Test Bank - Focus on Nursing Pharmacology (8th Edition by Karch)
1. 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.
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?
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.
5. 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.
6. 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
1. 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.
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?
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.
5. 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.
6. 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
