A client has completed treatment with intramuscular injections of human chorionic gonadotropin (HCG) for oligospermia. Which medications might be prescribed to ensure testosterone levels remain elevated in this client?
Standard Text: Select all that apply.
1. Tamoxifen (Novadex)
2. Clomiphene (Clomid)
3. Sildenafil (Viagra)
4. Tadalafil (Cialis)
5. Vardenafil (Levitra)
Correct Answer: 1,2
Rationale 1: Tamoxifen (Novadex) blocks the negative feedback of adrenal estrogen to the pituitary and hypothalamus, increasing the levels of FSH and LH to maintain the testosterone level.
Rationale 2: Clomiphene (Clomid) blocks the negative feedback of adrenal estrogen to the pituitary and hypothalamus, increasing the levels of FSH and LH to maintain the testosterone level.
Rationale 3: Sildenafil (Viagra) is not used to treat oligospermia.
Rationale 4: Tadalafil (Cialis) is not used to treat oligospermia.
Rationale 5: Vardenafil (Levitra) is not used to treat oligospermia.
Global Rationale: Tamoxifen (Novadex) and clomiphene (Clomid) block the negative feedback of adrenal estrogen to the pituitary and hypothalamus, increasing the levels of FSH and LH to maintain the testosterone level. Sildenafil, tadalafil, and vardenafil do not have this effect.
You might also like to view...
In preparing a pregnant client for a non–stress test (NST), which of the following should be included in the plan of care?
a. Have the client void prior to being placed on the fetal monitor because a full bladder will interfere with results. b. Maintain NPO status prior to testing. c. Position the client for comfort, adjusting the tocotransducer belt to locate fetal heart rate. d. Have an infusion pump prepared with oxytocin per protocol for evaluation.
The nurse in the birth room receives an order to give a newborn 0.3 mg of naloxone (Narcan) intramuscularly. The medication vial reads naloxone (Narcan), 0.4 mg/mL. The nurse should prepare how many milliliters to administer the correct dose?
Fill in the blank and record your answer using two decimal places. _____ mL Fill in the blank with correct word.
The nurse should give an adult client which of the following suggestions to help the client to sleep well at night?
1. "Take only short naps after supper." 2. "Eat a snack just before going to bed." 3. "Limit fluids in the evening hours." 4. "Stay in bed even if you are unable to fall asleep."
The sampling plan for a quantitative study need not include:
A) The type of sampling plan B) The number of participants C) A description of the participants D) A plan for participants' anonymity