Pharm Ch. 53: Men's Health

Which adverse effect is the nurse alert for while providing care for a patient taking finasteride (Proscar)?
1
Loss of libido
2
Peliosis of the liver
3
Hypotension
4
Depression

1
Loss of libido is seen in patients taking finasteride (Proscar). Peliosis of the liver and depression are adverse effects of androgenic steroids. The concurrent use of erectile dysfunction drugs and nitrates may cause severe hypotension. pp 798

While assessing a 14-year-old, the nurse finds decreased function of the pituitary gland. Which complication does the nurse suspect?
1
Impotence
2
Testicular atrophy
3
Loss of muscle tone
4
Lack of secondary sex characteristics

4
Pituitary gland dysfunction in young males may result in a lack of secondary sex characteristics. Inadequate pituitary gland function in adult men causes impotence, testicular atrophy, and loss of muscle tone. p. 792

A patient has been taking sildenafil (Viagra) for erectile dysfunction. The patient reports episodes of dizziness and fainting spells after using this drug. Which other drug should the nurse assess for while taking the drug history of the patient?
1
Nitra

1
Dizziness and fainting spells are signs associated with low blood pressure. Sildenafil (Viagra) decreases blood pressure by releasing nitric oxide. Nitrates also decrease the workload of the heart by reducing the blood pressure. Administration of both d

Which action of finasteride (Proscar) helps in the treatment of benign prostatic hypertrophy?
1
It inhibits the conversion of testosterone.
2
It increases the penile blood flow.
3
It relieves male urine retention.
4
It relaxes the prostatic sphincter.

1
Finasteride promotes the regression of prostate epithelial tissues, resulting in decreased mechanical obstruction of the urethra through the inhibition of 5-alpha-reductase which blocks the conversion of testosterone to DHT. Finasteride has no effect on

A patient who is undergoing treatment for benign prostatic hyperplasia complains of a lack of sexual desire. Which medication might lead to this side effect?
1
Tadalafil (Cialis)
2
Terazosin (Hytrin)
3
Doxazosin (Cardura)
4
Finasteride (Proscar)

4
Finasteride (Proscar) is a 5-alpha reductase inhibitor that is used in the treatment of benign prostatic hyperplasia. This drug has the potential to precipitate impotence or decreased libido. Tadalafil (Cialis) is a phosphodiesterase-5 inhibitor and may

The nurse encounters a male patient who is taking finasteride (Proscar). Which condition does the nurse suspect in the patient?
1
Bladder cancer
2
Priapism
3
Benign prostatic hyperplasia
4
Testicular cancer

3
Finasteride (Proscar) is specifically administered for the treatment of benign prostatic hyperplasia (BPH), which leads to enlargement of the prostate. Finasteride (Proscar) helps lower the dihydrotestosterone (DHT) level. The medication is not directly

Which medications increase protein synthesis within cells, resulting in the buildup of cellular tissue?
1
Anabolic steroids
2
Antiandrogens
3
Anticholinergics
4
Phosphodiesterase-5 inhibitors

1
Anabolic steroids increase protein synthesis within cells resulting in buildup of cellular tissue. Antiandrogens block the synthesis or action of androgens. Anticholinergics block the action of acetylcholine. Phosphodiesterase-5 inhibitors cause vasodil

Which medications are unaffected by food intake? Select all that apply.
1
Avanafil
2
Sildenafil
3
Warfarin
4
Tadalafil
5
Vardenafil

1, 4
The actions and effects of avanafil and tadalafil are unaffected by food. Sildenafil works best on an empty stomach. Warfarin has many food and drug interactions. Vardenafil is less effective when taken with a fatty meal. p 797

A patient is prescribed tadalafil. Concomitant therapy should be avoided with tadalafil and which medications? Select all that apply.
1
Salicylic acid
2
Thioridazine
3
Verapamil
4
Fluconazole
5
Isosorbide

2, 3, 4, 5
A patient that is taking tadalafil should not take thioridazine, verapamil, fluconazole, or isosorbide at the same time. Cardiac drugs such as thioridazine or verapamil may cause alterations in heart rate and blood pressure when taken with tada

Which benefit of synthetic androgens can be seen in a patient?
1
Enhancement of the male libido
2
Relief from fluid retention
3
Prolonged erection
4
Increased hair growth

