of anabolic steroids to enhance her performance. She may be at risk for which of the following conditions?
Menstrual irregularities
A 24-year-old female athlete is using high doses of anabolic steroids to enhance her performance. She may be at risk for which of the following conditions?
Menstrual irregularities
A male patient has been prescribed testosterone for cryptorchidism. Which of the following statements indicate that the patient teaching was effective? a) "My body hair will increase." b) "My skin will be clear and soft." c) "My voice may become higher." d) "My sexual desire will decrease."
My body hair will increase."
A client is receiving a medication that has androgenic effects. Which of the following would the nurse expect to assess?
Oily skin
After reviewing the various methods for administering testosterone to client, the nurse indicates a need for additional review when the nurse identifies which route as appropriate?
Oral
The nurse is discussing testosterone replacement with a client and instructs the client that this medication is not available in what formulation?
Oral
After teaching a group of students about anabolic steroids, the instructor determines that the teaching was successful when the students identify which agent as an example?
Oxandrolone
Which of the following medications can be used to treat anemia? (Choose one)
Oxymetholone
A teenage client who is using testosterone to treat a hormone deficiency calls the clinic to complain of acne-like skin eruptions on the face. How should the nurse counsel this client?
Practice frequent and thorough skin cleansing
A 30-year-old debilitated client is receiving anabolic steroids. Which of the following might the client experience?
Priapism
A 30-year-old debilitated client is receiving anabolic steroids. Which of the following might the client experience? a) Excessive hair growth b) Priapism c) Testicular enlargement d) Breast size reduction
Priapism
Mr. Craig, age 55, is seen by his family physician today for follow-up care. He was hospitalized 2 months ago for a myocardial infarction. Mr. Craig is taking the following medications: atenolol, Zetia, and Zestril. In addition to requesting a refill of his medication for his cardiac condition, he also asks for something to help with his erectile dysfunction, which has increased in severity over the last year. What would be the most appropriate response to Mr. Craig with regard to sildenafil?
Prior to being prescribed sildenafil, you will need to have a stress test.
The nurse is preparing to apply testosterone gel (Androgel) to a male client who has a low testosterone level. What is the nurse's top priority action before administering this medication?
Put on gloves.
The physician has ordered alprostadil to a client who has erectile dysfunction. The nurse will instruct the client to administer this medication in what way?
Self-injection into the penis
A client is using a transdermal system for androgen administration. Which drug would the client most likely be using?
Testosterone
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
A nurse is preparing a class on the various drugs used to treat erectile dysfunction. Which of the following would the nurse include?
Tadalafil
Which agent is available for use as a daily dose?
Tadalafil
Which agent would a client most likely be prescribed for penile erectile dysfunction if the client is very sexually active and the timing of sexual stimulation is not known?
Tadalafil
It has been determined that a 33-year-old male client would likely benefit from treatment with testosterone. What aspect of the client's medical history could contraindicate this treatment?
The client has been diagnosed with hepatitis C.
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?
The development of acne
Mr. Yales is prescribed sildenafil for the treatment of erectile dysfunction. What mechanism of action of sildenafil causes a sustained erection?
The drug inhibits phosphodiesterase (PDE) type 5, consequently decreasing the metabolism of cGMP.
Mr. Yales is prescribed sildenafil for the treatment of erectile dysfunction. What mechanism of action of sildenafil causes a sustained erection? a) The drug inhibits phosphodiesterase (PDE) type 5, consequently decreasing the metabolism of cGMP. b) The exact mode of action is unknown. c) The drug inhibits steroid 5-alpha reductase, consequently blocking the peripheral conversion of testosterone to DHT. d) The drug increases the production of follicle-stimulating hormone (FSH).
The drug inhibits phosphodiesterase (PDE) type 5, consequently decreasing the metabolism of cGMP.
A 66-year-old man has made an appointment with his primary care provider to discuss his recent erectile dysfunction (ED) and has requested a prescription for tadalafil (Cialis) based on television commercials he has seen. What characteristic of this patient would most likely contraindicate the use of tadalafil for his ED?
The patient has unstable angina and uses a nitroglycerin patch
Anabolic steroid use causes an increase in muscular work capacity, which is what makes these agents popular as performance-enhancing drugs. They are dangerous specifically to teens because:
They can damage the heart, liver, and kidneys.
Anabolic steroids are analogs of testosterone with increased protein building effects.
True
Anabolic steroids are analogs of testosterone with increased protein building effects. a) False b) True
True
Headache and flushing are adverse effects associated with PDE 5 inhibitors.
True
True or False: Anabolic steroids are analogues of testosterone with increased protein-building effects
True
A nurse is educating a group of young sports persons about the adverse effects associated with the use of anabolic steroids. Which of the following conditions is an adverse effect of anabolic steroids occurring typically only in females?
