Exam Questions and Verified Correct Answers
The nurse is assessing a patient who is taking fluoxymesterone to treat reduced
testosterone levels. The patient has gained weight 1 week after beginning the
medication. What is the likely cause for weight gain in the patient?
1
Impaired liver function
2
Impaired thyroid activity
Correct 3
Increased fluid retention
4
Impaired lipid metabolism - answer>>>Correct 3
Increased fluid retention
Fluoxymesterone is an androgenic drug that may cause fluid retention in some patients.
Thus, in this patient, fluid retention would have been the most probable cause of weight
gain. Impaired liver function is a complication associated with anabolic steroids and not
fluoxymesterone. Impaired thyroid activity may cause weight gain; however, androgenic
drugs do not affect the thyroid activity. Impaired lipid metabolism is also a complication
associated with androgens that causes elevated cholesterol levels. However, weight gain
from high cholesterol levels takes place over a long period of time.
A patient who reports difficulty passing urine is prescribed finasteride by the primary
health care provider. What condition should the nurse suspect to have caused difficulty in
urination?
1
Renal calculi
2
Neurogenic bladder
3
Urinary tract infection
4
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,Benign prostatic hyperplasia - answer>>>Correct 4
Benign prostatic hyperplasia
Difficulty in passing urine is the characteristic symptom of benign prostate hyperplasia.
Finasteride is a 5-alpha reductase inhibitor drug that is prescribed for benign prostate
hyperplasia. This drug impairs prostatic growth. Renal calculi also cause difficulty in
urination. However, finasteride is not helpful in dissolving calcium stones. Finasteride
does not affect the central or the peripheral nervous system; thus, it would be ineffective
in treating urinary problems associated with neurogenic bladder. Finasteride has no
antibiotic properties; thus, it would not be useful in treating a urinary tract infection.
A patient has been taking sildenafil for erectile dysfunction. The patient reports episodes
of dizziness and fainting spells after using this drug. For which other drug should the
nurse assess while taking the drug history of the patient?
1
Nitrates
2
Antibiotics
3
Alpha agonists
4
Anticoagulants - answer>>>Nitrates
Dizziness and fainting spells are signs associated with low blood pressure. Sildenafil
decreases blood pressure by releasing nitric oxide. Nitrates also decrease the workload of
the heart by reducing the blood pressure. Administration of both drugs may cause severe
hypotension in the patient. Thus, the nurse should determine whether the patient is
taking nitrate drugs. Alpha-agonist drugs will cause hypertension, whereas sildenafil will
be helpful in reducing blood pressure in patients taking an alpha agonist. Antibiotic drugs
and anticoagulants do not interact with sildenafil. Antibiotics such as erythromycin and
clarithromycin increase the concentration of tamsulosin in the blood. Anticoagulants
interact with androgens, thereby causing increased or decreased activity of oral
anticoagulant drugs.
What are the functions of testosterone? Select all that apply. 1
Fat metabolism
2
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,Bone development
3
Production of red blood cells
4
Excretion of sodium and potassium
5
Development of secondary sexual characteristics - answer>>>2. Bone development
3. Production of red blood cells
5. Development of secondary sexual characteristics
Why does the United States Drug Enforcement Administration classify anabolic steroids as
Schedule III medications?
1
They cause endometriosis.
2
They cause erectile dysfunction.
3
They cause physical dependence.
4
They cause sedation and hypnosis. - answer>>>3. They cause physical dependence.
Which condition is an indication of saw palmetto use?
1
Dysuria
2
Back pain
3
Gastrointestinal upset
4
Benign prostatic hyperplasia - answer>>>Benign prostatic hyperplasia
Saw palmetto is an herbal supplement used to treat benign prostatic hyperplasia and
alopecia. Dysuria, back pain, and gastrointestinal upset are the adverse effects associated
with the use of saw palmetto.
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, The nurse is assessing a patient who is taking fluoxymesterone to treat reduced
testosterone levels. The patient has gained weight 1 week after beginning the
medication. What is the likely cause for weight gain in the patient?
1
Impaired liver function
2
Impaired thyroid activity
3
Increased fluid retention
4
Impaired lipid metabolism - answer>>>3
Increased fluid retention
The nurse is providing care for a patient receiving androgen therapy for weight gain.
Which adverse effect of the medication can be mistaken as weight gain?
1
Hirsutism
2
Fluid retention
3
Roundness of face
4
Peliosis of the liver - answer>>>Fluid retention is an adverse effect of androgen therapy
that may be mistaken for weight gain in a patient. Hirsutism refers to excessive amounts
of hair growth on the body. Roundness of the face is seen in patients taking
corticosteroids. Peliosis of the liver refers to the formation of blood-filled cavities.
Which drug is a Schedule III drug?
1
Goserelin
2
Minoxidil
3
Doxazosin
4
Testosterone - answer>>>Testosterone
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