1
Synthetic androgens, administered through androgen-replacement therapy, helps treat testicular failure in a male patient. They help improve the performance of the male libido. Fluid retention and prolonged erection are adverse effects of androgens. Fina

The nurse is assessing a patient who is taking fluoxymesterone (Halotestin) to treat reduced testosterone levels. The patient has gained weight 1 week after beginning the medication. What is the likely cause for weight gain in the patient?
1
Impaired lipi

3
Fluoxymesterone (Halotestin) is an androgenic drug that may cause fluid retention in some patients. Thus, in this patient, fluid retention would have been the most probable cause of weight gain. Impaired lipid metabolism is also a complication associate

A patient who is pregnant tells the nurse, "My husband is bald and I apply finasteride (Propecia) cream on his scalp daily." Which test should the nurse discuss with the patient's provider?
1
Lipid profile
2
Liver function test
3
Exercise tolerance test
4

4
Finasteride (Propecia) is contraindicated in women of childbearing age, because this drug has teratogenic effects. The patient has been applying finasteride (Propecia) to her husband; this indicates that the drug would have been topically absorbed into

Which laboratory finding regarding plasma testosterone concentration is abnormal?
1
600 ng/dL
2
800 ng/dL
3
1000 ng/dL
4
1200 ng/dL

2
The normal range of plasma testosterone concentration is 250 to 1000 ng/dL. Therefore, a laboratory finding of 1200 ng/dL is high. Plasma testosterone concentrations of 600, 800, and 1000 ng/dL are normal findings. p 791

A patient receiving finasteride (Proscar) has improvements in urinary flow. What is the nurse's priority action?
1
Hold the medication.
2
Call the health care provider.
3
Continue to assess.
4
Measure testosterone levels.

3
Improvement in urinary flow is a therapeutic effect of this medication. The nurse should continue to assess. It is not necessary to hold the medication or notify the provider. Because it is a therapeutic effect, drug levels do not need to be tested. p 7

The nurse is caring for a patient who has erectile dysfunction who has been prescribed alprostadil (Caverject). How will the nurse administer the medication to the patient?
1
Placing the medication under the patient's tongue.
2
Asking the patient to chew

3
Alprostadil (Caverject) is a prostaglandin analogue that is used for the treatment of erectile dysfunction. It increases the blood flow into the penis by causing vasodilation. This medication is available as an intravenous injection and suppository. The

A male patient is taking Sildenafil (Viagra). What health problem does the nurse expect in the patient?
1
Decreased libido
2
Low sperm count
3
Erectile dysfunction
4
Gynecomastia

3
Sildenafil (Viagra) is one of the primary agents used for the treatment of erectile dysfunction for patients diagnosed with hypertension, renal disorders and diabetes. Finasteride is associated with decreased libido and gynecomastia. Testosterone is use

While reviewing the medical records of a patient, the nurse learns that the patient has taken finasteride (Proscar) in the past. The patient does not have a history of difficulty with urination. What is the probable reason for administering finasteride (P

1
Finasteride (Proscar) is a 5-alpha reductase inhibitor drug that is also known to stimulate the hair follicles and stimulate hair growth. Thus, it is recommended for treating male-pattern baldness. Sperm production is not affected by finasteride (Prosca

Which medication is contraindicated with tadalafil?
1
Acetaminophen
2
Furosemide
3
Nitroglycerin
4
Heparin

3
Patients taking nitrates (e.g., nitroglycerine) should not be prescribed tadalafil. The combination of nitroglycerin and tadalafil may trigger an unsafe drop in blood pressure. There are no contraindications for concomitant use of tadalafil with acetami

Which drug will be ordered for a patient who presents with erectile dysfunction?
1
Testosterone (Axiron)
2
Fluoxymesterone (Halotestin)
3
Finasteride (Proscar)
4
Alprostadil (Caverject)

4
Alprostadil is used in the treatment of erectile dysfunction. The intracavernous injection is also used as a single injection in the diagnosis of erectile dysfunction. Testosterone and fluoxymesterone are used to treat male hypogonadism. Finasteride is

What is the maximum dose of subcutaneous menotropin for treating hypogonadism?
1
300 international units once per week
2
300 international units once per month
3
300 international units twice per week
4
300 international units three times per week

4
One ampule of menotropin contains 75 international units (IU) of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) each. The initial dose is 75-150 IU subcutaneously or three times per week. Dosage adjustments according to individual respo

