An adolescent male patient is beginning androgen therapy for delayed puberty. His parents ask the nurse when this treatment may be stopped. The nurse will offer which response?

a. After 3 to 4 years of therapy
b. If acne and facial hair develop
c. When complete sexual maturation has occurred
d. When testicular enlargement occurs


ANS: D
Testosterone therapy is used to treat delayed maturity, but only for a limited course. Testicular enlargement is the first change associated with puberty and is a sign that puberty has begun. Males with hypogonadism need treatment for 3 to 4 years. Acne and facial hair are common side effects. Attaining complete sexual maturation is not necessary.

Nursing

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A nurse is planning care for a nephrology patient with a new nursing graduate. The nurse states, "A patient in renal failure partially loses the ability to regulate changes in pH." What is the cause of this partial inability?

A) The kidneys regulate and reabsorb carbonic acid to change and maintain pH. B) The kidneys buffer acids through electrolyte changes. C) The kidneys regenerate and reabsorb bicarbonate to maintain a stable pH. D) The kidneys combine carbonic acid and bicarbonate to maintain a stable pH.

Nursing

Two older residents of a long term care facility are engaged in a romantic relationship. The resi-dents are both cognitively intact. A nurse finds the two residents engaging in sexual activity

The response of the nurse includes which of the following? (Select all that apply.) a. Inform the residents that they cannot en-gage in a sexual relationship while they are residents of the facility. b. Provide a safe private area where the resi-dents can engage in sexual activity. c. Ignore the residents' activity. d. Provide education for the residents using the PLISSIT model. e. Contact the family members of the resi-dents in order to get consent from them.

Nursing

The nurse explains to a patient with chronic myelogenous leukemia that the therapeutic action of Gleevec (Imatinib) is to:

A) bind directly DNA or RNA to block the aberrant cancer-causing gene product. B) silence genes that are implicated in causing the growth of cancer causing cells. C) selectively increase transcription levels of certain genes. D) promote the replication of healthy genetic material.

Nursing

The client is being treated with the topical form of testosterone. The nurse should teach the client to apply the medication:

a. twice daily to the face. b. once daily to the shoulders. c. once daily to the legs. d. twice daily to the hands.

Nursing