NR 508 Week 2 Chamberlain exam with correct answers

NR 508 Week 2 Chamberlain exam with
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correct answers |\




Men who use transdermal testosterone gel (AndroGel) should be advised to
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avoid:

1. Washing their hands after applying the gel
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2. Wearing occlusive clothing while using the gel
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3. Exposure to estrogens while using the gel
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4. Skin-to-skin contact with pregnant women while using the gel -
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CORRECT ANSWERS ✔✔4. Skin-to-skin contact with pregnant women
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while using the gel
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Education when prescribing androgens to male patients includes advising
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that:

1. Short-term use places the patient at risk for hepatocellular carcinoma.
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2. Cholestatic hepatitis and jaundice may occur with low doses of androgens.
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3. Gynecomastia is a rare occurrence with the use of androgens.
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4. Low sperm levels only occur with long-term use of androgens. -
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CORRECT ANSWERS ✔✔2. Cholestatic hepatitis and jaundice may occur
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with low doses of androgens.
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Patients who are prescribed exogenous androgens need to be warned that
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decreased libido: |\

,1. Is an unusual side effect of androgens and should be reported to the
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provider

2. Is treated with increased doses of androgens, so the patient should let the
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provider know if he is having problems
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3. May be a sign of early prostate cancer and he should make an
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appointment for a prostate screening exam |\ |\ |\ |\ |\




4. May occur with androgen therapy - CORRECT ANSWERS ✔✔4. May
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occur with androgen therapy
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The U.S. Food and Drug Administration warns that androgens may cause:
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1. Peliosis hepatis
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2. Orthostatic hypotension
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3. Menstrual irregularities
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4. Acne - CORRECT ANSWERS ✔✔1. Peliosis hepatis
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Monitoring for a patient who is using androgens includes evaluation of:
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1. Complete blood count and C-reactive protein levels
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2. Lipid levels and liver function tests
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3. Serum potassium and magnesium levels
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4. Urine protein and potassium levels - CORRECT ANSWERS ✔✔2. Lipid
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levels and liver function tests
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Male patients require ______________________ before and during androgen
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therapy.

1. A digital prostate exam
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, 2. A Doppler exam of testicular blood flow
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3. Urine analysis for proteinuria
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4. Serial orthostatic blood pressures - CORRECT ANSWERS ✔✔1. A digital
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prostate exam |\




Absolute contraindications to estrogen therapy include:
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1. History of any type of cancer
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2. Clotting disorders
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3. History of tension headaches
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4. Orthostatic hypotension - CORRECT ANSWERS ✔✔2. Clotting disorders
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Postmenopausal women with an intact uterus should not be prescribed:
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1. Estrogen/progesterone combination
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2. IM medroxyprogesterone (Depo Provera)
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3. Estrogen alone
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4. Androgens - CORRECT ANSWERS ✔✔3. Estrogen alone
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Women who have migraines with an aura should not be prescribed estrogen
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because of: |\




1. The interaction between triptans and estrogen, limiting migraine therapy
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choices

2. An increased incidence of migraines with the use of estrogen
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3. An increased risk of stroke occurring with estrogen use
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