Download HESI Pharmacology Nightingale College Fall 2025 Nightingale BSN 315 course Newest RATED A+ and more Exams Nursing in PDF only on Docsity!
HESI Pharmacology Nightingale College Fall
2025 Nightingale BSN 315 course Newest
RATED A+ 100% PASS
A II!client II!is II!scheduled II!for II!a II!spiral II!computed II!tomography II!(CT) II!scan II!with II!contrast II!toII!evaluate II!for II!PE. II!Which II!information II!in II!the II!client's II!history II!requires II!follow II!up II!by II!the II!nurse? Takes II!metformin II!hydrochloride II!for II!type II! 2 II!DM. A II!client II!diagnosed II!with II!MS II!who II!self-administers II!beta II! 1 II!a II!interferon, II!reports II!feeling II!increasingly II!depressed. II!Which II!action II!should II!the II!nurse II!implement? Notify II!the II!healthcare II!provider II!of II!the II!findings II!immediately. Before II!administering II!the II!initial II!dose II!ofII!sumatriptan II!succinate II!to II!a II!client II!with II!a II!migraine II!headache. II!It II!is II!most II!important II!toII!determine II!ifII!the II!client's II!history II!includes II!which II!problem? CAD A II!client II!receives II!a II!prescription II!for II!ciprofloxacin II! 400 II!mg II!intravenously II!(IV) II!every II! 12 II!hours II!which II!is II!to II!be II!infused II!over II!an II!hour. II!The II!IV II!bagII!contains II!ciprofloxacin II! 400 II!mg II!in II!dextrose II!5%in II!water II!(D5W) II!200mL. II!How II!many II!mL/hr II!should II!the II!nurse II!program II!the II!infusion II!pump II!toII!deliver? 200 Before II!administering II!a II!laxative II!toII!a II!bedfast II!client II!it II!is II!most II!important II!for II!the II!nurse II!toII!perform II!which II!assessment? Determine II!the II!frequency II!and II!consistency II!of II!bowel II!movements. Hormone II!replacement II!therapy II!with II!levothyroxine II!sodium II!is II!prescribed II!for II!a II!client II!with II!hypothyroidism. II!The II!nurse II!should II!instruct II!the II!client II!toII!report II!which II!symptom II!because II!it II!indicates II!that II!the II!client II!is II!taking II!too II!much II!of II!the II!hormonal II!agent II!levothyroxine II!sodium? Restlessness A II!male II!client II!reports II!to II!the II!nurse II!that II!he II!is II!experiencing II!gastrointestinal II!distress II!from II!a II!high II!dose II!of II!a II!corticosteroid II!and II!is II!planning II!toII!stop II!taking II!the II!medication. II!In II!response II!toII!the II!client's II!statement II!which II!nursing II!action II!is II!most II!important II!for II!the II!nurse II!to II!implement? Advise II!the II!client II!that II!medication II!should II!be II!gradually II!stopped II!rather II!than II!abruptly. A II!client II!is II!receiving II!pilocarpine II!hydrochloride II!ophthalmic II!drops II!for II!glaucoma. II!The II!client II!calls II!the II!clinic II!nurse II!and II!reports II!difficulty II!seeing II!at II!night. II!Which II!explanation II!should II!the II!nurse II!provide? The II!eye II!drops II!slow II!pupil II!response II!toII!accommodate II!for II!darkness
A II!client II!is II!receiving II!rifampin II!an II!antitubercular II!medication. II!Which II!statement II!by II!this II!client II!should II!prompt II!the II!nurse II!toII!notify II!the II!healthcare II!provider II!of II!a II!potential II!problem? Reports II!that II!the II!sclera II!are II!yellow. Which II!action II!should II!the II!nurse II!implement II!to II!assess II!the II!effectiveness II!of II!the II!Calcium II!channel II!blocker II!amlodipine? Measure II!the II!client's II!BP. A II!male II!client II!has II!been II!receiving II!the II!antibiotic II!gentamicin II!sulfate II!IV II!piggyback II!every II! 12 II!hours II!for II!several II!days. II!Which II!observation II!by II!the II!nurse II!indicates II!that II!the II!client II!may II!be II!experiencing II!an II!adverse II!effect II!of II!gentamicin? Hearing II!has II!decreased. An II!older II!adult II!client II!with II!restless II!legs II!syndrome II!begins II!taking II!melatonin II!at II!bedtime. II!When II!evaluating II!the II!effectiveness II!of II!the II!herb II!which II!assessment II!should II!the II!nurse II!complete? Determine II!sleep II!patterns. AD The II!nurse II!prepares II!toII!administer II!a II!scheduled II!dose II!of II!labetalol II!by II!mouth II!toII!a II!client II!with II!HTN. II!The II!client's II!V/Signs II!are II!temp II!99% II!(37.2*C) II!heart II!rate II! 48 II!beats/ II!minute II!RR II! 16 II!breaths/min II!and II!BP II!150/90 II!mm/Hg. II!Which II!action II!should II!the II!nurse II!take? Withhold II!the II!scheduled II!dose II!and II!notify II!the II!healthcare II!provider. The II!nurse II!is II!planning II!discharge II!teaching II!for II!a II!client II!with II!DM II!who II!has II!a II!new II!prescription II!for II!insulin II!glargine. II!Which II!action II!should II!the II!nurse II!plan II!to II!include II!in II!the II!discharge II!teaching? Teach II!the II!client II!self-injection II!skills II!for II!daily II!subcutaneous II!administration. The II!nurse II!is II!caring II!for II!a II!client II!who II!takes II!methotrexate II!for II!rheumatoid II!arthritis II!and II!is II!now II!prescribed II!adalimumab. II!Which II!instructions II!should II!the II!nurse II!provide II!the II!client? Have II!a II!chest II!x II!ray II!prior II!toII!your II!first II!dose. The II!nurse II!provide II!discharge II!instructions II!toII!a II!client II!who II!has II!been II!prescribed II!gabapentin II! 300 II!mg II!by II!mouth II!three II!times II!a II!day II!for II!post II!herpetic II!neuralgia. II!Which II!symptoms II!should II!the II!nurse II!tell II!the II!client II!to II!report II!toII!the II!healthcare II!provider? Gastric II!irritation To II!evaluate II!the II!effectiveness II!of II!a II!client's II!prescription II!for II!rosuvastatin II!which II!action II!should II!the II!nurse II!implement? Obtain II!the II!client's II!HR,II!and II!BP. A II!client II!receives II!a II!prescription II!for II!itraconazole. II!Which II!information II!provided II!by II!the II!client II!requires II!additional II!instruction II!by II!the II!nurse?
