A nurse cares for a male client with hypopituitarism who is prescribed testosterone hormone replacement therapy. The client asks, "How long will I need to take this medication?" How should the nurse respond?
a. "When your blood levels of testosterone are normal, the therapy is no longer needed."
b. "When your beard thickens and your voice deepens, the dose is decreased, but treatment will continue forever."
c. "When your sperm count is high enough to demonstrate fertility, you will no longer need this therapy."
d. "With age, testosterone levels naturally decrease, so the medication can be stopped when you are 50 years old."
ANS: B
Testosterone therapy is initiated with high-dose testosterone derivatives and is continued until virilization is achieved. The dose is then decreased, but therapy continues throughout life. Therapy will continue throughout life; therefore, it will not be discontinued when blood levels are normal, at the age of 50 years, or when sperm counts are high.
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