Virilization
A 59-year-old man with a recent history of erectile dysfunction has been assessed and prescribed sildenafil (Viagra). When providing patient education to this man, the nurse should tell him which of the following? a) "You should take your Viagra at the same time each morning, ideally on an empty stomach." b) "Make sure that you don't take any other prescription medications while you're using Viagra." c) "You might find that your face becomes flushed or you get a headache after you take Viagra." d) "If you get some heart palpitations or dizziness after you take Viagra, know that this is normal and will pass with time."
You might find that your face becomes flushed or you get a headache after you take Viagra."
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.
A nurse is working with a patient in the clinic who has erectile dysfunction. The patient has been prescribed sildenafil (Viagra). The patient wants to do everything he can to promote effectiveness of the drug. The nurse will instruct him to
avoid taking the drug with a high-fat meal.
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:
blood glucose level.
Androgens may be prescribed to women to treat conditions related to the effects of the female sex hormones. Danazol is prescribed to prevent or treat fibrocystic breast disease and
endometriosis.
You are a nurse teaching a class at the local high school on the abuse of anabolic steroids. One potential adverse reaction you should cite is
liver tumors.
Sildenafil may be used in women to treat which of the following?
pulmonary arterial hypertension
A client with a recent history of benign prostatic hypertrophy (BPH) will soon begin treatment with finasteride. Before beginning this course of therapy, the nurse should caution the client to be aware of what potentially adverse effect?
sexual dysfunction
A 70-year-old man has enjoyed good overall health for all of his adult life, but he has been experiencing urinary frequency and dribbling that has culminated in a diagnosis of benign prostatic hypertrophy (BPH). As a result, the client has been prescribed finasteride. When teaching the client about the potential adverse effects of the drug, the nurse should ensure that he knows about the possibility of:
sexual dysfunction.
From puberty onward, androgens continue to aid in the development and maintenance of secondary sex characteristics that include which of the following?
• Body fat distribution • Body hair • Muscle development
From puberty onward, androgens continue to aid in the development and maintenance of secondary sex characteristics that include which of the following? Select all that apply:
• Body fat distribution • Muscle development • Body hair
A professional athlete has been self-administering anabolic steroids for years and has begun to have health issues. Which of the following body tissues are affected adversely by anabolic steroid use?
• Cardiovascular • Central nervous system • Reproductive system
A professional athlete has been self-administering anabolic steroids for years and has begun to have health issues. Which of the following body tissues are affected adversely by anabolic steroid use? Select all that apply.
• Cardiovascular • Central nervous system • Reproductive system
A nurse should advise a female client beginning therapy with methyltestosterone (Testred) for the treatment of inoperable advanced breast carcinoma of which of the following adverse reactions? Select all that apply:
• Facial hair growth • Amenorrhea • Acne
A nurse should advise a client beginning therapy with testosterone (Androderm) of which of the following adverse effects? Select all that apply:
• Fluid retention • Male pattern baldness • Impotence
A 30-year-old male is receiving oxymetholone as treatment for anemia. The nurse alerts the patient to which of the following as a possible adverse effect?
• Gynecomastia • Priapism • Testicular atrophy
A nurse may be asked to administer androgen drugs to clients with which of the following medical conditions?
• Hypogonadism • Postmenopausal metastatic breast carcinoma
A nurse may be asked to administer androgen drugs to clients with which of the following medical conditions? Select all that apply:
• Hypogonadism • Postmenopausal metastatic breast carcinoma
What potentially serious adverse effects do large doses of anabolic steroids produce? Select all that apply.
• Jaundice • Inability to stop taking the drug • Metabolic disorders
The nurse is caring for a teenage male who reports using an illegally obtained anabolic steroid to improve his athletic performance. What adverse effects may occur in this client as a result of taking these substances? (Select all that apply.) a) Aggression b) Fluid retention c) Testicular hypertrophy d) Jaundice e) Hypotension
• Jaundice • Aggression • Fluid retention
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?
• Reduced libido • Impotence • Decreased volume of ejaculate
A nurse is caring for patients receiving androgen therapy. For which of the following conditions may androgen therapy be given as replacement therapy? Select all that apply.
• Testosterone deficiency • Delayed puberty • Failure of development of the testes
A nurse suspects a client might be abusing anabolic steroids. Which of the following signs might a client exhibit that would indicate abuse of anabolic steroids?
• Uncontrolled rage • Jaundice • Inability to concentrate • Acne • Severe depression
A nurse suspects a client might be abusing anabolic steroids. Which of the following signs might a client exhibit that would indicate abuse of anabolic steroids? Select all that apply:
• Uncontrolled rage • Jaundice • Inability to concentrate • Acne • Severe depression
A nurse suspects a client might be abusing anabolic steroids. Which of the following signs might a client exhibit that would indicate abuse of anabolic steroids? Select all that apply: a) Inability to concentrate b) Jaundice c) Uncontrolled rage d) Severe depression e) Acne
• Uncontrolled rage • Jaundice • Inability to concentrate • Acne • Severe depression
A nurse's pre-administration assessment for a client about the receive oxymetholone (Anadrol-50) should include which of the following? Select all that apply:
• Weight • Fasting lipid panel • Hepatic function tests