The II!nurse II!administering II!IV II!fluconazole II!to II!client II!who II!has II!systemic II!candidiasis. II!After II!reviewing II!the II!client's II!diagnostic II!studies II!the II!nurse II!identifies II!a II!rising II!trend II!in II!the II!liver II!enzyme II!levels II!for II!aspartate II!aminotransferase II!(AST II!also II!called II!SGOT). II!Which II!action II!should II!the II!nurse II!implement? Hold II!the II!dose II!and II!notify II!the II!HCP II!of II!the II!changes II!in II!the II!laboratory II!studies. A II!client II!with II!muscle II!spasticity II!receives II!a II!prescription II!for II!baclofen. II!Which II!information II!provided II!by II!the II!client II!requires II!additional II!instruction II!by II!the II!nurse? Discontinue II!when II!spasms II!cease. A II!postoperative II!client II!has II!a II!prescription II!for II!ketorolac II! 30 II!mg II!IV II!every II! 6 II!hours. II!Which II!intervention II!should II!the II!nurse II!implement II!to II!determine II!ifII!the II!expected II!outcome II!of II!the II!medication II!has II!been II!achieved? Perform II!a II!pain II!assessment II!using II!a II!numeric II!scale. A II!client II!uses II!transdermal II!contraceptive II!calls II!to II!the II!clinic II!because II!she II!forgot II!to II!apply II!a II!new II!patch II!three II!days II!ago. II!Which II!instruction II!should II!the II!nurse II!provide II!toII!the II!client? Apply II!the II!new II!patch II!today II!and II!use II!a II!backup II!method II!for II! 7 II!days. A II!female II!client II!with II!a II!history II!of II!PUD II!receives II!a II!prescription II!for II!misoprostol. II!Which II!information II!provided II!by II!the II!client II!indicates II!toII!the II!nurse II!a II!need II!for II!further II!teaching? Ensure II!a II!negative II!pregnancy II!test II!results II! 2 II!weeks II!before II!therapy. AD The II!nurse II!is II!caring II!for II!an II!older II!client II!with II!multiple II!comorbidities. II!Which II!medication II!should II!the II!nurse II!recognize II!as II!increasing II!the II!client's II!risk II!for II!fractures? Lansoprazole During II!a II!home II!visit II!the II!nurse II!assesses II!a II!client II!with II!Alzheimer's II!disease II!who II!recently II!started II!a II!new II!prescription II!for II!rivastigmine. II!The II!caregiver II!reports II!that II!the II!client II!seems II!toII!be II!thinking II!more II!clearly II!but II!is II!not II!sleeping II!well II!at II!night. II!Which II!action II!should II!the II!nurse II!take? Explain II!toII!the II!caregiver II!that II!insomnia II!is II!a II!common II!and II!temporary II!side II!effect II!when II!the II!medication II!is II!first II!started The II!nurse II!is II!preparing II!a II!discharge II!teaching II!plan II!for II!a II!client II!who II!is II!taking II!ciprofloxacin II!hydrochloride II!tablets II!which II!were II!prescribed II!because II!of II!a II!suspected II!anthrax II!exposure. II!Which II!instructions II!should II!be II!included II!in II!the II!teaching II!plan? Increase II!fluid II!intake II!while II!taking II!the II!medication Limit II!exposure II!to II!sunlight II!and II!avoid II!tanning II!beds. II!Report II!any II!tendon II!pain II!or II!swelling II!to II!the II!HCP II!immediately. A II!client II!with II!emphysema II!is II!complaining II!ofII!difficulty II!breathing II!and II!is II!exhibiting II!audible II!wheezing. II!The II!nurse II!administers II!albuterol II!as II!prescribed II!for II!the II!third II!time II!within II!last II! 12 II!hours. II!Which II!assessment II!finding II!warrants II!immediate II!intervention II!by II!the II!nurse?
Irregular II!rapid II!heartbeat The II!healthcare II!provider II!prescribes II!ceftazidime II! 1500 II!mg II!intravenously II!(IV) II!every II! 12 II!hours. II!The II!available II!vial II!is II!labeled II!"ceftazidime II! 1 II!gram." II!And II!the II!instructions II!for II!reconstitution II!state II!for II!IV II!use II!add II! 10 II!ml II!sterile II!water II!for II!injection. II!Concentration II!after II!reconstitution II! 100 II!mg/ml. II!How II!many II!ml II!should II!the II!nurse II!administer? 15 The II!nurse II!observes II!that II!a II!client II!has II!become II!lethargic II! 30 II!minutes II!after II!receiving II!an II!opioid II!injection II!for II!pain. II!Which II!V/S II!should II!the II!nurse II!obtain II!first? RR The II!home II!health II!nurse II!observes II!a II!client II!selfII!- II!administering II!an II!epinephrine II!injection II!using II!an II!auto- injector II!pen. II!Which II!client II!requires II!intervention II!by II!the II!nurse? Cleanses II!the II!injection II!pen II!for II!re-use. A II!client II!has II!a II!prescription II!for II!clopidogrel II!bisulfate II!75mg II!by II!mouth II!daily II!at II!0900. II!In II!which II!situation II!should II!the II!nurse II!hold II!this II!medication? Elective II!surgery II!is II!scheduled II!in II!two II!hours An II!adolescent II!with II!MDD II!has II!been II!taking II!duloxetine II!for II!the II!past II! 12 II!days. II!Which II!assessment II!finding II!requires II!immediate II!follow II!up? Describes II!life II!as II!without II!purpose A II!male II!client II!with II!a II!newly II!diagnosed II!seizure II!disorder II!starts II!a II!prescription II!for II!clonazepam. II!One II!week II!later II!the II!nurse II!observes II!that II!his II!speech II!is II!slurred II!and II!he II!has II!an II!ataxic II!gait. II!Which II!action II!should II!the II!nurse II!implement? Explain II!the II!need II!to II!refrain II!from II!alcohol II!use II!while II!taking II!the II!drug. AD Which II!assessment II!data II!indicates II!to II!the II!nurse II!that II!a II!client II!is II!having II!an II!anaphylactic II!reaction II!to II!a II!medication? Wheezing II!and II!dyspnea A II!client II!with II!schizophrenia II!receives II!a II!prescription II!for II!fluphenazine. II!Which II!instruction II!is II!most II!important II!for II!the II!nurse II!toII!include II!when II!teaching II!the II!client II!about II!this II!drug? Notify II!your II!HCP II!immediately II!ifII!involuntary II!movements II!develop Two II!months II!after II!taking II!nitrofurantoin II!for II!a II!bacterial II!infection II!a II!client II!reports II!the II!onset II!of II!severe II!watery II!diarrhea II!to II!the II!home II!health II!nurse. II!How II!should II!the II!nurse II!respond? Determine II!ifII!the II!full II!course II!of II!the II!initial II!prescription II!ofII!medication II!was II!taken The II!nurse II!assesses II!a II!client II!with II!intermittent II!claudication II!who II!is II!receiving II!pentoxifylline.
