STUVIA 2024/2025
Ch 53: Men's Reproductive Health
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: 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.
The nurse is teaching the parents of a boy who has inadequate pituitary function and delayed puberty
about testosterone cypionate injections. Which statement by the parents indicates a
need for further teaching?
a. "He will need radiographs (x-rays) of his hands every 6 months."
b. "Injections will be given deep into his gluteal muscles."
c. "Sexual development will occur in 3-4 months."
%
d. "His serum testosterone levels will need to be monitored." - ✔✔ANS: C
It takes 3-4 years for sexual development to occur with androgen therapy for hypogonadism, so
parents should be reminded of this. X-rays are needed every 6 months to assess bone effects.
Injections are given deep intramuscularly into gluteal muscles. Serum testosterone levels will need to
be monitored to maintain normal levels and direct changes in testosterone dosing
The nurse is instructing a patient about the buccal muco-adhesive testosterone system (Striant) to
treat low testosterone. What information will the nurse include when teaching this patient about this
drug?
a. "If the product slides out of position more than 4 h before the next dose, replace it
with a new system."
b. "Place the flattened surface against the gum and hold it firmly in place for 30
seconds."
c. "The product may be swallowed after it has been in place for at least 4 h."
d. "To remove the product, slide it upwards away from the tooth until it releases." - ✔✔ANS: A
If the product falls off within the 12-h dosing interval or falls out of position within 4 h of the next dose,
it should be discarded and a new product applied. The rounded surface should be placed against the
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