A nurse working in a private pediatric practice is caring for a patient who has been receiving 17–alpha-alkylated androgen (Fluoxymesterone)
Which clinical manifestation would cause the nurse to be concerned, and what intervention would the nurse anticipate? a. Gynecomastia; discontinuation of the drug
b. Yellowish tint to the skin and sclera; discontinuation of the drug
c. Decrease in high-density lipoprotein (HDL); titration of the medication
d. Erratic blood glucose levels; adjustment of the dose
B
A yellowish tint to the skin and sclera would most concern the nurse, because 17–alpha-alkylated androgen (Fluoxymesterone) is known to cause hepatotoxicity.
Gynecomastia is expected in males.
A decrease in HDL would require monitoring of those levels but not titration of the medication.
Fluoxymesterone is not associated with erratic blood glucose levels.
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