It II!would II!be II!important II!toII!explain II!that II!the II!woman's II!ova II!do II!not II!increase II!or II!decrease II!from II!birth II!to II!childbearing II!years. II!The II!nurse II!will II!stress II!that II!all II!the II!ova II!that II!a II!woman II!will II!have II!will II!be II!present II!at II!birth. II!The II!patient II!should II!understand II!that II!ifII!she II!does II!not II!ovulate II! 1 II!month II!or II!for II!several II!months, II!it II!is II!not II!because II!she II!has II!done II!something II!to II!her II!body II!to II!cause II!this. II!Ova II!slowly II!degenerate II!over II!a II!lifetime II!or II!they II!are II!released II!once II!a II!month II!until II!menopause II!is II!complete. II!Each II!ovum II!is II!contained II!in II!a II!storage II!site II!called II!a II!follicle, II!which II!produces II!the II!female II!sex II!hormones, II!estrogen II!and II!progesterone. II!The II!nursing II!instructor II!is II!discussing II!the II!physiology II!of II!pregnancy II!with II!her II!clinical II!group. II!What II!hormone, II!produced II!during II!pregnancy, II!would II!the II!instructor II!tell II!the II!students II!helps II!toII!maintain II!the II!pregnancy II!until II!birth II!ofII!the II!fetus? II! A)High II!levels II!of II!estrogen II!only B)High II!levels II!of II!estrogen, II!low II!levels II!of II!progesterone C)Low II!levels II!of II!estrogen, II!high II!levels II!of II!progesterone D)High II!levels II!of II!estrogen II!and II!progesterone II!- II! II!Correct II!Answers II! II! II! II!D Feedback: In II!a II!pregnant II!woman, II!both II!estrogen II!and II!progesterone II!hormones II!have II!specific II!functions. II!High II!levels II!of II!both II!hormones II!are II!needed II!for II!the II!maintenance II!of II!pregnancy. II!The II!nursing II!instructor II!is II!talking II!with II!her II!class II!ofII!students II!about II!the II!female II!reproductive II!system. II!A II!student II!is II!trying II!to II!understand II!the II!role II!of II!progesterone II!in II!the II!body. II!What II!nonreproductive II!affect II!does II!progesterone II!have II!on II!the II!body? A)Decreased II!body II!temperature II!B)Decreased II!appetite II!C)Anti-insulinD)Increased II!uterine II!motility II!- II! II!Correct II!Answers II! II! II! II!C Feedback: Progesterone II!has II!an II!anti-insulin II!effect II!to II!generate II!a II!higher II!blood II!glucose II!concentration II!toII!allow II!for II!rapid II!diffusion II!of II!glucose II!to II!the II!developing II!embryo. II!Body II!temperature II!and II!appetite II!are II!increased II!by II!progesterone. II!Uterine II!motility II!is II!decreased II!to II!provide II!increased II!chance II!that II!implantation II!can II!occur. II!What II!hormone II!causes II!ovulation II!to II!occur? II!A)Adrenocorticotropic II!hormone II!(ACTH) II! B)Luteinizing II!hormone II!(LH) C)Prolactin D)Follicle-stimulating II!hormone II!(FSH) II!- II! II!Correct II!Answers II! II! II! II!B Feedback:
When II!the II!circulating II!estrogen II!level II!rises II!high II!enough, II!it II!stimulates II!a II!massive II!release II!ofII!LH II!from II!the II!anterior II!pituitary II!causing II!one II!of II!the II!developing II!follicles II!to II!burst II!and II!release II!the II!ovum II!with II!its II!stored II!hormones II!into II!the II!system. II!ACTH II!targets II!the II!adrenal II!corticosteroid II!hormone, II!which II!helps II!prepare II!the II!body II!for II!the II!"fight II!or II!flight" II!response. II!Prolactin II!is II!responsible II!for II!milk II!production II!and II!FSH II!in II!combination II!with II!LH II!stimulate II!follicles II!on II!the II!outer II!surface II!of II!the II!uterus II!toII!grow II!and II!develop II!and II!alsoII!stimulates II!the II!release II!of II!estrogen II!and II!progesterone. II!A II! 16 - year-old II!girl II!comes II!toII!the II!clinic II!complaining II!of II!severe II!menstrual II!cramps. II!The II!girl II!is II!concerned II!about II!the II!pain II!and II!worried II!that II!"something II!is II!wrong." II!The II!nurse II!explains II!to II!the II!patient II!that II!she II!has II!cramping II!during II!her II!menstrual II!period II!because II!of II!what? A)An II!increase II!in II!the II!levels II!of II!estrogen II!and II!progesterone, II!which II!cause II!uterine II!contractions B)Low II!levels II!of II!plasminogen II!in II!the II!uterus II!that II!cause II!the II!shedding II!of II!the II!lining II!of II!the II!uterus C)Prostaglandins II!in II!the II!uterus, II!which II!stimulate II!uterine II!contractions II!to II!clamp II!off II!vessels II!as II!the II!lining II!of II!her II!uterus II!sheds D)An II!increase II!in II!progesterone II!and II!a II!decrease II!of II!estrogen II!cause II!the II!lining II!of II!the II!uterus II!to II!slough II!away II!- II! II!Correct II!Answers II! II! II! II!C II!Feedback: Prostaglandins II!in II!the II!uterus II!stimulate II!uterine II!contractions II!toII!clamp II!off II!vessels II!in II!the II!lining II!of II!the II!uterus, II!which II!is II!the II!cause II!of II!the II!cramping. II!The II!decrease II!of II!estrogen II!and II!progesterone II!after II!the II!involution II!of II!the II!corpus II!luteum II!triggers II!the II!release II!of II!follicle- II!stimulating II!hormone II!(FSH) II!and II!luteinizing II!hormone II!(LH). II!The II!decreased II!levels II!of II!FSH II!and II!LH II!cause II!the II!inner II!lining II!of II!the II!uterus II!toII!slough II!off II!because II!the II!vascular II!system II!is II!no II!longer II!being II!stimulated. II!High, II!not II!low, II!levels II!of II!plasminogen II!in II!the II!uterus II!prevent II!clotting II!of II!the II!lining II!as II!the II!vessels II!shear II!off. II!What II!drug II!would II!the II!nurse II!expect II!toII!administer II!ifII!beta-specific II!adrenergic II!agonist II!effects II!are II!desired II!to II!prevent II!bronchospasm II!during II!anesthesia? A)Dobutamine II!