A client is prescribed transdermal testosterone gel for replacement therapy. What should the nurse instruct the client about this medication?

Standard Text: Select all that apply.
1. Apply the gel once per day in the morning to clean, dry skin.
2. Apply the gel to the upper arms, shoulders, or abdomen.
3. Avoid showering or swimming for several hours after applying the gel.
4. Avoid skin-to-skin contact with anyone who might be pregnant.
5. Keep all daily scheduled appointments to have testosterone levels assessed.


Correct Answer: 1,2,3,4
Rationale 1: The gel should be applied once daily in the morning to clean, dry skin.
Rationale 2: The gel is applied to the skin of the upper arms, shoulders, or abdomen.
Rationale 3: Showering or swimming should be avoided for several hours after application to avoid washing off the drug.
Rationale 4: The gel can be transferred to another person by skin-to-skin contact and cause potential fetal harm.
Rationale 5: Testosterone levels should be measured after a few weeks of therapy, not daily.
Global Rationale: The gel should be applied once daily in the morning to clean, dry skin on the upper arms, shoulders, or abdomen. Showering or swimming should be avoided for several hours after application to avoid washing off the drug. The gel can be transferred to another person by skin-to-skin contact and cause potential fetal harm. Testosterone levels should be measured after a few weeks of therapy, not daily.

Nursing

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