Author Question: The nurse is caring for a patient scheduled for removal of the testes secondary to cancer. The ... (Read 52 times)

Awilson837 · **on:** Jul 23, 2018

The nurse is caring for a patient scheduled for removal of the testes secondary to cancer. The patient voices concern that he will look like a woman if he doesn't take testosterone supplementation, which is contraindicated by testicular cancer.

The nurse explains that he will maintain his masculine traits as the result of what action? A) Residual testosterone found in muscle cells
B) Hormones secreted by the penis during arousal
C) Androgens secreted by the adrenal glands
D) Supplemental medications taken daily.

Question 2

What anxiolytic drugs would be given to a premenopausal patient who is a registered nurse planning to return to work at the hospital after anxiety is controlled?

A) Alprazolam (Xanax)
B) Buspirone (BuSpar)
C) Diazepam (Valium)
D) Clorazepate (Tranxene)

juwms · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
Feedback:
The androgens released by the adrenal glands are sufficient to sustain male sexual characteristics. Androgens are very similar in structure to testosterone and are able to influence cells to maintain the changes caused by testosterone. No residual testosterone is found in muscle cells, the penis does not secrete hormones, and supplemental medications are not required.

Answer to Question 2

B
Feedback:
Buspirone is a newer anxiolytic drug that does not cause sedation or muscle relaxation. It is preferred when the patient needs to be alert such as when driving or working. Alprazolam, diazepam, and clorazepate are benzodiazepines, which cause drowsiness, sedation, depression, lethargy, confusion, and decreased mental alertness. It would be unsafe for a nurse to function in her role while taking one of these drugs.