The nurse is teaching the parents of a boy who has inadequate pituitary function and delayed puberty about testosterone enanthate injections. Which statement by the parents indicates a need for further teaching?
a. "He will need x-rays of his hands every 6 months."
b. "Injections will be given deep into his gluteal muscles."
c. "Sexual development will occur in 1 to 2 years."
d. "We should report urinary tract problems immediately."
ANS: C
It takes 3 to 4 years for sexual development to occur with androgen therapy for hypogonadism, so parents should be reminded of this. X-rays are needed every 6 months to assess bone age. Injections are given deep intramuscularly into gluteal muscles. Urinary tract problems can occur and should be reported.
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