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
|\ |\ |\ |\ |\ |\ |\
2. Wearing occlusive clothing while using the gel
|\ |\ |\ |\ |\ |\ |\
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
|\ |\ |\ |\ |\ |\ |\ |\
while using the gel
|\ |\ |\
Education when prescribing androgens to male patients includes advising
|\ |\ |\ |\ |\ |\ |\ |\ |\
that:
1. Short-term use places the patient at risk for hepatocellular carcinoma.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
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
|\ |\ |\ |\ |\ |\ |\ |\ |\
with low doses of androgens.
|\ |\ |\ |\
Patients who are prescribed exogenous androgens need to be warned that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
decreased libido: |\
,1. Is an unusual side effect of androgens and should be reported to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
provider
2. Is treated with increased doses of androgens, so the patient should let the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
provider know if he is having problems
|\ |\ |\ |\ |\ |\
3. May be a sign of early prostate cancer and he should make an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
appointment for a prostate screening exam |\ |\ |\ |\ |\
4. May occur with androgen therapy - CORRECT ANSWERS ✔✔4. May
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
occur with androgen therapy
|\ |\ |\
The U.S. Food and Drug Administration warns that androgens may cause:
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
1. Peliosis hepatis
|\ |\
2. Orthostatic hypotension
|\ |\
3. Menstrual irregularities
|\ |\
4. Acne - CORRECT ANSWERS ✔✔1. Peliosis hepatis
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Monitoring for a patient who is using androgens includes evaluation of:
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
1. Complete blood count and C-reactive protein levels
|\ |\ |\ |\ |\ |\ |\
2. Lipid levels and liver function tests
|\ |\ |\ |\ |\ |\
3. Serum potassium and magnesium levels
|\ |\ |\ |\ |\
4. Urine protein and potassium levels - CORRECT ANSWERS ✔✔2. Lipid
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
levels and liver function tests
|\ |\ |\ |\
Male patients require ______________________ before and during androgen
|\ |\ |\ |\ |\ |\ |\ |\
therapy.
1. A digital prostate exam
|\ |\ |\ |\
, 2. A Doppler exam of testicular blood flow
|\ |\ |\ |\ |\ |\ |\
3. Urine analysis for proteinuria
|\ |\ |\ |\
4. Serial orthostatic blood pressures - CORRECT ANSWERS ✔✔1. A digital
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
prostate exam |\
Absolute contraindications to estrogen therapy include:
|\ |\ |\ |\ |\
1. History of any type of cancer
|\ |\ |\ |\ |\ |\
2. Clotting disorders
|\ |\
3. History of tension headaches
|\ |\ |\ |\
4. Orthostatic hypotension - CORRECT ANSWERS ✔✔2. Clotting disorders
|\ |\ |\ |\ |\ |\ |\ |\
Postmenopausal women with an intact uterus should not be prescribed:
|\ |\ |\ |\ |\ |\ |\ |\ |\
1. Estrogen/progesterone combination
|\ |\
2. IM medroxyprogesterone (Depo Provera)
|\ |\ |\ |\
3. Estrogen alone
|\ |\
4. Androgens - CORRECT ANSWERS ✔✔3. Estrogen alone
|\ |\ |\ |\ |\ |\ |\
Women who have migraines with an aura should not be prescribed estrogen
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
because of: |\
1. The interaction between triptans and estrogen, limiting migraine therapy
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
choices
2. An increased incidence of migraines with the use of estrogen
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
3. An increased risk of stroke occurring with estrogen use
|\ |\ |\ |\ |\ |\ |\ |\ |\
|\ |\ |\ |\ |\ |\ |\
correct answers |\
Men who use transdermal testosterone gel (AndroGel) should be advised to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
avoid:
1. Washing their hands after applying the gel
|\ |\ |\ |\ |\ |\ |\
2. Wearing occlusive clothing while using the gel
|\ |\ |\ |\ |\ |\ |\
3. Exposure to estrogens while using the gel
|\ |\ |\ |\ |\ |\ |\
4. Skin-to-skin contact with pregnant women while using the gel -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔4. Skin-to-skin contact with pregnant women
|\ |\ |\ |\ |\ |\ |\ |\
while using the gel
|\ |\ |\
Education when prescribing androgens to male patients includes advising
|\ |\ |\ |\ |\ |\ |\ |\ |\
that:
1. Short-term use places the patient at risk for hepatocellular carcinoma.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
2. Cholestatic hepatitis and jaundice may occur with low doses of androgens.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
3. Gynecomastia is a rare occurrence with the use of androgens.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
4. Low sperm levels only occur with long-term use of androgens. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔2. Cholestatic hepatitis and jaundice may occur
|\ |\ |\ |\ |\ |\ |\ |\ |\
with low doses of androgens.
