An adult male patient will begin androgen therapy for testicular ...

[moongchi]

An adult male patient will begin androgen therapy for testicular failure. Which statement by the patient indicates understanding of the treatment regimen?
 
  a. I will need to have x-rays of my hands and feet every 6 months.
  b. My libido may improve while I am taking this medication.
  c. Taking this drug may lead to the devel-opment of prostate cancer.
  d. This will restore fertility, so I can have a child.

Question 2

A patient with a seizure disorder is admitted to the hospital and has a partial convulsive episode shortly after arriving on the unit.
 
  The patient has been taking phenytoin Dilantin 100 mg three times daily and oxcarbazepine Trileptal 300 mg twice daily for several years. The patient's phenytoin level is 8.6 mcg/mL, and the oxcarbazepine level is 22 mcg/mL. The nurse contacts the provider to report these levels and the seizure. What will the nurse expect the provider to order? a. A decreased dose of oxcarbazepine
  b. Extended-release phenytoin
  c. An increased dose of phenytoin
  d. Once-daily dosing of oxcarbazepine

[Kjones0604]

Answer to Question 1

B
Treatment with androgen replacement therapy in patients with testicular failure helps to restore libido. A side effect of androgens is premature epiphyseal closure; this is not a concern in adults, so radiographs to evaluate this are not indicated. Androgens can promote the growth of prostate cancer when it occurs, but they do not cause it. Androgens do not restore fertility.

Answer to Question 2

C
This patient's phenytoin level is low; the therapeutic range is 10 to 20 mcg/mL. An increase in the phenytoin dose is necessary. The oxcarbazepine level is within the normal range of 3 to 40 mcg/mL, so changing the dose is not necessary. Extended-release phenytoin is absorbed more slowly and would not increase this patient's serum phenytoin level. The dosing of oxcarbazepine does not need to be changed.

[moongchi]

TYSM

[ryhom]

Excellent