A female client is prescribed methyltestosterone to treat an ...

[BRWH]

A female client is prescribed methyltestosterone to treat an estrogen-sensitive type of ovarian cancer. Which of the following should the nurse instruct this client about the medication?
 
  1. There is an increased risk of multiple births.
   2. Secondary male sex characteristics may develop.
   3. Report calf pain or dyspnea
   4. Must be taken with food

Question 2

An elderly client tells the nurse that he still has erections and wants to have sex with his wife, but she does not have the same interest as he does. The nurse should do which of the following to assist this client?
 
  1. Explain that women lose interest in sex as part of the aging process
   2. Ask what he has been doing to fulfill himself sexually
   3. Encourage the client to ask his wife to discuss the lack of interest with her physician
   4. Suggest that he wait awhile and the urge to have sex will pass

[maya.nigrin17@yahoo.com]

Answer to Question 1

2. Secondary male sex characteristics may develop.

Rationale:
Methyltestosterone is an androgen hormone replacement used to treat estrogen dependent cancers. The nurse should instruct the client of the risk of developing secondary male sex characteristics when taking this medication. Increased risk of multiple births is associated with female infertility medications. Reporting calf pain or dyspnea is associated with estrogen hormone replacement therapy. This medication does not need to be taken with food.

Answer to Question 2

3. Encourage the client to ask his wife to discuss the lack of interest with her physician

Rationale:
The nurse's role with this client is counseling for sexual dysfunction. The nurse should encourage the client to ask his wife to discuss the lack of interest with her physician as a starting point.. The other choices are inappropriate and should not be provided to the client.

[BRWH]

Excellent

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