Chapter 38 NCLEX review

The nurse is teaching a patient about the use of testosterone gel (AndroGel, Testim). Which statement by the patient indicates a need for further teaching?

"I should apply the gel to the genitals for maximum effect

The nurse is teaching a patient about the use of transdermal estradiol (Vivelle). Which statement by the patient indicates a need for further teaching?

"I will apply the patch once a week."

Which statement made by a patient for whom progestin has been ordered is reason for the nurse to hold the medication and notify the prescriber?

"I've had unprotected sex on four occasions this month."

Which person is the best candidate for taking birth control pills?

A 35 year old with undiagnosed abnormal vaginal bleeding

Which instruction does the nurse include in a teaching plan for a patient taking buccal testosterone (Striant)?

Apply to the gum above the incisor tooth

What is the most important question the nurse asks during the premedication assessment of a patient for whom estrogen therapy has been prescribed?

Could you be pregnant?

Androgen therapy is indicated for which conditions? (Select all that apply.)

Eunuchism Constitutional growth delay

How often should a male child taking androgens have the long bones radiographed?

Every 3 to 6 months

What is the most important electrolyte imbalance the nurse checks as part of the premedication assessment of a patient for whom androgen therapy is planned?

Hypercalcemia

The nurse is teaching a female patient about androgens. About which serious adverse effect does the nurse inform the patient?

Masculinization

For which symptom of hypercalcemia does the nurse assess in a patient with breast cancer who is taking fluoxymesterone (Androxy)?

Poor muscle tone

Estrogen therapy may induce toxicity to which drug?

Warfarin (Coumadin