A nurse is instructing a caregiver about the side effects of testosterone cream applied to the penis of a child prior to surgery to correct hypospadias. The nurse will most likely tell the caregiver:
a. The testosterone may cause the child to have erections and possibly ejaculation, but then the cream is discontinued, the erections will stop.
b. The testosterone was used to increase the size of the penis to make surgery easier. This size and any pubic hair will go away then the cream is stopped.
c. The testosterone cream was used to thicken the skin of the penis to make surgery easier. This thickening will go away then the cream is stopped.
d. Sometimes the testosterone will cause the child to be more aggressive or agitated, but these behaviors will go away then the medication is stopped.
B
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A Incorrect. The side effects of testosterone cream applied to the penis of a child prior to surgery to correct hypospadias will not include erections and possibly ejaculation.
B Correct. On occasion, the size of the penis is augmented preoperatively with testosterone cream or injections to allow for growth of the tissue and hence facilitate surgery. Localized acne and pubic hair may appear. Caregivers should be instructed that these side effects will resolve then the cream is discontinued.
C Incorrect. The testosterone cream was used to enlarge not thicken the penis.
D Incorrect. The side effects of testosterone cream applied to the penis of a child prior to surgery to correct hypospadias will not more aggressive or agitated behaviors.
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