NURS 6521
Week 10
• Question 1
A nurse is discussing with a 58-year-old male patient the causes of
1 out of 1 points
erectile dysfunction in men over 50 years of age. Which of the following will the nurse inform the patient is the primary physical cause of erectile dysfunction ...
NURS 6521
Week 10
• Question 1
1 out of 1 points
A nurse is discussing with a 58-year-old male patient the causes of
erectile dysfunction in men over 50 years of age. Which of the following
will the nurse inform the patient is the primary physical cause of erectile
dysfunction of men in this age group?
Response
Feedback Vascular disease is the most common physical cause of
: erectile dysfunction. Atherosclerosis of the penile artery is the
primary cause of erectile dysfunction in more than half of men
over age 50. Men with diabetes are more prone to erectile
dysfunction because of a combination of vascular disease and
neuropathy. A decrease in testosterone levels is not a common
cause of erectile dysfunction. Emotional stress is not a
physical factor.
• Question 2
1 out of 1 points
A patient has acquired primary hypogonadism and has been prescribed
testosterone transdermal (Androderm) patches. When educating the
patient on how to administer the drug, the nurse will instruct him to
Response
Feedback: The patient should place the patch on the back, abdomen,
upper arms, or thighs. He should not place it on the scrotum
or on bony areas such as the shoulder or the hip. The skin
area should not be oily, damaged, or irritated. The patch
should stay in place for 7 days before replacement.
• Question 3
1 out of 1 points
A 59-year-old man with a recent history of erectile dysfunction has been
assessed and prescribed sildenafil (Viagra). When providing patient
education to this man, the nurse should tell him which of the following?
Response
Feedback Adverse effects associated with sildenafil include facial
: flushing and headache. The drug is not taken on a daily basis
in the morning, but rather 1 hour before anticipated sexual
activity. Medication interactions exist, and should be assessed
for, but it is not necessary to avoid any and all prescription
medications. Heart palpitations and dizziness should be
reported to the patient's care provider.
• Question 4
1 out of 1 points
A man has a demonstrated history of androgen deficiency and the
consequences of this health problem include an inability to maintain an
erection. Which of the following medications would best address this
, patient's erectile dysfunction (ED)?
Response
Feedback: Testosterone is used in treating erectile dysfunction and male
climacteric symptoms when these conditions are secondary to
androgen deficiency. PDE5 inhibitors do not address ED
secondary to androgen deficiency. Tamsulosin is used to treat
BPH.
• Question 5
1 out of 1 points
A male patient is experiencing climacteric symptoms secondary to
androgen deficiency. His physician has prescribed testosterone. The
nursing assessment reveals that the patient has had a myocardial
infarction. The combination of testosterone therapy and a history of
myocardial infarction would place that patient at a significantly higher
risk of
Response
Feedback A patient who has had a myocardial infarction and is
: prescribed testosterone is at a significantly higher risk for
hypercholesterolemia. Patients taking testosterone are also at
increased risk for prostate cancer and acute urethral
obstruction; however, these risks are less significant.
Gynecomastia is simply a side effect of the drug.
• Question 6
1 out of 1 points
A patient is receiving radiotherapy for an overactive thyroid gland and
asks whether her milk is safe for her baby. If her treatment cannot be
discontinued, what should the nurse recommend?
Response
Feedback A breast-feeding woman who is receiving any radioactive
: compounds should pump her breasts during the time that
breast milk is radioactive and discard the milk into a biohazard
container designed for radioactive materials. Breast-feeding
can resume when the drug is stopped and the breast milk
contains no radioactivity. It is not the role of the nurse to
recommend alternative medication.
• Question 7
1 out of 1 points
A woman who is in the second trimester of her first pregnancy has been
experiencing frequent headaches and has sought advice from her nurse
practitioner about safe treatment options. What analgesic can the nurse
most safely recommend?
Response
Feedback: Acetaminophen is the analgesic of choice
during pregnancy.
