Chapter 56: Men’s Health and
Reproductive Disorders McCuistion:
Pharmacology: A Patient-Centered
Nursing Process Approach, 11th Edition
A 14-year-old male is being evaluated for delayed puberty. Which finding would indicate
delayed puberty in this child?
a. Androgen deficiency
b. Growth hormone deficiency
c. Height of 2.5 standard deviations below the mean
d. Lack of epiphyseal closure - ANS-ANS: A
Low androgen levels indicate delayed puberty. Patients who are short and who have not
developed secondary sexual characteristics may have growth hormone deficiency, normal
variations in development, or delayed puberty. Growth hormone deficiency may cause short
stature.
\A 50-year-old male patient reports having decreased libido and testicular atrophy. The nurse
will anticipate that the provider may order which medication to treat these symptoms?
a. Testosterone (Androderm)
b. Finasteride (Proscar)
c. Gonadotropin-releasing hormone (Gn-RH)
d. Sildenafil (Viagra) - ANS-ANS: A
Testosterone is given patients who have low testosterone, evidenced by decreased libido
and testicular atrophy in adult men. Finasteride is given to treat benign prostatic hypertrophy.
Gn-RH is used to inhibit testosterone production. Sildenafil is used to treat erectile
dysfunction.
\A male patient wants to begin taking tadalafil (Cialis) to treat erectile dysfunction. Which
aspect of this patient's history would require additional investigation to prevent a potentially
serious drug interaction with tadalafil?
a. Angina pectoris
b. Asthma
c. Benign prostatic hypertrophy (BPH)
d. Color blindness - ANS-ANS: A
Patient with angina are often treated with nitrates; phosphodiesterase inhibitors such as
tadalafil are contraindicated in patients taking nitrates. Nitrate use should be evaluated prior
to starting tadalafil.
Reproductive Disorders McCuistion:
Pharmacology: A Patient-Centered
Nursing Process Approach, 11th Edition
A 14-year-old male is being evaluated for delayed puberty. Which finding would indicate
delayed puberty in this child?
a. Androgen deficiency
b. Growth hormone deficiency
c. Height of 2.5 standard deviations below the mean
d. Lack of epiphyseal closure - ANS-ANS: A
Low androgen levels indicate delayed puberty. Patients who are short and who have not
developed secondary sexual characteristics may have growth hormone deficiency, normal
variations in development, or delayed puberty. Growth hormone deficiency may cause short
stature.
\A 50-year-old male patient reports having decreased libido and testicular atrophy. The nurse
will anticipate that the provider may order which medication to treat these symptoms?
a. Testosterone (Androderm)
b. Finasteride (Proscar)
c. Gonadotropin-releasing hormone (Gn-RH)
d. Sildenafil (Viagra) - ANS-ANS: A
Testosterone is given patients who have low testosterone, evidenced by decreased libido
and testicular atrophy in adult men. Finasteride is given to treat benign prostatic hypertrophy.
Gn-RH is used to inhibit testosterone production. Sildenafil is used to treat erectile
dysfunction.
\A male patient wants to begin taking tadalafil (Cialis) to treat erectile dysfunction. Which
aspect of this patient's history would require additional investigation to prevent a potentially
serious drug interaction with tadalafil?
a. Angina pectoris
b. Asthma
c. Benign prostatic hypertrophy (BPH)
d. Color blindness - ANS-ANS: A
Patient with angina are often treated with nitrates; phosphodiesterase inhibitors such as
tadalafil are contraindicated in patients taking nitrates. Nitrate use should be evaluated prior
to starting tadalafil.
