Author Question: The nurse is completing the health history of a patient with documented androgen deficiency and ... (Read 36 times)

rl · **on:** Jun 25, 2018

The nurse is completing the health history of a patient with documented androgen deficiency and erectile dysfunction (ED). Which patient response would be a contraindication for this patient's use of hormone replacement therapy to treat his ED?

1. I am being treated for prostate cancer.
2. I hate the idea of having an injection directly in my penis.
3. I am currently taking antibiotics.
4. Yes, I have a lot of hair on my chest and probably can't wear a patch.

Question 2

The nurse is concerned that a patient is at risk for developing cancer of the penis. What did the nurse assess to make this clinical determination?

Select all that apply.
1. phimosis
2. human papilloma virus (HPV)
3. HIV infection
4. excessive ultraviolet light exposure
5. being Jewish or Muslim

Natalie4ever · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
Hormone replacement therapy (HRT) to treat ED may be used for men with documented androgen deficiency who do not have prostate cancer. HRT involves intramuscular injections or topical patches, not intrapenile injections. This response does not relate to contraindications of HRT. Antibiotics are not a contraindication to HRT. Excessive chest hair is not a contraindication. The patient may place the patch on an area other than the chest or hair could be removed to permit adherence of the patch.

Answer to Question 2

Correct Answer: 1, 2, 3, 4
Cancer of the penis is rare in North America but risk factors include males between the ages of 45 and 60; the presence of phimosis, HPV, or HIV; and ultraviolet light exposure, such as used to treat psoriasis. There is no information to support the incidence of penile cancer in Jewish and Muslim men.