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NUR 3128 - Module 2 Exam 1 Questions With Complete Solutions

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NUR 3128

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Iowa State University

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NUR 3128 - Module 2 Exam 1 Questions With Complete
Solutions

•Irregular bleeding Correct Answers ___ - pharmacologic
management:
•NSAIDs (mefenamic acid (best for menorrhagia), ibuprofen,
naproxen sodium)
•Combined hormonal contraceptives
•Progestins

•Progestin implant Correct Answers •Single-rod device that
contains etonogestrel
•Implanted in inner side of upper nondominant arm
•Removed no later than 3 years after insertion
•May be replaced with new implant
•Contains radiopaque barium for easy location

5-Alpha-Reductase Inhibitors Correct Answers Mechanism:
Inhibit the conversion of testosterone to dihydrotestosterone
(DHT), reducing prostate size and relieving BPH symptoms.
Effects: Shrinks the prostate gland, improves urinary flow, and
reduces the risk of urinary retention (BPH).

5-Alpha-Reductase Inhibitors Correct Answers Safety in
Administration:
Women of childbearing age must not handle crushed or broken
tablets due to possible absorption and potential risk to male
fetuses; immediately wash contact area with soap and water if
contact occurs. Inform patients of an increase in high-grade
prostate cancer in men treated with 5-alpha-reductase inhibitors
indicated for BPH treatment. Inform patients that the volume of

,ejaculate may be decreased, and that impotence or decreased
libido may occur. Instruct patients to promptly report to their
physician any changes in breasts (lumps, pain, or nipple
discharge).

Alendronate Correct Answers a widely prescribed
biphosphonate used to treat osteoporosis in postmenopausal
women and men. It works by inhibiting bone resorption, helping
to increase bone density.

Alpha-Adrenergic Blocking Agents Correct Answers
Mechanism: Relax smooth muscle in the prostate and bladder
neck, improving urine flow and reducing BPH symptoms.
Effects: Relaxes muscles in the urinary tract, making it easier to
urinate (BPH)

Alpha-Adrenergic Blocking Agents Correct Answers Safety In
Administration Alpha-adrenergic blocking agents are also used
to control blood pressure. To avoid hypotensive episodes, advise
using at bedtime, and reconcile all drugs taken before adding
another antihypertensive drug. Instruct patients to take these
drugs with food. Counsel about possible symptoms of postural
hypotension (dizziness); caution patients about driving,
operating machinery, or performing hazardous tasks while using
these drugs. Inform patients that orgasm orgasm with reduced or
no semen does not pose a safety concern and is reversible when
the drug is stopped. Advise patients to notify their
ophthalmologist about use before cataract surgery or other eye
procedures.

, Amenorrhea Correct Answers •___ - absence of menstrual
cycle

anabolic steroids Correct Answers Action:
•Increase protein synthesis in cells resulting in anabolism,
especially in muscles
•Development and maintenance of masculine characteristics

anabolic steroids Correct Answers Class of steroid hormones
related to testosterone

androgen
antiandrogen Correct Answers ___ therapy is indicated for
hypogonadism to supplement or replace deficient testosterone
levels. On the other hand, ___ therapy, specifically 5-alpha
reductase inhibitors, may be used in the context of BPH to
reduce the effects of androgens on prostate growth.

Androgen therapy Correct Answers indicated for individuals
with hypogonadism, which is a condition characterized by
insufficient testosterone production. In men, hypogonadism can
lead to symptoms such as low libido, fatigue, decreased muscle
mass, and mood changes. Androgen therapy, often in the form
of testosterone replacement, is used to restore normal
testosterone levels and alleviate symptoms associated with low
testosterone.

androgens Correct Answers Function: Contribute to libido,
muscle mass, bone health, and energy levels in women.

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