An older patient with a history of atrial fibrillation reports erectile dysfunction. The patient states, "I am on so many prescription drugs, I decided to try ginkgo biloba because I read it works." Which medication on the patient's medication administrat

2
Patients with atrial fibrillation are often prescribed warfarin to prevent blood clot formation. Ginkgo biloba taken with warfarin can result in uncontrolled bleeding or hemorrhage. Gingko biloba does not interact with salicylic acid, potassium chloride

Which medication classification is contraindicated for patients experiencing benign prostatic hyperplasia?
1
Alpha-adrenergic blocking agents
2
Antihistamines
3
5-alpha-reductase inhibitors
4
Phosphodiesterase-5 inhibitors

2
A patient with an enlarged prostate gland should avoid drugs that can cause urinary retention, such as anticholinergics, decongestants, and antihistamines. Alpha-adrenergic blocking agents, 5-alpha-reductase inhibitors, and phosphodiesterase-5 inhibitor

A patient who has been taking sildenafil (Viagra) has developed angina. The health care provider has ordered isosorbide mononitrate (Imdur). What is the nurse's primary intervention?
1
Advise the patient not to take the sildenafil.
2
Tell the patient to t

1
When taken in conjunction with nitrates, sildenafil (Viagra) can cause severe hypotension unresponsive to treatment. The patient should not take these medications together. The other interventions are not correct. p 797

The nursing instructor is teaching students about safe administration of menotropin. Which statements made by the students indicate teaching was successful? Select all that apply.
1
"Menotropin should be stored in a well-lit area."
2
"Menotropin is admini

4, 6
Statements indicating teaching was successful include "menotropin is administered subcutaneously" and "menotropin should be administered immediately after reconstitution." Menotropin should be protected from light, not stored in a well-lit room. Meno

Which drug is a Schedule III drug?
1
Doxazosin (Cardura)
2
Goserelin (Zoladex)
3
Testosterone (Androderm)
4
Minoxidil (Rogaine)

3
The testosterone hormone is primarily produced in the testes, categorized under the broad heading of the androgens. Androgens are Schedule III drugs in the United States. Doxazosin is an alpha blocker used to treat hypertension. Goserelin is a hormone a

The nurse is assessing an elderly patient who has angina pectoris who has been prescribed nitroglycerin (Nitrostat). After reviewing the patient's medical history, the nurse advises the patient to avoid vardenafil (Staxyn, Levitra). What is the reason for

4
Vardenafil (Staxyn, Levitra) is a phosphodiesterase inhibitor. It is contraindicated in patients with cardiovascular disorders. This medication will be discontinued when nitrates such as nitroglycerin (Nitrostat) are prescribed for the patient, because

The nurse observes a patient who is taking finasteride (Proscar) for the treatment of benign prostatic hyperplasia. What adverse effect is expected in the patient?
1
Decreased libido
2
Increased amount of ejaculate
3
Prolonged erection
4
Fluid retention

1
Finasteride (Proscar) causes libido loss in men. It does not increase ejaculate, but causes ejaculatory dysfunction and erection loss. Prolonged erection is a side effect of erectile dysfunction drugs. Fluid retention is an undesirable effect of androge

A patient prescribed androgen therapy is experiencing edema. What advice can the nurse give to the patient?
1
Drink 2 L or more of fluid a day.
2
Stop androgen therapy immediately.
3
Restrict sodium from the diet.
4
Reduce the androgen dosage by half.

3
Rationale
A patient receiving androgen therapy experiencing edema should be advised to restrict sodium in the diet. Drinking 2 L of fluid daily is appropriate if calcium levels are elevated, not for edema. Androgen therapy should not be stopped; rather,

A 28-year-old male is diagnosed with testicular cancer. What treatment should the patient expect?
1
Chemotherapy
2
Radiation and chemotherapy
3
Surgical excision, radiation, and chemotherapy
4
Dependent on the type and stage of the tumor

4
Testicular tumors peak in early adulthood. They include malignant germinal cell tumors and benign Leydig or Sertoli cell tumors. Treatment depends on the type and stage of the tumor. Surgical excision, radiation therapy, and chemotherapy are used alone

Which side effects are associated with the use of testosterone (Delatestryl)? Select all that apply.
1
Insomnia
2
Depression
3
Gynecomastia
4
Aggressive behavior
5
Postural hypotension

