The nurse is caring for an adolescent boy who is suspected of taking supplemental testosterone to improve his performance as a wrestler. What assessment findings would support this suspicion? (Select all that apply.)
A) Excessive hair growth on face and body
B) Enlarged muscular development
C) Reduced hematocrit levels
D) Growth of testes and scrotal sac
E) Increased thickening of the skin
A, B, D, E
Feedback:
Testosterone is responsible for hair growth on the body and face, muscle development, increased hematocrit levels, growth of testes and scrotal sac, and increased thickening of the skin. Option C is a distracter.
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The nurse is instructing the client with polycythemia vera how to perform isometric exercises such as contracting and relaxing the quadriceps and gluteal muscle during periods of inactivity
What does the nurse understand is the rationale for this type of exercise? A) Isometric exercise programs are inclusive of all muscle groups and have an aerobic effect to increase the heart rate. B) Isometric exercise decreases the workload of the heart and restores oxygenated blood flow. C) This type of exercise increases arterial circulation as it returns to the heart. D) Contraction of skeletal muscle compresses the walls of veins and increases the circulation of venous blood as it returns to the heart.
Two nursing students studying pharmacology are discussing the contraindications to the use of barbiturates. Which statement made by one of the students best demonstrates an understanding of the use of barbiturates?
a. "Barbiturates should not be used in patients with a history of delirium." b. "Barbiturates should not be used in patients with suicidal tendencies." c. "Barbiturates should not be used in patients with an allergy to benzodiazepines." d. "Barbiturates should not be used in patients with a history of drowsiness with the use of these agents."
A realistic outcome for a patient with situational low self-esteem who will have a short inpatient stay would be for the patient to
a. write a list of strengths, abilities, and talents. b. role-play with others to improve social skills. c. replace a negative self-image with a positive one. d. respond with positive self-esteem in all encounters.
An elderly client, unable to tolerate most antidepressant medications because of adverse effects, is scheduled for electroconvulsive therapy. Which of the following should the nurse instruct this client?
1. Learn to write everything down, since memory loss with the treatment is permanent. 2. The treatments are known to help some but not all people with depression. 3. These treatments will cure the depression. 4. Participating in psychotherapy with some medication therapy will need to be continued after the treatments.