Question

A client presents to their health care provider with excruciating back pain progressively getting worse, decreased sensation in his lower extremities, urinary incontinence, and problems completely emptying his bladder. He is diagnosed with advanced prostate cancer with spinal cord compression and admitted to the hospital. The nurse should anticipate administering which medications to this client? Select all that apply.

	A.	Ketoconazole, a fungicide to lower serum testosterone levels
	B.	Bisphosphonates, such as pamidronate, to inhibit bone loss
	C.	Phosphate binding agents such as aluminum hydroxide
	D.	Sulfonamides with trimethoprim to treat the urinary tract infection (UTI)
	E.	Calcium carbonate to prevent osteoporosis

A client experiencing infertility problems has learned that the prolactin levels are elevated. The client asks, "What does that mean in terms of us getting pregnant?" Which response is most accurate?

	A.	"Your sex glands will produce little or no sex hormones."
	B.	"You will need an injection every month to replenish your hormones."
	C.	"Let's look at all your prescriptions to see if that might be the problem. Diuretics can cause this."
	D.	"Not to worry, this is a common finding that can be corrected easily."

During rounds at an infertility clinic, the provider suspects a new client has anovulation caused by polycystic ovarian syndrome (PCOS) based on which finding(s)? Select all that apply.

	A.	able to palpate many "lumps" in uterus during examination
	B.	testosterone levels are elevated
	C.	noticeable acne and male-pattern hair growth
	D.	cannot remember date of last menstrual period
	E.	states she has a lack of sex drive and painful intercourse

While educating parents about the benefits of giving human papillomavirus recombinant vaccine to their child for prevention of human papillomavirus (HPV), which statements by the parents indicate that you will need to clarify for more accuracy? Select all that apply.

	A.	Best administered before the child becomes sexually active.
	B.	100% effective against development of cervical cancer for their lifespan.
	C.	Effective against the two most common strains of genital warts.
	D.	Only recommended for females between the ages of 9 and 26.
	E.	Recommended prior to exposure to HPV and if your child has genital warts, he or she is already exposed

When teaching a group of middle-aged males about changes with aging, which manifestation(s) of benign prostate hyperplasia will the nurse share with the class? Select all that apply.

	A.	dribbling after urination
	B.	foul-smelling urine
	C.	cloudy urine with white particles
	D.	having a sensation of having to urinate frequently
	E.	decrease in testicular size

Answer 1

Ans1) B (Bisphosphonates, such as pamidronate, to inhibit bone loss)

Ans2) A (Your sex glands will produce little or no sex hormones)

Ans3) B (testosterone levels are elevated)

C (noticeable acne and male-pattern hair growth)

Ans4) A (Best administered before the child becomes sexually active)

E (Recommended prior to exposure to HPV and if your child has genital warts, he or she is already exposed)

Notes: only monovalent gardasil prevent genital warts

Ans5) D (Having a sensation of having to urinate frequently