(Dobutrex) II!B)Ephedrine II!(generic) II!C)Isoproterenol II!(Isuprel) II!D)Phenylephrine II!(Neo- Synephrine) II!- II! II!Correct II!Answers II! II! II! II!C Isoproterenol II!is II!a II!beta-specific II!adrenergic II!agonist II!used II!to II!prevent II!bronchospasm II!during II!anesthesia. II!Phenylephrine II!is II!an II!alpha-specific II!adrenergic II!agonist. II!Both II!dobutamine II!and II!ephedrine II!are II!alpha- II!and II!beta-adrenergic II!agonists. II!The II!nurse II!is II!preparing II!discharge II!teaching II!for II!four II!patients. II!Which II!patient II!should II!be II!advised II!by II!the II!nurse II!that II!over-the-counter II!cold II!and II!allergy II!preparations II!contain II!phenylephrine II!and II!should II!be II!avoided? A)A II! 47 - year-old II!woman II!with II!hypertensionB)A II! 52 - year-old II!man II!with II!adult II!onset II!diabetes
A)Stimulate II!beta II!receptors II!and II!block II!alpha- II!receptors B)Stimulate II!alpha-receptors II!and II!block II!beta- II!receptors C)Block II!adrenergic II!receptorsD)Stimulate II!both II!alpha II!and II!beta-receptors II!- II! II!Correct II!Answers II! II! II! II!Ans:D Drugs II!that II!are II!generally II!sympathomimetic II!are II!called II!alpha-agonists II!(stimulate II!alpha- II!receptors) II!and II!beta-agonists II!(stimulate II!beta- II!receptors). II!These II!agonists II!stimulate II!all II!of II!the II!adrenergic II!receptors; II!that II!is II!they II!affect II!both II!alpha II!and II!beta-receptors. II!How II!does II!ephedrine II!act II!onII!the II!body? A)Stimulates II!the II!release II!of II!norepinephrine B)Acts II!indirectly II!on II!beta-adrenergic II!receptor II!sites C)Stimulates II!the II!release II!ofII!dopamine D)Acts II!indirectly II!on II!alpha-adrenergic II!receptor II!sites II!- II! II!Correct II!Answers II! II! II! II!Ans:A II!Feedback: Ephedrine II!stimulates II!the II!release II!of II!norepinephrine II!from II!nerve II!endings II!and II!acts II!directly II!on II!adrenergic II!receptor II!sites. II!Therefore, II!the II!other II!options II!are II!incorrect. II!In II!what II!age II!group II!are II!adrenergic II!agonists II!contraindicated? A)Older II!adults II!B)Adolescents II!C)Children II!D)No II!age II!group II!- II! II!Correct II!Answers II! II! II! II!Ans:D II!Feedback: The II!use II!of II!adrenergic II!agonists II!varies II!from II!ophthalmic II!preparations II!for II!dilating II!pupils II!to II!systemic II!preparations II!used II!toII!support II!patients II!experiencing II!shock. II!They II!are II!used II!in II!patients II!of II!all II!ages. II!Therefore, II!the II!other II!options II!are II!incorrect II!responses. II!A II!patient II!in II!shock II!is II!receiving II!an II!infusion II!ofII!dopamine II!when II!it II!is II!discovered II!that II!an II!extravasation II!has II!occurred. II!What II!drug II!should II!be II!on II!standby II!for II!this II!occurrence? A)Phenylephrine II!B)Propranolol II!C)Phenylalanine II!D)Phentolamine II!- II! II!Correct II!Answers II! II! II! II!Ans:D II!Feedback: Maintain II!phentolamine II!on II!standby II!in II!case II!extravasation II!occurs; II!infiltration II!of II!the II!site II!with II! 10 II!mL II!of II!saline II!containing II! 5 II!toII! 10 II!mg II!ofII!phentolamine II!is II!usually II!effective II!in II!saving II!the II!area. II!Phenylephrine, II!propranolol, II!and II!phenylalanine II!are II!not II!indicated II!for II!use II!when II!extravasation II!occurs. II!The II!pharmacology II!instructor II!is II!discussing II!adrenergic II!agonists II!with II!the II!nursing II!class. II!Which II!drugs II!would II!the II!instructor II!tell II!the II!nursing II!students II!are II!generally II!indicated II!for II!the II!treatment II!of II!shock, II!bronchospasm, II!and II!some II!types II!ofII!asthma? A)Sympathomimetic II!drugs II!B)Beta-blocking II!drugs II!C)Parasympathetic II!stimulating II!drugs II!D)Anticatecholamine II!drugs II!- II! II!Correct II!Answers II! II! II! II!Ans:A II!Feedback:
These II!drugs II!generally II!are II!indicated II!for II!the II!treatment II!of II!hypotensive II!states II!or II!shock, II!bronchospasm, II!and II!some II!types II!of II!asthma. II!Beta-blocking II!drugs, II!parasympathetic II!stimulating II!drugs, II!and II!anticatecholamine II!drugs II!are II!not II!the II!drugs II!of II!choice II!in II!these II!situations. II!When II!studying II!for II!a II!pharmacology II!exam, II!a II!student II!asks II!her II!peers II!which II!agents II!affect II!both II!alpha- II!and II!beta-receptor II!sites. II!What II!would II!be II!an II!appropriate II!response II!toII!this II!student? II!(Select II!all II!that II!apply.) A)Dobutamine II!(Dobutrex) B)Epinephrine II!(Adrenalin, II!Sus-Phrine) II!C)Dopamine II!(Intropin)D)Clonidine II!(Catapres)E)Albuterol II!(Proventil) II!- II! II!Correct II!Answers II! II! II! II!Ans:A, II!B, II!C II!Feedback: Agents II!that II!affect II!both II!alpha- II!and II!beta- II!receptor II!sites II!include II!dobutamine, II!dopamine, II!ephedrine, II!epinephrine, II!and II!norepinephrine. II!Clonidine II!is II!an II!alpha-specific II!adrenergic II!agonist; II!albuterol II!is II!a II!beta- specific II!adrenergic II!agonist. II!The II!nurse II!is II!admitting II!a II!mental II!health II!patient II!and II!collects II!the II!medication II!history. II!The II!patient II!says II!he II!takes II!Haldol, II!midodrine, II!hydrochlorothiazide, II!acetaminophen, II!and II!Cymbalta. II!The II!nurse II!will II!call II!the II!provider II!to II!discuss II!what II!dangerous II!drug II!combination? A)Haldol II!and II!midodrine II!B)Hydrochlorothiazide II!and II!midodrine II!C)Cymbalta II!and II!midodrine II!D)Acetaminophen II!and II!midodrine II!