Author Question: A client is prescribed transdermal testosterone gel for replacement therapy. What should the nurse ... (Read 69 times)

Sufayan.ah · **on:** Jul 23, 2018

A client is prescribed transdermal testosterone gel for replacement therapy. What should the nurse instruct the client about this medication?

Standard Text: Select all that apply.
1. Apply the gel once per day in the morning to clean, dry skin.
2. Apply the gel to the upper arms, shoulders, or abdomen.
3. Avoid showering or swimming for several hours after applying the gel.
4. Avoid skin-to-skin contact with anyone who might be pregnant.
5. Keep all daily scheduled appointments to have testosterone levels assessed.

Question 2

The nurse, instructing a client on the prevention of osteoporosis, includes the importance of maintaining a normal serum calcium level because:

1. calcium influences the contraction of skeletal muscle.
2. calcium ions assist in blood clotting.
3. appropriate nerve conduction depends on an adequate calcium level.
4. the support provided by bones is important for the structural integrity of the body.

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

Answer to Question 1

Correct Answer: 1,2,3,4
Rationale 1: The gel should be applied once daily in the morning to clean, dry skin.
Rationale 2: The gel is applied to the skin of the upper arms, shoulders, or abdomen.
Rationale 3: Showering or swimming should be avoided for several hours after application to avoid washing off the drug.
Rationale 4: The gel can be transferred to another person by skin-to-skin contact and cause potential fetal harm.
Rationale 5: Testosterone levels should be measured after a few weeks of therapy, not daily.
Global Rationale: The gel should be applied once daily in the morning to clean, dry skin on the upper arms, shoulders, or abdomen. Showering or swimming should be avoided for several hours after application to avoid washing off the drug. The gel can be transferred to another person by skin-to-skin contact and cause potential fetal harm. Testosterone levels should be measured after a few weeks of therapy, not daily.

Answer to Question 2

Correct Answer: 4
Rationale 1: Calcium is important in the contraction of muscle, but this function is not related to osteoporosis.
Rationale 2: Calcium does assist the process of blood clotting, but this function is not related to osteoporosis.
Rationale 3: The excitability of nerves is dependent on adequate calcium, but this function is not related to osteoporosis.
Rationale 4: Calcium is bound as a hard matrix known as hydroxyapatite crystals that provides support to the skeleton.
Global Rationale: Calcium is bound as a hard matrix known as hydroxyapatite crystals that provides support to the skeleton. Calcium is important in the contraction of muscle, but this function is not related to osteoporosis.
Calcium does assist the process of blood clotting, but this function is not related to osteoporosis. The excitability of nerves is dependent on adequate calcium, but this function is not related to osteoporosis.