A 14-year-old male patient who plays football is admitted to the ...

[abern]

A 14-year-old male patient who plays football is admitted to the hospital. The nurse notes that the patient has short stature for his age according to a standard growth chart. The patient is muscular, has a deep voice, and needs to shave.
 
  The nurse notifies the provider of these findings. Which test will the nurse expect the provider to order?
  a. Coagulation studies
  b. Complete blood count (CBC) with differential
  c. Liver function tests and serum cholesterol
  d. Serum glucose and hemoglobin A1c

Question 2

A nurse is providing education to a patient who is beginning therapy with testosterone gel. What statement made by the patient demonstrates a need for further teaching?
 
  a. I should not shower or swim for at least 5 to 6 hours after application.
  b. I should avoid direct skin-to-skin contact with my spouse where the medication was applied.
  c. I should have my blood drawn for laboratory tests in 14 days.
  d. I should apply the entire contents of the packet to my genitals.

[mammy1697]

Answer to Question 1

ANS: C
Adverse effects of androgen abuse can cause hepatotoxicity and an elevated serum cholesterol level, with a decrease in HDL cholesterol and an increase in LDL cholesterol. Blood coagulation is not affected. A CBC is not indicated. Serum glucose and hemoglobin A1c levels are not indicated.

Answer to Question 2

ANS: D
The medication should be applied to the arms and upper torso, not to the genitalia; this statement indicates a need for further teaching. The patient should be instructed not to shower, bathe, or swim for 5 to 6 hours after applying the medication. The patient should be instructed to keep areas where the medication was applied covered to prevent direct skin-to-skin contact with others. The patient should be advised to return to the clinic within 2 weeks for blood tests.

[abern]

TYSM

[gcook]

Gracias!