Author Question: A female client receiving fluoxymesterone for metastatic breast cancer is disturbed by the physical ... (Read 39 times)

chandani · **on:** Jul 23, 2018

A female client receiving fluoxymesterone for metastatic breast cancer is disturbed by the physical changes seen in her body.

The nurse provides support to the client based on assessment of which of the following features the client is experiencing related to this therapy?

A) Deepening of the voice
B) Hypopigmentation of the skin
C) Decrease in clitoris size
D) Increase in body weight

Question 2

When caring for a client receiving estrogen replacement therapy for postmenopausal symptoms, the nurse documents a diagnosis of Ineffective Tissue Perfusion. Which of the following conditions is the nurse referring to in the diagnosis?

A) Thromboembolism
B) Edema of the feet
C) Gastrointestinal upset
D) Chloasma

Dinolord · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: A
Feedback:
Deepening of the voice may be seen as a feature of virilization following male hormone therapy in a female client. Virilization is the acquisition of male characteristics in the female. Other features of virilization include pigmentation, and not hypopigmentation, of the skin and an increase, not a decrease, in the size of the clitoris. An increase in body weight is not a sign of virilization. It may occur due to impaired nutrition of the body.

Answer to Question 2

Ans: A
Feedback:
The nursing diagnosis of Ineffective Tissue Perfusion is related to thromboembolism, which is a complication of estrogen replacement therapy. A nurse may note other female hormone-related adverse reactions such as edema of the feet due to excess fluid volume or gastrointestinal upset, which manifests as nausea, vomiting, abdominal cramps, and bloating. Chloasma is a dermatologic reaction due to female hormones, which results in excessive pigmentation of the skin.