Which assessment information is most important for the nurse to report to the health care provider when a patient asks for a prescription for testosterone replacement therapy (TRT)?
a. The patient has noticed a decrease in energy level for a few years.
b. The patient's symptoms have increased steadily over the last few years.
c. The patient has been using sildenafil (Viagra) several times every week.
d. The patient has had a gradual decrease in the force of his urinary stream.
ANS: D
The decrease in urinary stream may indicate benign prostatic hyperplasia (BPH) or prostate cancer, which are contraindications to the use of testosterone replacement therapy (TRT). The other patient data indicate that TRT may be a helpful therapy for the patient.
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