|\ |\ |\ |\
Patients who are prescribed exogenous androgens need to be warned that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
decreased libido: |\
,1. Is an unusual side effect of androgens and should be reported to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
provider
2. Is treated with increased doses of androgens, so the patient should let the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
provider know if he is having problems
|\ |\ |\ |\ |\ |\
3. May be a sign of early prostate cancer and he should make an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
appointment for a prostate screening exam |\ |\ |\ |\ |\
4. May occur with androgen therapy - CORRECT ANSWERS ✔✔4. May
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
occur with androgen therapy
|\ |\ |\
The U.S. Food and Drug Administration warns that androgens may cause:
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
1. Peliosis hepatis
|\ |\
2. Orthostatic hypotension
|\ |\
3. Menstrual irregularities
|\ |\
4. Acne - CORRECT ANSWERS ✔✔1. Peliosis hepatis
|\ |\ |\ |\ |\ |\ |\
Monitoring for a patient who is using androgens includes evaluation of:
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
1. Complete blood count and C-reactive protein levels
|\ |\ |\ |\ |\ |\ |\
2. Lipid levels and liver function tests
|\ |\ |\ |\ |\ |\
3. Serum potassium and magnesium levels
|\ |\ |\ |\ |\
4. Urine protein and potassium levels - CORRECT ANSWERS ✔✔2. Lipid
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
levels and liver function tests
|\ |\ |\ |\
Male patients require ______________________ before and during androgen
|\ |\ |\ |\ |\ |\ |\ |\
therapy.
1. A digital prostate exam
|\ |\ |\ |\
, 2. A Doppler exam of testicular blood flow
|\ |\ |\ |\ |\ |\ |\
3. Urine analysis for proteinuria
|\ |\ |\ |\
4. Serial orthostatic blood pressures - CORRECT ANSWERS ✔✔1. A digital
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
prostate exam |\
Absolute contraindications to estrogen therapy include:
|\ |\ |\ |\ |\
1. History of any type of cancer
|\ |\ |\ |\ |\ |\
2. Clotting disorders
|\ |\
3. History of tension headaches
|\ |\ |\ |\
4. Orthostatic hypotension - CORRECT ANSWERS ✔✔2. Clotting disorders
|\ |\ |\ |\ |\ |\ |\ |\
Postmenopausal women with an intact uterus should not be prescribed:
|\ |\ |\ |\ |\ |\ |\ |\ |\
1. Estrogen/progesterone combination
|\ |\
2. IM medroxyprogesterone (Depo Provera)
|\ |\ |\ |\
3. Estrogen alone
|\ |\
4. Androgens - CORRECT ANSWERS ✔✔3. Estrogen alone
|\ |\ |\ |\ |\ |\ |\
Women who have migraines with an aura should not be prescribed estrogen
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
because of: |\
1. The interaction between triptans and estrogen, limiting migraine therapy
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
choices
2. An increased incidence of migraines with the use of estrogen
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
3. An increased risk of stroke occurring with estrogen use
|\ |\ |\ |\ |\ |\ |\ |\ |\