1, 4
Patients on testosterone (Delatestryl) therapy experience insomnia and frequently demonstrate aggressive behavior. Depression and gynecomastia are adverse reactions associated with the use of testosterone (Delatestryl). Postural hypotension is a side

The nurse notes that a patient is ordered to receive dutasteride (Avodart). Which condition does the nurse suspect in the patient?
1
Impotence
2
Testicular cancer
3
Hypogonadism
4
Benign prostatic hyperplasia (BPH)

4
Dutasteride (Avodart) is an alternative for finasteride (Proscar), indicated for the treatment of benign prostatic hyperplasia (BPH). The medicine is available in 0.5 mg doses. Dutasteride (Avodart) has no effect on impotence or testicular cancer. Testo

Which group of college students does the nurse need to include in a teaching session on the risks of androgen abuse?
1
Students who do not socialize well in school
2
Students who perform extraordinarily in class
3
Students who are on athletic teams
4
Stud

3
Androgens are potent anabolic agents that stimulate the formation and maintenance of muscular and skeletal proteins. Athletes use androgens to increase weight, musculature, and muscle strength. Many major sporting events disqualify athletes who have doc

Which prescription for a patient taking sildenafil (Viagra) will the nurse question to prevent adverse effects?
1
Dietary nitrites
2
Organic nitrates
3
Organophosphates
4
Nitrogen mustard

2
The only contraindication for sildenafil (Viagra) is the concomitant administration of an organic nitrate, because it may lead to severe hypotension in the patient. Dietary nitrites and organophosphates are not prescribed. Dietary nitrites increase the

The student nurse is teaching a patient about safe use of doxazosin. Which statement by the patient indicates teaching was successful?
1
"I should take this medication at bedtime."
2
"I should take this medication on an empty stomach."
3
"I may feel incre

1
Teaching is successful when the patient states, "I should take this medication at bedtime." Doxazosin is an alpha-adrenergic blocking agent that can cause postural hypotension. Taking it at bedtime will decrease the incidence of hypotension. Dietary int

The nurse is caring for a patient receiving testosterone therapy. For which assessment finding will the nurse intervene?
1
Abdominal pain
2
Nausea
3
Dizziness
4
Pitting edema

4
Pitting edema is a sign of sodium and water retention and is an adverse reaction of administration of testosterone. Abdominal pain, nausea, and dizziness are side effects but do not require immediate attention. p 791

An elderly patient is accompanied to the clinic by his 30-year-old daughter. The patient has benign prostatic hyperplasia and is prescribed finasteride. What is an important teaching point for safe use of finasteride?
1
Take finasteride on an empty stomac

4
Crushed or broken finasteride tablets should not be handled by pregnant women or women of childbearing age as there is a risk for secondary absorption placing the male fetus at risk. Finasteride should be taken with food. If a dose is missed, it should

A patient has been diagnosed with benign prostatic hypertrophy (BPH). Why will the primary health care provider prescribe finasteride (Proscar)?
1
It helps relax urine retention.
2
It helps stop a growing prostate.
3
It helps increase penile blood flow.
4

2
Finasteride (Proscar) focuses on the degeneration of the prostate epithelial tissue, which further helps reduce mechanical obstruction in the urethra. Finasteride inhibits 5-alpha reductase, responsible for converting testosterone to 5-dihydrotestostero

When assessing a patient, the nurse learns that the patient has been abusing anabolic steroids to improve sports performance for the past 3 years. Which test will the nurse discuss with the provider?
1
Kidney function test
2
Liver function test
3
Complete

2
The most serious adverse effects associated with the long-term use of anabolic steroids are liver conditions such as peliosis, hepatic neoplasms (liver cancer), and cholestatic hepatitis. Therefore, the nurse should first refer the patient for a liver f

Which pharmacologic class is used to describe testosterone drugs?
1
Schedule I
2
Schedule II
3
Schedule III
4
Schedule IV

3
Testosterone, a naturally occurring androgenic hormone produced primarily by the testes, regulates male sexual development. Most androgens are classified as Schedule III drugs in the United States. They have less abuse potential than Schedule II drugs a

Which are contraindications to androgen therapy? Select all that apply.
1
Hypercalcemia
2
Primary hypogonadism
3
Nephrosis
4
Cirrhosis
5
Breast cancer palliation
6
Benign prostatic hyperplasia (BPH)

