Author Question: The nurse is teaching the parents of a boy who has inadequate pituitary function and delayed puberty ... (Read 68 times)

mpobi80 · **on:** Jul 23, 2018

The nurse is teaching the parents of a boy who has inadequate pituitary function and delayed puberty about testosterone enanthate injections. Which statement by the parents indicates a need for further teaching?

a. He will need x-rays of his hands every 6 months.
b. Injections will be given deep into his gluteal muscles.
c. Sexual development will occur in 1 to 2 years.
d. We should report urinary tract problems immediately.

Question 2

A 50-year-old male patient reports having decreased libido and testicular atrophy. The nurse will anticipate that the provider may order which medication to treat these symptoms?

a. Testosterone (Androderm)
b. Finasteride (Proscar)
c. Gonadotropin-releasing hormone (Gn-RH)
d. Sildenafil (Viagra)

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

Answer to Question 1

ANS: C
It takes 3 to 4 years for sexual development to occur with androgen therapy for hypogonadism, so parents should be reminded of this. X-rays are needed every 6 months to assess bone age. Injections are given deep intramuscularly into gluteal muscles. Urinary tract problems can occur and should be reported.

Answer to Question 2

ANS: A
Testosterone is given patients who have low testosterone, evidenced by decreased libido and testicular atrophy in adult men. Finasteride is given to treat benign prostatic hypertrophy. Gn-RH is used to inhibit testosterone production. Sildenafil is used to treat erectile dysfunction.