Which laboratory value would concern the nurse who is caring for an adult client taking testosterone for an androgen deficiency?
1. Elevated sperm count
2. Increased serum calcium
3. Increased serum potassium
4. Elevated liver function tests
Correct Answer: 4
Rationale 1: An elevated sperm count would show therapeutic effect.
Rationale 2: Testosterone therapy does not impact serum calcium levels.
Rationale 3: Testosterone therapy does not impact serum potassium levels.
Rationale 4: Testosterone can cause severe hepatotoxicity and result in permanent liver damage if untreated. Elevated liver function tests should be reported to the health care provider immediately.
Global Rationale: Testosterone can cause severe hepatotoxicity and result in permanent liver damage if untreated. Elevated liver function tests should be reported to the health care provider immediately. Serum calcium and potassium levels are not affected. Elevation of sperm count is an expected effect.
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