1, 3, 4, 6
Contraindications to androgen therapy includes hypercalcemia, nephrosis, cirrhosis, and BPH since these conditions may be exacerbated with the use of androgens. Androgen therapy is sometimes used for medical management of primary hypogonadism a

The nurse is caring for a patient receiving androgen therapy. The nurse understands that androgen therapy is indicated for which conditions? Select all that apply.
1
Delayed puberty
2
Hypergonadism
3
Priapism
4
Prostate cancer
5
Testicular failure

1, 5
Androgen therapy is indicated for the treatment of delayed puberty in adolescents, testicular failure in adult males, and hypogonadism. It is not indicated for hypergonadism, priapism, or prostate cancer. p 792

A child with stunted growth is prescribed androgen therapy. What is the best way to monitor the effectiveness of the therapy?
1
Daily height and weight measurements
2
Hand and wrist x-rays every 6 months
3
Liver and thyroid function laboratory tests
4
App

2
Androgen therapy should be cautiously used in children and only by specialists aware of the adverse effects on bone maturation. Skeletal maturation must be monitored every 6 months by radiography of the hand and wrist. Daily height and weight measuremen

Which classification of drugs may cause gynecomastia and priapism?
1
5-alpha-reductase inhibitors
2
Androgens
3
Antiandrogens
4
Alpha-adrenergic blocking agents

2
Gynecomastia and priapism are side effects of androgen therapy. Side effects of 5-alpha-reductase inhibitors include decreased libido, erective dysfunction, orthostatic hypotension, and gynecomastia, but not priapism. Antiandrogen side effects include a

A patient with coronary artery disease (CAD) is taking isosorbide 10 mg by mouth every 12 hours. Which order by the physician should the nurse question?
1
Famotidine
2
Furosemide
3
Sildenafil
4
Ketoconazole

3
The nurse should question sildenafil ordered for a patient with CAD receiving isosorbide as this can cause an unsafe fall in blood pressure and myocardial infarction. A patient taking isosorbide can safely take famotidine, furosemide, and ketoconazole.

A patient with a history of coronary artery disease (CAD) presents to the emergency room with complaints of severe chest pain, dizziness, nausea, and vomiting. The patient is hypotensive and diaphoretic. Which statement made by the patient indicates the m

1
Sildenafil is contraindicated for patients with significant cardiovascular disease as this could result in myocardial infarction. The patient's chest pain, dizziness, nausea, and vomiting are consistent with myocardial ischemia and infarction. Antidepre

The nurse is providing education to a patient prescribed a testosterone gel preparation. Which instructions should the nurse include regarding safe use of testosterone gel? Select all that apply.
1
Apply the gel to the clean, dry skin of the shoulders or

1, 2, 5, 6
Patients on testosterone therapy should be taught to apply the gel to the clean, dry skin of the shoulders and upper arms. Patients should cover the areas with clothing to avoid secondary exposure. Patients should wash hands with soap and water

While assessing a patient who is pregnant, the nurse finds that the patient is taking finasteride (Proscar) for hair growth, which was prescribed for her spouse. What will the nurse suggest to the patient to avoid complications during pregnancy?
1
Discont

1
Finasteride (Proscar) is used for the treatment of baldness in men. It is not prescribed for women of any age, because it has teratogenic effects. Therefore, the nurse should suggest that the patient avoid taking the medication to prevent fetal detects.

A patient is prescribed tamsulosin. What are the possible side effects of this medication? Select all that apply.
1
Rhinitis
2
Headache
3
Fatigue
4
Dyspnea
5
Gynecomastia
6
Postural hypotension

1, 2, 3, 4, 6
Side effects of tamsulosin include rhinitis, headache, fatigue, dyspnea, and postural hypotension. Gynecomastia is a side effect of 5-alpha-reductase inhibitors like finasteride and dutasteride. p 798

Which drug prescription does the nurse report to the primary health care provider if the patient is taking tadalafil (Cialis)?
1
Famotidine (Pepcid)
2
Nitroglycerin (Nitrobid)
3
Ibuprofen (Motrin)
4
Furosemide (Lasix)

2
The major contraindication to the use of tadalafil is concurrent nitrate therapy because this can result in severe hypotension. It includes the use of amyl nitrate, sublingual or topical nitroglycerine, and oral nitrate derivatives such as isosorbide mo

A patient reports an inability to achieve or maintain an erection during sexual intercourse. Which medication does the nurse anticipate the primary health care provider will prescribe for this patient?
1
Oxandrolone (Oxandrin)
2
Phentolamine (Regitine)
3

