Author Question: The nurse has completed medication education for a client who is prescribed testosterone. The nurse ... (Read 67 times)

eruditmonkey@yahoo.com · **on:** Jul 23, 2018

The nurse has completed medication education for a client who is prescribed testosterone. The nurse evaluates that learning has been effective when the client makes which statements?

Standard Text: Select all that apply.
1. I will weigh myself twice weekly and report any sudden weight gain.
2. I need to have my serum cholesterol levels checked frequently.
3. I need check my blood pressure weekly while on this medication.
4. I don't need to use birth control while taking this medication.
5. My blood glucose may go up while on this medication.

Question 2

A client has been receiving androgen medication. What laboratory test should the nurse plan to assess?

1. Thyroid function
2. Blood glucose
3. Cardiac enzymes
4. Hemoglobin and hematocrit

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

Answer to Question 1

Correct Answer: 1,2,3,5
Rationale 1: Testosterone can cause salt retention, leading to water retention, so weight should be checked twice weekly.
Rationale 2: Testosterone therapy can increase cholesterol levels and lead to cardiovascular disease, so serum cholesterol levels must be monitored during therapy.
Rationale 3: The patient should monitor blood pressure frequently.
Rationale 4: Testosterone is not a contraceptive, so birth control should be used.
Rationale 5: Testosterone therapy can increase blood glucose.
Global Rationale: Testosterone can cause salt retention, leading to water retention, so weight should be checked twice weekly. This may also cause increased blood pressure, so weekly monitoring is necessary. Lipids and glucose may increase. Testosterone is not a form of birth control, so other measures are necessary.

Answer to Question 2

Correct Answer: 4
Rationale 1: Androgens do not affect thyroid function.
Rationale 2: Androgens do not affect serum glucose levels.
Rationale 3: Androgens do not affect cardiac function.
Rationale 4: An adverse effect of androgens is increased red blood cell production. Hemoglobin and hematocrit should be monitored.
Global Rationale: An adverse effect of androgens is increased red blood cell production. Hemoglobin and hematocrit should be monitored. They do not affect thyroid function, serum glucose levels, or cardiac function.