An older male client has been prescribed estrogen therapy for ...

[schs14]

An older male client has been prescribed estrogen therapy for prostate cancer and is confused because it is a medication for women. How can the nurse best explain this use of estrogen to the client?
 
  1. Estrogen blocks the hormones that allow the prostate cancer to grow.
  2. Estrogen helps to restore sexual drive in men with prostate cancer.
  3. Estrogen helps with the hot flashes that clients with prostate cancer usually have.
  4. Estrogen helps to lift the mood of clients who have cancer.

Question 2

A client is prescribed dexamethasone. The nurse knows that this medication is indicated for which health problems?
 
  Standard Text: Select all that apply.
  1. Cerebral edema
  2. Acute adrenocortical insufficiency
  3. Gastritis
  4. Heart failure
  5. Spinal stenosis

[Sarahjh]

Answer to Question 1

Correct Answer: 1
Rationale 1: Estrogen is given to clients with prostate cancer because it blocks or suppresses androgen secretion.
Rationale 2: Estrogen is not given to restore sexual drive in men.
Rationale 3: Estrogen is not given to a client with prostate cancer to help with hot flashes.
Rationale 4: Estrogen does not lift a client's mood.
Global Rationale: Estrogen is given to clients with prostate cancer because it blocks or suppresses androgen secretion. It is not given to this client to restore sexual drive, alleviate hot flashes, or to lift his mood.

Answer to Question 2

Correct Answer: 1,2
Rationale 1: Dexamethasone is indicated in the treatment of cerebral edema.
Rationale 2: Dexamethasone is indicated in the treatment of acute adrenocortical insufficiency.
Rationale 3: Dexamethasone is not indicated in the treatment of gastritis.
Rationale 4: Dexamethasone is not indicated in the treatment of heart failure.
Rationale 5: Dexamethasone is not indicated in the treatment of spinal stenosis.
Global Rationale: Dexamethasone is indicated in the treatment of cerebral edema and acute adrenocortical insufficiency. It is not indicated in the treatment of gastritis, heart failure, or spinal stenosis.

[schs14]

Thanks

[Sarahjh]

Welcome