C HAPTER 40: D RUGS U SED IN M EN ’ S AND
W OMEN ’ S H EALTH
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. The nurse is teaching a patient beginning therapy with dutasteride
(Avodart). Which time period is correct in explaining how long will it take
before the patient can expect results?
a. 24 hours
b. 2 weeks
c. 1 month
d. 6 months
ANS: D
Longer than 6 to 12 months of treatment may be necessary to assess whether
a therapeutic response has been achieved.
DIF: Cognitive Level: Comprehension REF: p. 663 OBJ: 4
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Implementation CON: Clinical
Judgment
2. Which rationale explains why m caution must be used when taking a
phosphodiesterase inhibitor to enhance male sexual function?
a. It can become habit forming.
b. Life-threatening consequence s can occur with cardiovascular
disorders.
, c. It is an ineffective treatment.
d. It is expensive and available onl y by special prescription.
ANS: B
The patient must consult with a healthcare provider before using a
phosphodiesterase inhibitor. People wit h cardiovascular disorders are
particularl y susceptible to life -threatening consequences with its use. It is
unlikel y that a patient will develop physiologic dependence on the
medication, although psychological dependence may occur.
Phosphodiesterase inhib itors can be a very effective treatment for ED.
Phosphodiesterase inhibitors are readil y available online and are not
expensive.
DIF: Cognitive Level: Comprehension REF: p. 666 OBJ: 5
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Perfusion | Safet y | Patient Education
3. Which mechanism describes whereby estrogen functions as a contraceptive?
a. Inhibiting luteinizing hormone (LH), blocking release of ovum from
a follicle
b. Thinning cervical mucus, which inhibits sperm migration
c. Trapping the ovum in the endometrial wall, preventing its growth
d. Blocking follicle-stimulating hormone (FSH), thereby preventing
release of ovum
ANS: D
Estrogens block pituitary releas e of FSH, preventing the ovaries from
developing a follicle from which the ovum is released. Progestins inhibit
pituitary release of LH, the hormone responsible for releasing an ovum from
a follicle. Estrogens and progestins alter cervical mucus by making it thick
W OMEN ’ S H EALTH
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. The nurse is teaching a patient beginning therapy with dutasteride
(Avodart). Which time period is correct in explaining how long will it take
before the patient can expect results?
a. 24 hours
b. 2 weeks
c. 1 month
d. 6 months
ANS: D
Longer than 6 to 12 months of treatment may be necessary to assess whether
a therapeutic response has been achieved.
DIF: Cognitive Level: Comprehension REF: p. 663 OBJ: 4
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Implementation CON: Clinical
Judgment
2. Which rationale explains why m caution must be used when taking a
phosphodiesterase inhibitor to enhance male sexual function?
a. It can become habit forming.
b. Life-threatening consequence s can occur with cardiovascular
disorders.
, c. It is an ineffective treatment.
d. It is expensive and available onl y by special prescription.
ANS: B
The patient must consult with a healthcare provider before using a
phosphodiesterase inhibitor. People wit h cardiovascular disorders are
particularl y susceptible to life -threatening consequences with its use. It is
unlikel y that a patient will develop physiologic dependence on the
medication, although psychological dependence may occur.
Phosphodiesterase inhib itors can be a very effective treatment for ED.
Phosphodiesterase inhibitors are readil y available online and are not
expensive.
DIF: Cognitive Level: Comprehension REF: p. 666 OBJ: 5
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Perfusion | Safet y | Patient Education
3. Which mechanism describes whereby estrogen functions as a contraceptive?
a. Inhibiting luteinizing hormone (LH), blocking release of ovum from
a follicle
b. Thinning cervical mucus, which inhibits sperm migration
c. Trapping the ovum in the endometrial wall, preventing its growth
d. Blocking follicle-stimulating hormone (FSH), thereby preventing
release of ovum
ANS: D
Estrogens block pituitary releas e of FSH, preventing the ovaries from
developing a follicle from which the ovum is released. Progestins inhibit
pituitary release of LH, the hormone responsible for releasing an ovum from
a follicle. Estrogens and progestins alter cervical mucus by making it thick