- II! II!Correct II!Answers II! II! II! II!Ans:AFeedback: Midodrine II!can II!precipitate II!increased II!drug II!effects II!of II!digoxin, II!beta-blockers, II!and II!many II!antipsychotics. II!Such II!combinations II!should II!be II!avoided. II!The II!other II!drug II!combinations II!do II!not II!pose II!any II!immediate II!concerns. II!A II! 4 - year-old II!is II!admitted II!toII!the II!emergency II!department II!in II!shock II!after II!a II!motor II!vehicle II!accident. II!The II!patient II!weighs II!12.5 II!kg. II!What II!would II!be II!the II!minimum II!safe II!dose II!of II!adrenalin II!ifII!the II!pediatric II!dose II!is II!0. II!toII!0.01 II!mg/kg II!IV? A)0.0625 II!mg II!B)0.075 II!mg II!C)0.08 II!mg II!D)0.085 II!mg II!- II! II!Correct II!Answers II! II! II! II!Ans:A II!Feedback: To II!calculate II!the II!minimum II!dosage, II!multiply II!the II!child's II!weight II!in II!kg II!by II!the II!lower II!dosage II!range; II!12.5 II!× II!0.005 II!= II!0.0625 II!mg. II!When II!giving II!beta-specific II!adrenergic II!agonists, II!at II!what II!age II!is II!an II!adult II!dose II!given? A)10 II!years II!B)11 II!years II!C)12 II!years II!D)13 II!years II!- II! II!Correct II!Answers II! II! II! II!Ans:C II!Feedback: Adult II!doses II!are II!given II!to II!children II!who II!are II! 12 II!years II!and II!older II!(see II!dosages II!in II!Table II!30.3, II!page II!497.) II!Therefore, II!the II!other II!options II!are II!incorrect.
II!The II!home II!health II!nurse II!provides II!patient II!teaching II!to II!his II!or II!her II!patient II!who II!is II!taking II!oral II!prednisolone. II!The II!nurse II!provides II!what II!instruction II!toII!reduce II!the II!occurrence II!of II!nausea? A)"Take II!with II!a II!meal."B)"Take II! 1 II!hour II!before II!meals."C)"Take II!before II!bedtime."D)"Split II!the II!dose II!into II!two II!equal II!doses." II!- II! II!Correct II!Answers II! II! II! II!Feedback: Steroids, II!taken II!on II!an II!empty II!stomach, II!would II!exacerbate II!the II!nausea. II!If II!the II!patient II!takes II!only II!one II!dose II!per II!day, II!it II!should II!be II!taken II!immediately II!after II!breakfast. II!IfII!spaced II!throughout II!the II!day, II!eating II!something II!before II!taking II!the II!pill II!will II!reduce II!risk II!of II!nausea. II!Timing II!is II!dictated II!by II!frequency II!of II!administration, II!and II!if II!only II!taken II!once II!daily, II!the II!medication II!should II!be II!taken II!in II!the II!morning II!(so II!bedtime II!is II!inappropriate). II!Splitting II!the II!dose II!would II!decrease II!effectiveness II!and II!would II!be II!inappropriate II!for II!the II!nurse II!toII!suggest II!because II!it II!is II!outside II!the II!scope II!of II!nursing II!practice. II!Taking II!the II!medication II!before II!meals II!would II!mean II!it II!was II!being II!taken II!on II!an II!empty II!stomach. II!What II!would II!be II!important II!for II!the II!nurse II!to II!teach II!the II!parents II!ofII!a II!pediatric II!patient II!about II!the II!use II!of II!topical II!corticosteroids? A)"Apply II!the II!medication II!sparingly." II!B)"Apply II!directly II!toII!open II!lesions." II!C)"After II!applying II!cover II!with II!a II!bandage." D)"Reapply II!as II!often II!as II!needed II!toII!keep II!the II!rash II!coated II!with II!the II!medication." II!- II! II!Correct II!Answers II! II! II! II!Ans:A II!Feedback: Topical II!use II!ofII!corticosteroids II!should II!be II!limited II!inII!children, II!because II!their II!body II!surface II!area II!is II!comparatively II!large, II!so II!that II!the II!amount II!of II!the II!drug II!absorbed II!in II!relation II!toII!weight II!is II!greater II!than II!in II!an II!adult. II!Apply II!sparingly II!and II!do II!not II!use II!inII!the II!presence II!ofII!open II!lesions. II!Do II!not II!occlude II!treated II!areas II!with II!dressings II!or II!diapers, II!which II!may II!increase II!the II!risk II!of II!systemic II!absorption. II!The II!nurse II!is II!teaching II!the II!patient II!who II!will II!require II!long-term II!corticosteroid II!therapy II!how II!to II!reduce II!the II!risk II!of II!infection. II!What II!suggestions II!will II!the II!nurse II!include? A)"Avoid II!large II!crowds II!of II!people II!tightly II!packed II!together." B)"Avoid II!working II!in II!areas II!with II!other II!people." II!C)"Avoid II!exercising II!toII!reduce II!risk II!of II!injury." D)"Avoid II!touching II!other II!people II!who II!may II!carry II!germs." II!- II! II!Correct II!Answers II! II! II! II!Ans:A II!Feedback: With II!long-term II!therapy, II!the II!importance II!of II!avoiding II!exposure II!to II!infection—crowded II!areas,II!people II!with II!colds II!or II!the II!flu,II!activities II!associated II!with II!injury—should II!be II!stressed. II!If II!an II!injury II!or II!infection II!should II!occur, II!the II!patient II!should II!be II!encouraged II!toII!seek II!medical II!care. II!These II!patients II!do II!not II!need II!toII!avoid II!work, II!exercise, II!or II!touching II!others II!but II!they II!should II!use II!good II!hand II!hygiene II!to II!avoid II!infection II!from II!these II!sources. II!The II!nurse II!is II!caring II!for II!an II!African II!American II!patient II!who II!received II!a II!kidney II!transplant II!and II!receives II!methylprednisolone II!for II!immunosuppression. II!What II!is II!the II!nurse's II!priority II!assessment II!specific II!toII!this II!patient?