2
An inability to achieve or maintain an erection during sexual intercourse is erectile dysfunction, which may be caused by vascular insufficiency. Phentolamine (Regitine) is a vasodilator, which acts by dilating the blood vessels of the penis, thereby en

A patient is sterile due to low testosterone levels. Which other complication will the nurse suspect to find in the patient?
1
Anemia
2
Hypoglycemia
3
Hyperacidity
4
Fatty liver

1
Testosterone is a hormone that plays an important role in erythropoiesis. It helps in the formation of red blood cells. Reduced levels of testosterone cause reduced production of red blood cells, which in turn causes anemia due to reduced hemoglobin. Te

Which statements are true about men's reproductive health as a part of the aging process? Select all that apply.
1
The number of Leydig cells increases with age.
2
The rate of sperm production increases with age.
3
The production of testosterone increases

4, 5
The release of luteinizing hormone and follicle-stimulating hormone (FSH) and the production of testosterone are linked. As the testosterone level declines, FSH is released by the anterior pituitary gland, which then increases the production of testo

Which patient complaints could be adverse reactions to amyl nitrate? Select all that apply.
1
"It feels like an elephant is sitting on my chest."
2
"I feel like I am being smothered."
3
"My skin has looked blue for the past few hours."
4
"I feel like I ha

1, 2, 3
Amyl nitrate can be used for erectile dysfunction, but sudden death, myocardial infarction, and methemoglobinemia have been reported with its use. The patient statements, "It feels like an elephant is sitting on my chest" and "I feel like I am bei

The nurse is asked to administer medications to several patients. Which patient is prescribed a proper dose of the medication?
1
Sildenafil (Viagra) 50 mg injected into the penile shaft
2
Finasteride (Propecia) 5 mg/day by mouth for baldness
3
Transdermal

4
The dosage range for testosterone cypionate is an intramuscular injection of 50 to 400 mg every second or fourth week. Sildenafil is taken 25-100 mg by mouth, one hour before intercourse; finasteride is administered in a dosage of 1 mg/day; and transder

A patient receiving androgen therapy has an elevated serum calcium level. What assessment should the nurse make?
1
Presence of chest pain
2
Renal dysfunction
3
Hypotension
4
Nausea and vomiting

1
A patient receiving androgen therapy with an elevated serum calcium level is at risk for cardiac arrest, so the nurse should assess the patient for the presence of chest pain. Renal dysfunction such as difficulty urinating or priapism require prompt att

A patient who is on vardenafil (Levitra) therapy reports a severe headache accompanied by flushing. Which action might have resulted in these symptoms?
1
Drinking milk 1 hour before taking the medication
2
Drinking grapefruit juice while taking the medica

2
Vardenafil (Levitra) belongs to the class of phosphodiesterase-5 (PDE-5) inhibitors. PDE-5 inhibitors interact with grapefruit juice and thereby result in an increased concentration of the drug in the blood. Elevated serum levels of vardenafil (Levitra)

The nurse is teaching a patient with benign prostatic hyperplasia (BPH) about doxazosin. What time of day should the nurse advise the patient to take the medication?
1
Early morning
2
Afternoon with lunch
3
Before evening meal
4
Bedtime

4
Alpha-adrenergic blocking agents may be used to control blood pressure or BPH. To avoid hypotensive episodes, the patient should be advised to take alpha-adrenergic blocking agents such as doxazosin at bedtime to mitigate the effects of postural hypoten

The nurse informs a male patient about which potential adverse effect of testosterone therapy?
1
Prostate cancer
2
Bladder cancer
3
Kidney cancer
4
Intestine cancer

1
Testosterone plays a role in the development of prostate cancer, but the extent to which supplemental testosterone therapy increases cancer risk is unclear. Testosterone does not affect the bladder, kidney, or intestine in a direct way. p 793

A patient is receiving one 400-mg dose of intramuscular androgen every 2 weeks. Which assessment finding should be reported to the physician immediately?
1
Blood pressure of 140/90 mm Hg
2
Irritation at the injection site
3
Bilateral icterus
4
Increased f

3
The nurse should notify the physician immediately if bilateral icterus occurs. Adverse and life-threatening reactions to androgen therapy include hepatic necrosis, hepatitis, or hepatic tumors, which may present as icterus, or yellowing of the eyes. A b