C HAPTER 35: M EN ’ S H EALTH D RUGS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. A 21-year-old male athlete admits to using an drogenic steroids. The nurse
tells him that which of these is a possible adverse effect of these drugs?
a. Liver damage
b. Renal failure
c. Heart failure
d. Stevens-Johnson syndrome
ANS: A
Peliosis of the liver, the formation of blood -filled cavities, is a
potential effect of androgenic anabolic steroid therapy and may be life
threatening. Other serious hepatic effects are hepatic neoplasms (liver
cancer), cholestatic hepatitis, jaundice, and abnormal liver function.
The other options are incorrect.
DIF: Cognitive Leve l: Understanding (Comprehension)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Reduction of Risk
Potential
2. During the administration of finasteride, the nurse must remember which
important precaution?
a. It must be taken on an emp t y stomach.
b. It must not be handled by pregnant women.
c. It is given by deep intramuscular injection to avoid tissue irritation.
, d. The patient needs to be warned that alopecia is a common adverse
effect.
ANS: B
Finasteride must not be handled by pregnant women or women of
childbearing age because of its teratogenic effects. It is taken orall y
and without regard to meals. The other options are incorrect.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological In tegrit y: Pharmacological and
Parenteral Therapies
3. A 73-year-old male patient is in the clinic for a yearl y physical and is
asking for a prescription for sildenafil. He has listed on his health history
that he is taking a nitrate for angina. The nurse is a ware that which
problem may occur if sildenafil is taken with a nitrate?
a. Significant increase in pulse rate
b. Significant decrease in blood pressure
c. Increased risk of bleeding
d. Reduced effectiveness of the sildenafil
ANS: B
In patients with pre-existing cardi ovascular disease, especially those
on nitrates, erectile dysfunction drugs such as sildenafil lower blood
pressure substantially, potentiall y leading to more serious adverse
events. The other options are incorrect.
DIF: Cognitive Level: Appl ying (Applicat ion)
TOP: Nursing Process: Assessment
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. A 21-year-old male athlete admits to using an drogenic steroids. The nurse
tells him that which of these is a possible adverse effect of these drugs?
a. Liver damage
b. Renal failure
c. Heart failure
d. Stevens-Johnson syndrome
ANS: A
Peliosis of the liver, the formation of blood -filled cavities, is a
potential effect of androgenic anabolic steroid therapy and may be life
threatening. Other serious hepatic effects are hepatic neoplasms (liver
cancer), cholestatic hepatitis, jaundice, and abnormal liver function.
The other options are incorrect.
DIF: Cognitive Leve l: Understanding (Comprehension)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Reduction of Risk
Potential
2. During the administration of finasteride, the nurse must remember which
important precaution?
a. It must be taken on an emp t y stomach.
b. It must not be handled by pregnant women.
c. It is given by deep intramuscular injection to avoid tissue irritation.
, d. The patient needs to be warned that alopecia is a common adverse
effect.
ANS: B
Finasteride must not be handled by pregnant women or women of
childbearing age because of its teratogenic effects. It is taken orall y
and without regard to meals. The other options are incorrect.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological In tegrit y: Pharmacological and
Parenteral Therapies
3. A 73-year-old male patient is in the clinic for a yearl y physical and is
asking for a prescription for sildenafil. He has listed on his health history
that he is taking a nitrate for angina. The nurse is a ware that which
problem may occur if sildenafil is taken with a nitrate?
a. Significant increase in pulse rate
b. Significant decrease in blood pressure
c. Increased risk of bleeding
d. Reduced effectiveness of the sildenafil
ANS: B
In patients with pre-existing cardi ovascular disease, especially those
on nitrates, erectile dysfunction drugs such as sildenafil lower blood
pressure substantially, potentiall y leading to more serious adverse
events. The other options are incorrect.
DIF: Cognitive Level: Appl ying (Applicat ion)
TOP: Nursing Process: Assessment