A)Assessing II!capillary II!refill II!time B)Assessing II!cardiac II!rhythm II! C)Assessing II!white II!blood II!cell II!count II! D)Assessing II!blood II!glucose II!levels II!- II! II!Correct II!Answers II! II! II! II!Ans: DFeedback: African II!Americans II!develop II!increased II!toxicity II!to II!the II!corticosteroid II!methylprednisolone— II!particularly II!when II!it II!is II!used II!for II!immunosuppression II!after II!renal II!transplantation. II!This II!toxicity II!can II!include II!severe II!steroid-induced II!diabetes II!mellitus. II!A II!priority II!intervention II!with II!this II!patient II!is II!monitoring II!blood II!glucose II!levels. II!Assessment II!of II!capillary II!refill II!time II!and II!cardiac II!rhythm II!would II!not II!be II!indicated II!by II!the II!data II!supplied II!about II!this II!patient. II!White II!blood II!cell II!counts II!should II!be II!monitored II!on II!any II!patient II!receiving II!long-term II!corticosteroids II!but II!is II!not II!specific II!to II!this II!patient. II!The II!nurse II!is II!caring II!for II!a II!patient II!who II!is II!diagnosed II!with II!protein-deficient II!malnutrition. II!Why II!would II!an II!order II!to II!administer II!androgens II!toII!this II!patient II!be II!appropriate? A)Androgens II!reduce II!the II!body's II!requirement II!for II!protein. B)Androgens II!increase II!the II!body's II!absorption II!of II!protein II!from II!the II!bowel. C)Androgens II!stimulate II!protein II!production II!and II!decrease II!protein II!breakdown. D)Androgens II!reduce II!carbohydrate II!metabolism II!and II!promote II!lipid II!absorption. II!- II! II!Correct II!Answers II! II! II! II!Ans:C II! Feedback: Androgens II!are II!a II!form II!of II!the II!male II!sex II!hormone II!called II!testosterone. II!They II!affect II!electrolytes, II!stimulate II!protein II!production, II!and II!decrease II!protein II!breakdown, II!which II!will II!help II!toII!reverse II!the II!patient's II!protein II!malnutrition II!inII!addition II!toII!a II!high-protein II!diet. II!They II!do II!not II!reduce II!the II!body's II!need II!for II!protein, II!increase II!protein II!absorption II!from II!the II!bowel, II!or II!impact II!carbohydrate II!and II!lipid II!metabolism. II!The II!nurse II!is II!caring II!for II!a II!patient II!who II!works II!night II!shift II!from II! 2200 II!(10 II!pm) II!toII! 0600 II!(6 II!am) II!and II!normally II!sleeps II!from II! 0800 II!(8 II!am) II!until II! 1600 II!(4 II!pm) II!each II!day. II!The II!nurse II!would II!teach II!this II!patient II!to II!take II!his II!or II!her II!corticosteroid II!at II!what II!time II!of II!the II!day? A)06:00 II!(6 II!am) II!B)08:00 II!(8 II!am) II!C)16:00 II!(4 II!pm) II!D)22:00 II!(10 II!pm) II!- II! II!Correct II!Answers II! II! II! II!Ans:C II!Feedback: IfII!a II!person II!works II!all II!night II!and II!goes II!toII!bed II!at II! 8 II!am,II!arising II!at II! 4 II!pm II!toII!carry II!on II!the II!day's II!activities II!before II!going II!toII!work II!at II! 10 II!pm, II!the II!hypothalamus II!will II!release II!corticotropin- II!releasing II!hormone II!at II!about II! 4 II!pm II!in II!accordance II!with II!the II!new II!sleep-wake II!cycle. II!It II!usually II!takes II! 2 II!or II! 3 II!days II!for II!the II!hypothalamus II!to II!readjust. II!A II!patient II!on II!this II!schedule II!who II!is II!taking II!replacement II!corticosteroids II!would II!then II!need II!to II!take II!them II!at II! 4 II!pm, II!or II!on II!arising. II!All II!other II!options II!would II!not II!be II!optimal.
II!The II!nurse II!is II!teaching II!a II!class II!for II!his II!or II!her II!peers II!about II!glucocorticoids. II!What II!will II!the II!nurse II!say II!is II!initially II!blocked, II!resulting II!in II!the II!drug's II!anti-inflammatory II!action? A)Arachidonic II!acid II!B)Phagocytes II!C)Lymphocytes II!D)Antibodies II!- II! II!Correct II!Answers II! II! II! II!Ans:A Feedback: Glucocorticoids II!block II!the II!actions II!of II!arachidonic II!acid, II!which II!leads II!toII!a II!decrease II!in II!the II!formation II!of II!prostaglandins II!and II!leukotrienes. II!They II!also II!impair II!the II!ability II!ofII!phagocytes II!to II!leave II!the II!bloodstream II!and II!move II!toII!injured II!tissues; II!they II!inhibit II!the II!ability II!of II!lymphocytes II!to II!act II!within II!the II!immune II!system, II!including II!blocking II!the II!production II!of II!antibodies. II!Blocking II!arachidonic II!acid II!is,II!however, II!the II!initial II!action. II!What II!hormones II!does II!the II!adrenal II!medulla II!secrete? A)Renin II!and II!erythropoietin II!B)Norepinephrine II!and II!epinephrine II!C)Epinephrine II!and II!dopamine II!D)Dopamine II!and II!serotonin II!- II! II!Correct II!Answers II! II! II! II!Ans:B II! Feedback:The II!adrenal II!medulla II!is II!actually II!part II!of II!the II!sympathetic II!nervous II!system II!(SNS). II!It II!is II!a II!ganglion II!of II!neurons II!that II!releases II!the II!neurotransmitters II!norepinephrine II!and II!epinephrine II!into II!circulation II!when II!the II!SNS II!is II!stimulated. II!The II!adrenal II!cortex II!responds II!toII!adrenocorticotropic II!hormone II!(ACTH), II!which II!responds II!to II!corticotropin- releasing II!hormone II!(CRH) II!from II!the II!hypothalamus II!inII!a II!daily II!pattern II!called II!what? A)Pituitary II!rhythm II!B)hypothalamic-pituitary II!axis II!C)Diurnal II!rhythm II!D)Circadian II!rhythm II!- II! II!Correct II!Answers II! II! II! II!Feedback: The II!adrenal II!cortex II!responds II!toII!ACTH II!released II!from II!the II!anterior II!pituitary. II!ACTH, II!in II!turn, II!responds II!to II!CRH II!released II!from II!the II!hypothalamus. II!This II!happens II!regularly II!during II!a II!normal II!day II!in II!what II!is II!called II!"diurnal II!rhythm." II!Pituitary II!rhythm II!is II!a II!distracter; II!the II!term II!does II!not II!exist. II!The II!hypothalamic- II!pituitary II!axis II!involves II!the II!interaction II!between II!the II!two II!glands. II!Circadian II!rhythm II!involves II!when II!people II!prefer II!to II!be II!most II!active, II!such II!as II!people II!who II!say II!they II!are II!"morning II!people." II!A II! 9 - year-old II!boy II!is II!taking II!testosterone II!injections II!for II!treatment II!of II!hypogonadism. II!What II!should II!be II!measured II!every II! 6 II!months II!on II!this II!child? A)Liver II!function II!test II!(LFT) II!B)Cholesterol II!levelC)VisionD)hand II!and II!wrist II!radiographs II!- II! II!Correct II!Answers II! II! II! II!Ans:DFeedback: Because II!of II!the II!effects II!of II!these II!hormones II!on II!epiphyseal II!closure, II!children II!should II!be II!closely II!monitored II!with II!hand II!and II!wrist II!radiographs II!before II!treatment II!and II!every II! 6 II!months II!after II!treatment. II!It II!would II!not II!be II!necessary II!toII!measure II!LFTs, II!cholesterol II!levels, II!or II!the II!child's II!vision. II!The II!nurse II!assesses II!the II!patient II!taking II!anabolic II!steroids II!for II!what II!serious II!adverse II!effects?