• Question 8
1 out of 1 points
, A nurse is working with a 16-year-old pregnant teen and assessing for
behavior that may put the baby at risk. The most important assessment
the nurse can make is
Response
Feedback: Adolescents are prone to experimentation with various
substances, both legal and nonlegal; assessments related to
this phenomenon are important during pregnancy. Insurance
coverage, exercise, and dietary habits are considered less
important.
• Question 9
1 out of 1 points
A 20-year-old woman has been prescribed estrogen. As with all women
taking estrogen, the nurse will carefully monitor the patient for which of
the following?
Response
Feedback Women taking estrogen are at an increased risk of
: cardiovascular complications, along with ovarian and breast
cancer. Early epiphyseal closure is a condition the nurse would
watch for in a prepubescent girl who takes estrogen.
Diminished libido and lack of secondary sexual characteristics
are not identified adverse effects of estrogen.
• Question 10
1 out of 1 points
A 73-year-old woman has osteoporosis and is prescribed alendronate. She
takes calcium and vitamin D supplements, drinks lots of water, and has
just quit smoking. The nurse should advise the patient to also
Response
Feedback The patient should be encouraged to exercise and lift light
: weights as often as she can to increase bone density. It is also
important to have adequate amounts of vitamin C in her diet,
but it would not be directly related to this therapy. Drinking
at least 6 to 8 oz of milk daily is a good idea, but she is
already taking a calcium and vitamin D supplement. There is
no identified adverse relationship between artificial
sweeteners and alendronate therapy.
• Question 11
1 out of 1 points
A male patient is taking finasteride for BPH. Which of the following
will the nurse evaluate at each clinic visit?
Response
Feedback: It is important to assess the patient's urinary patterns in
order to gauge a therapeutic effect. Changes in serum
cholesterol levels, bone growth, and hemoglobin levels are
not associated with finasteride therapy.
• Question 12
1 out of 1 points
, A woman is receiving prolonged drug therapy during her complicated
pregnancy, and it may pose a risk to both the mother and the fetus. The
primary care physician has made dosage adjustments to minimize
adverse effects and prevent toxicity. The nurse should make sure
Response
Feedback If prolonged drug use is necessary and poses a risk to the
: woman or the fetus, the pregnant woman and the fetus need
to be monitored for both therapeutic and adverse effects of
drug therapy. Serum levels of the drug should be monitored to
detect elevations that may lead to adverse effects and the
need for dosage adjustments. The FDA would not need to be
informed that the woman is receiving drug therapy. At this
point, with the patient already taking the drug, it is not
necessary to check the FDA category of the drug. The use of
nonpharmacologic alternatives is a good idea but would not be
as critical as monitoring drug levels.
• Question 13
1 out of 1 points
A nurse is explaining to a pregnant 21-year-old college student why she
cannot continue to take ibuprofen (Advil) for her headaches. The nurse
draws a picture depicting drug molecules crossing the placental
membrane and entering into the fetal circulation. The nurse tells the
patient that the main reason this happens is because
Response
Feedback Drugs may compete with the hormones of pregnancy for
: albumin-binding sites, which may result in a larger amount of
unbound (or free) drug in circulation, leaving the drug
available to cross the placental membrane and enter the fetal
circulation. A drug does not enter the fetal circulation as a
direct result of increases in blood volume and heart rate or the
occurrence of hemodilution.
• Question 14
1 out of 1 points
A nurse practitioner is reviewing the prepregnancy medication regimen of
a patient who has just had a positive pregnancy test. The nurse should be
aware of which of the following changes in pharmacokinetics that
accompanies pregnancy?
Response
Feedback The hemodynamic changes during pregnancy, such as
: increased blood volume and heart rate, increase the
distribution of drugs. GFR and tidal volume both typically
increase during pregnancy, resulting in increased excretion
rates and increased absorption of inhaled drugs, respectively.
Drug metabolism is not affected by pregnancy.
• Question 15
1 out of 1 points
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