NURSING 101 - Chapter 41. Questions and Answers. Rationales Provided.

NURSING 101 - Chapter 41. Questions and Answers. Rationales Provided. 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 selfesteem concerns. 2. 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. 3. 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. 4. 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?