A)Elevated II!blood II!urea II!nitrogen II!(BUN) II!B)Elevated II!blood II!glucose II!level II!C)BradycardiaD)Jaundice II!- II! II!Correct II!Answers II! II! II! II!Ans:D II!Feedback: Anabolic II!steroids II!all II!have II!black II!box II!warnings II!as II!alerts II!toII!the II!potentially II!serious II!effects II!of II!liver II!tumors, II!hepatitis, II!and II!blood II!lipid II!level II!changes II!that II!might II!be II!associated II!with II!increased II!risk II!of II!coronary II!artery II!disease. II!As II!a II!result,II!the II!nurse II!should II!assess II!for II!jaundice II!that II!could II!be II!an II!early II!indication II!ofII!liver II!dysfunction. II!Elevated II!BUN, II!blood II!glucose II!levels, II!and II!bradycardia II!are II!not II!commonly II!reported II!adverse II!effects. II!What II!therapeutic II!effect II!will II!the II!nurse II!assess II!for II!inII!the II!male II!patient II!taking II!anabolic II!steroids? A)Thinning II!of II!the II!skin II!B)Body II!hair II!loss C)Increase II!in II!red II!blood II!cells II!(RBCs) II!and II!hemoglobin D)Gynecomastia II!- II! II!Correct II!Answers II! II! II! II!Ans II!C: Feedback: Therapeutic II!effects II!include II!promotion II!of II!body II!tissue-building II!processes, II!reverse II!catabolic II!or II!tissue- destroying II!processes, II!and II!increased II!hemoglobin II!and II!red II!blood II!cell II!mass. II!Thinning II!of II!the II!skin II!and II!body II!hair II!loss II!are II!not II!associated II!effects II!of II!anabolic II!steroids. II!Gynecomastia II!is II!an II!adverse II!effect II!and II!would II!not II!be II!a II!therapeutic II!effect II!for II!which II!the II!drug II!was II!administered. II!An II!woman II!is II!prescribed II!androgens. II!The II!nurse II!teaches II!the II!patient II!toII!anticipate II!what II!effect II!from II!the II!drug? A)Atrophy II!of II!breasts II!B)Rapid II!bone II!growth II!C)Loss II!of II!pubic II!hair II!D)Nervousness II!- II! II!Correct II!Answers II! II! II! II!Ans:D Feedback: Antiestrogen II!effects—flushing, II!sweating, II!vaginitis, II!nervousness, II!and II!emotional II!lability—can II!be II!anticipated II!when II!these II!drugs II!are II!used II!in II!women. II!When II!androgens II!are II!administered II!to II!women II!you II!would II!not II!expect II!the II!results II!toII!include II!atrophy II!of II!the II!breasts, II!rapid II!bone II!growth, II!or II!loss II!of II!pubic II!hair. II!The II!nurse II!is II!caring II!for II!a II!patient II!who II!has II!been II!taking II!androgens II!and II!has II!been II!admitted II!toII!the II!ICU II!following II!a II!car II!accident. II!What II!lab II!results II!will II!the II!nurse II!interpret II!as II!more II!indicative II!ofII!androgen II!therapy II!than II!actual II!disease II!states? II!(Select II!all II!that II!apply.) A)Decreased II!thyroid II!functionB)Increased II!creatinine II!levelsC)Increased II!creatinine II!clearance II!D)Elevated II!liver II!enzymesE)Increased II!white II!blood II!cell II!(WBC) II!count II!- II! II!Correct II!Answers II! II! II! II!Ans:A, II!B,II!C II!Feedback: While II!a II!patient II!is II!taking II!androgens, II!thyroid II!function II!may II!be II!decreased, II!as II!well II!as II!increased II!creatinine II!and II!creatinine II!clearance, II!results II!that II!are II!not II!associated II!with II!disease II!states. II!These II!effects II!can II!last II!up II!toII! 2 II!weeks II!after II!the II!discontinuation II!of II!therapy. II!Elevated II!liver II!enzymes II!may II!indicate II!a II!potentially II!life- II!threatening II!effect II!that II!has II!been II!documented II!is II!hepatocellular II!cancer. II!Increased II!WBC II!count II!would
C)Decrease II!symptoms II!of II!endometriosis II!D)Prevent II!toxic II!shock II!syndrome. II!- II! II!Correct II!Answers II! II! II! II!Ans:CFeedback: Danazol II!may II!be II!used II!in II!women II!to II!prevent II!or II!treat II!endometriosis II!or II!fibrocystic II!breast II!disease. II!Danazol II!is II!not II!prescribed II!for II!increased II!hair II!growth, II!toII!reverse II!folic II!acid II!deficiencies, II!or II!toII!prevent II!toxic II!shock II!syndrome. II!The II!nurse II!assesses II!the II!young II!adult II!athlete II!who II!has II!been II!taking II!anabolic II!steroids II!toII!enhance II!his II!performance. II!What II!findings II!would II!the II!nurse II!associate II!with II!this II!practice? II!(Select II!all II!that II!apply.) A)Personality II!changes II!B)Sexual II!dysfunction II!C)Increased II!serum II!lipid II!levels II!D)Cardiomyopathy E)Weight II!loss II!- II! II!Correct II!Answers II! II! II! II!Ans:A, II!B,II!C,II!D II!Feedback: Cardiomyopathy, II!hepatic II!carcinoma, II!personality II!changes, II!and II!sexual II!dysfunction II!are II!all II!associated II!with II!the II!excessive II!and II!off- II!label II!use II!of II!anabolic II!steroids II!for II!athletic II!performance II!enhancement. II!Adverse II!effects II!associated II!with II!prescription II!use II!include II!inhibition II!ofII!testicular II!function, II!gynecomastia, II!testicular II!atrophy, II!priapism, II!baldness, II!change II!inII!libido, II!serum II!electrolyte II!changes, II!liver II!dysfunction, II!insomnia, II!and II!weight II!gain, II!not II!weight II!loss. II!The II!nurse II!learns II!a II!patient II!receiving II!a II!new II!prescription II!for II!oxandrolone II!takes II!a II!lipid- II!lowering II!medication II!daily. II!What II!will II!the II!nurse II!tell II!the II!patient II!about II!this II!drug II!interaction? A)Lipid-lowering II!drug II!becomes II!much II!less II!effective. combination II!