Author Question: The client receives estrogen for prostate cancer. He asks the nurse why he is receiving a female ... (Read 58 times)

jon_i · **on:** Jul 23, 2018

The client receives estrogen for prostate cancer. He asks the nurse why he is receiving a female hormone. What is the best response by the nurse?

1. It shrinks your cancer by making the cells die at a faster rate.
2. It eliminates the testosterone that feeds your cancer.
3. It suppresses secretion of the androgens that make your cancer grow.
4. It keeps nutrients from getting to, and feeding, your cancer.

Question 2

The client is considered infertile. The physician orders clomiphene (Clomid). The nurse teaches the client about the medication and evaluates that learning has occurred when the client makes which statement?

1. This medication increases my estrogen levels so I can ovulate.
2. This medication stimulates LH (luteinizing hormone).
3. This medication stimulates FSH (follicle-stimulating hormone).
4. This medication stimulates gonadotropin-releasing hormone.

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

Answer to Question 1

Correct Answer: 3
Rationale 1: Administration of estrogens will suppress androgen secretion, not kill the cells faster.
Rationale 2: Administration of estrogens will suppress androgen secretion, but will not eliminate testosterone.
Rationale 3: Prostate cancer is usually dependent on androgens for growth; administration of estrogens will suppress androgen secretion.
Rationale 4: Administration of estrogens will suppress androgen secretion, not prevent nutrients from getting to, or feeding, the cancer.

Answer to Question 2

Correct Answer: 2
Rationale 1: Clomiphene (Clomid) stimulates LH (luteinizing hormone); it does not increase estrogen levels.
Rationale 2: Clomiphene (Clomid) stimulates LH (luteinizing hormone) resulting in the maturation of more ovarian follicles than would normally occur.
Rationale 3: Clomiphene (Clomid) stimulates LH (luteinizing hormone); it does not stimulate FSH (follicle-stimulating hormone).
Rationale 4: Clomiphene (Clomid) stimulates LH (luteinizing hormone), not gonadotropin-releasing hormone.