Lilley Pharm Ch 35
1. A patient is to receive testosterone therapy via a transdermal patch. He asks the nurse, "Why
am I getting a patch? Can't I just take a pill?" Which response by the nurse is correct?
a. "The patch reduces the incidence of side effects."
b. "If you don't take the patch, you will have to have injections instead."
c. "The patch allows for better absorption of the medication."
d. "You will only have to change the patch weekly." - ANSANS: C
The transdermal form allows for better absorption of testosterone because of its high first-pass
effect. Oral forms are poorly absorbed, and the transdermal form is preferable to an injection
and is preferred for hormonal replacement therapy. The patch is changed daily.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 555
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
2. When a male patient is receiving androgen therapy, the nurse will monitor for signs of
excessive androgens such as:
a. fluid retention.
b. dehydration.
c. restlessness.
d. visual changes. - ANSANS: A
Fluid retention is an undesirable effect of androgens. The other options are incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 557
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
3. A patient is receiving finasteride (Proscar) for treatment of benign prostatic hyperplasia. The
nurse will tell him that a possible effect of this medication is:
a. alopecia.
b. increased hair growth.
c. urinary retention.
d. increased prostate size. - ANSANS: B
Finasteride is given to reduce prostate size in men with benign prostatic hyperplasia. It has
been noted that men taking this medication experience increased hair growth. The other options
are incorrect.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 557
TOP: NURSING PROCESS: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
1. A patient is to receive testosterone therapy via a transdermal patch. He asks the nurse, "Why
am I getting a patch? Can't I just take a pill?" Which response by the nurse is correct?
a. "The patch reduces the incidence of side effects."
b. "If you don't take the patch, you will have to have injections instead."
c. "The patch allows for better absorption of the medication."
d. "You will only have to change the patch weekly." - ANSANS: C
The transdermal form allows for better absorption of testosterone because of its high first-pass
effect. Oral forms are poorly absorbed, and the transdermal form is preferable to an injection
and is preferred for hormonal replacement therapy. The patch is changed daily.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 555
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
2. When a male patient is receiving androgen therapy, the nurse will monitor for signs of
excessive androgens such as:
a. fluid retention.
b. dehydration.
c. restlessness.
d. visual changes. - ANSANS: A
Fluid retention is an undesirable effect of androgens. The other options are incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 557
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
3. A patient is receiving finasteride (Proscar) for treatment of benign prostatic hyperplasia. The
nurse will tell him that a possible effect of this medication is:
a. alopecia.
b. increased hair growth.
c. urinary retention.
d. increased prostate size. - ANSANS: B
Finasteride is given to reduce prostate size in men with benign prostatic hyperplasia. It has
been noted that men taking this medication experience increased hair growth. The other options
are incorrect.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 557
TOP: NURSING PROCESS: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
