C HAPTER 38: G ONADAL H ORMONES
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. Which situation necessitates the need for immediate follow-up with the
healthcare provider for a young woman taking birth control pills?
a. Breakthrough bleeding
b. Nausea
c. Missed dose
d. Light menstrual flow
ANS: A
Breakthrough bleeding is not an expected adverse effect and should be
reported to a healthcare provider immediatel y to consider alternatives in
therapy. Nausea is an expected adverse effect of contraceptive therapy.
Missed doses are comm on and do not require notification of the provider.
Light menstrual flow is common with contraceptive therapy.
DIF: Cognitive Level: Comprehension REF: p. 617 OBJ: 2
NAT: NCLEX Client Needs Category: Health Promotion and
Maintenance
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Hormonal Regulation | Safet y | Patient
Education
2. Which statement is true regarding androgen therapy?
a. Androgen use may cause hypergl ycemia.
, b. Androgens should be administered with food or milk to avoid gastric
irritation.
c. Signs of masculinization will appear and are reversible.
d. Electrol yte imbalances are extremel y rare.
ANS: B
Androgens may cause gastric irritation and therefore can be given with food
or milk. Androgens cause hypogl ycemia. Treatment is oft en stopped once
signs of masculinization appear because these may not be reversible.
Androgens cause electrol yte imbalances.
DIF: Cognitive Level: Comprehension REF: p. 621 OBJ: 2
NAT: NCLEX Client Needs Category: Health Promotion and
Maintenance
TOP: Nursing Process Step: Evaluation
CON: Clinical Judgment | Hormonal Regulation | Safet y
3. Which natural estrogenic hormones produced in the ovaries is the most
potent?
a. Estradiol
b. Estrone
c. Estriol
d. Estrogen
ANS: A
The natural estrogenic hormone released fr om the ovaries comprises several
closel y related chemical compounds: estradiol, estrone, and estriol. the most
potent is estradiol. Estradiol is metabolized to estrone, which is half as
potent. Estrone is metabolized to estriol, which is considerably less potent.
Estrogens are a group of steroid compounds named for their importance in the
estrus cycle, functioning as the primary female sex hormone.
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. Which situation necessitates the need for immediate follow-up with the
healthcare provider for a young woman taking birth control pills?
a. Breakthrough bleeding
b. Nausea
c. Missed dose
d. Light menstrual flow
ANS: A
Breakthrough bleeding is not an expected adverse effect and should be
reported to a healthcare provider immediatel y to consider alternatives in
therapy. Nausea is an expected adverse effect of contraceptive therapy.
Missed doses are comm on and do not require notification of the provider.
Light menstrual flow is common with contraceptive therapy.
DIF: Cognitive Level: Comprehension REF: p. 617 OBJ: 2
NAT: NCLEX Client Needs Category: Health Promotion and
Maintenance
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Hormonal Regulation | Safet y | Patient
Education
2. Which statement is true regarding androgen therapy?
a. Androgen use may cause hypergl ycemia.
, b. Androgens should be administered with food or milk to avoid gastric
irritation.
c. Signs of masculinization will appear and are reversible.
d. Electrol yte imbalances are extremel y rare.
ANS: B
Androgens may cause gastric irritation and therefore can be given with food
or milk. Androgens cause hypogl ycemia. Treatment is oft en stopped once
signs of masculinization appear because these may not be reversible.
Androgens cause electrol yte imbalances.
DIF: Cognitive Level: Comprehension REF: p. 621 OBJ: 2
NAT: NCLEX Client Needs Category: Health Promotion and
Maintenance
TOP: Nursing Process Step: Evaluation
CON: Clinical Judgment | Hormonal Regulation | Safet y
3. Which natural estrogenic hormones produced in the ovaries is the most
potent?
a. Estradiol
b. Estrone
c. Estriol
d. Estrogen
ANS: A
The natural estrogenic hormone released fr om the ovaries comprises several
closel y related chemical compounds: estradiol, estrone, and estriol. the most
potent is estradiol. Estradiol is metabolized to estrone, which is half as
potent. Estrone is metabolized to estriol, which is considerably less potent.
Estrogens are a group of steroid compounds named for their importance in the
estrus cycle, functioning as the primary female sex hormone.