- II! II!Correct II!Answers II! II! II! II!Ans:A II!Feedback: Anabolic II!steroids II!may II!alter II!lipid II!metabolism II!and II!cause II!a II!lack II!ofII!effectiveness II!for II!lipid- II!lowering II!agents. II!Lipid-lowering II!medications II!do II!not II!impact II!anabolic II!steroids II!and II!there II!is II!no II!increased II!risk II!for II!toxicity II!of II!either II!drug. II!What II!supplement II!would II!be II!safest II!for II!a II!diabetic II!female II!athlete II!wishing II!toII!improve II!athletic II!performance? A)Bee II!pollen II!B)Damiana II!C)Wild II!yam II!D)Spirulina II!- II! II!Correct II!Answers II! II! II! II!Ans:C II!Feedback: Wild II!yam II!is II!an II!estrogen-like II!herb II!used II!to II!increase II!athletic II!performance, II!slow II!the II!aging II!process, II!and II!improve II!energy II!and II!stamina. II!It II!can II!be II!toxic II!to II!the II!liver II!and II!may II!cause II!breast II!pain II!but II!is II!the II!safest II!of II!these II!supplements. II!Bee II!pollen II!is II!associated II!with II!serious II!allergic II!reactions II!and II!random II!studies II!have II!found II!wide II!variety II!of II!ingredients II!in II!each II!product. II!Damiana II!interferes II!with II!antidiabetic II!agents II!soII!it II!would II!not II!be II!appropriate II!for II!this II!patient. II!Spirulina II!may II!contain II!toxic II!metals II!and II!can II!cause II!serious II!reactions II!in II!children II!and II!pets. II!It II!interferes II!with II!vitamin II!B12absorption II!and II!there II!are II!no II!studies II!to II!prove II!it II!is II!effective II!in II!the II!claims II!it II!makes. II!When II!a II! 5 - year-old II!patient II!is II!prescribed II!oxandrolone II!(Oxandrin) II!toII!promote II!weight
gain, II!how II!would II!the II!nurse II!expect II!the II!drug II!toII!be II!administered? A)Long-term II!B)Short-term II!C)Continuous II!D)Intermittent II!- II! II!Correct II!Answers II! II! II! II!Ans:D II!Feedback: Oxandrin II!is II!given II!intermittently II!to II!pediatric II!patients II!and II!should II!not II!be II!used II!on II!a II!daily II!basis II!for II!short, II!long, II!or II!continuous II!therapy. II!The II!nurse II!gives II!a II!class II!at II!the II!local II!high II!school II!on II!the II!use II!of II!anabolic II!steroids. II!The II!nurse II!explains II!that II!one II!of II!the II!most II!serious II!and II!all II!too II!common II!side II!effects II!of II!using II!these II!drugs II!without II!a II!prescription II!and II!medical II!follow-up II!is II!what? A)Renal II!stonesB)DeathC)CirrhosisD)Malignant II!hyperthermia II!- II! II!Correct II!Answers II! II! II! II!Ans:B Feedback: Prolonged II!use II!of II!high II!doses II!may II!cause II!potentially II!life-threatening II!conditions, II!placing II!the II!patient II!at II!risk II!of II!death. II!Conditions II!such II!as II!peliosis II!hepatis, II!hepatic II!neoplasms, II!and II!hepatocellular II!carcinoma II!are II!often II!seen II!with II!high-dose II!street II!use II!of II!these II!drugs. II!Renal II!stones, II!cirrhosis, II!and II!malignant II!hyperthermia II!are II!not II!associated II!with II!the II!use II!of II!anabolic II!steroids. II!When II!fluoxymesterone II!(Androxy) II!is II!administered II!to II!a II! 14 - year-old II!boy II!for II!hypogonadism, II!what II!is II!the II!expected II!result? A)Enlarged II!sex II!organs II!B)Decreased II!skin II!thickness C)Increased II!protein II!metabolism II!D)Increased II!sperm II!production II!- II! II!Correct II!Answers II! II! II! II!Ans:AFeedback: In II!prepubertal II!boys, II!administration II!of II!male II!sex II!hormone-like II!drugs II!will II!stimulate II!development II!of II!masculine II!characteristics II!and II!cause II!development II!of II!the II!male II!sexual II!organs. II!Production II!ofII!sperm II!will II!occur II!when II!the II!boy II!enters II!puberty. II!These II!drugs II!are II!not II!administered II!toII!decrease II!skin II!thickness II!or II!increase II!protein II!metabolism. II!A II! 69 - year-old II!man II!is II!prescribed II!testosterone. II!The II!patient II!is II!found II!to II!have II!hypertension II!and II!a II!history II!of II!congestive II!failure II!after II!assessment II!by II!the II!nurse. II!What II!is II!this II!patient II!at II!increased II!risk II!for? A)Fluid II!retention II!B)Impotence II!C)Liver II!failure II!D)Kidney II!failure II!- II! II!Correct II!Answers II! II! II! II!Ans:A Feedback: Older II!adults II!often II!have II!hypertension II!and II!other II!cardiovascular II!disorders II!that II!may II!be II!aggravated II!by II!sodium II!and II!water II!retention II!associated II!with II!androgens II!and II!anabolic II!steroids. II!Testosterone II!would II!not II!increase II!the II!risk II!of II!impotence. II!Liver II!and II!kidney II!failure II!could II!be II!exacerbated II!by II!the II!drug II!ifII!they II!were II!preexisting II!conditions II!but II!since II!that II!is II!not II!indicated II!by II!the II!question, II!this II!would II!be II!a II!lower II!risk II!than II!fluid II!retention.
