a male patient is being treated with testosterone gel for hypogonadism what important instruction should the nurse provide

ATI RN

ATI Pathophysiology

1. A male patient is being treated with testosterone gel for hypogonadism. What important instruction should the nurse provide?

A. Apply the gel to the face and neck for maximum absorption.
B. Apply the gel to the chest or upper arms and allow it to dry completely before dressing.
C. Apply the gel to the scalp and back.
D. Apply the gel to the genitals for improved results.

Correct answer: B

Rationale: The correct instruction for applying testosterone gel is to apply it to the chest or upper arms and allow it to dry completely before dressing. This is important to prevent the transfer of the medication to others. Applying it to the face and neck (Choice A) is incorrect as these areas are not recommended. Similarly, applying it to the scalp and back (Choice C) or the genitals (Choice D) is also incorrect and can lead to inappropriate absorption or undesirable effects.

2. Which of the following are manifestations of Cushing syndrome?

A. Truncal obesity with thin extremities.
B. Enlargement of face, hands, and feet.
C. Cachexia.
D. Thick scalp hair.

Correct answer: Truncal obesity with thin extremities.

Rationale: Truncal obesity with thin extremities is a classic manifestation of Cushing syndrome due to the redistribution of fat. Enlargement of face, hands, and feet is seen in conditions like acromegaly, not Cushing syndrome. Cachexia is a state of severe weight loss and muscle wasting, typically seen in conditions like cancer or advanced infections. Thick scalp hair is not typically associated with Cushing syndrome.

3. Anemia of chronic inflammation is generally classified as:

A. Hypochromic and microcytic.
B. Hypochromic and macrocytic.
C. Normochromic and microcytic.
D. Normochromic and normocytic.

Correct answer: Normochromic and normocytic.

Rationale: Anemia of chronic inflammation is typically characterized by normochromic (normal hemoglobin content) and normocytic (normal cell size) red blood cells. Choice A, hypochromic and microcytic, is incorrect because hypochromic refers to reduced hemoglobin content and microcytic refers to smaller than normal red blood cells, which are not typically seen in anemia of chronic inflammation. Choice B, hypochromic and macrocytic, is also incorrect as macrocytic refers to larger than normal red blood cells. Choice C, normochromic and microcytic, is incorrect because microcytic red blood cells are smaller than normal. Therefore, the correct classification for anemia of chronic inflammation is normochromic and normocytic.

4. Where are most body fluids located?

A. Intravascular space.
B. Intracellular space.
C. Extracellular space.
D. Transcellular space.

Correct answer: Intracellular space.

Rationale: Most body fluids are located within cells in the intracellular space. While the extracellular space also contains body fluids, the majority is found within the cells. Intravascular space refers to fluids within blood vessels, and transcellular space includes fluids in compartments like cerebrospinal, pleural, and peritoneal cavities.

5. Which information would indicate more teaching is needed regarding hypersensitivity reactions? Type _______ hypersensitivity reactions involve an antibody response.

A. I
B. II
C. III
D. IV

Correct answer: D

Rationale: The correct answer is D: Type IV hypersensitivity reactions involve cell-mediated immunity, not an antibody response. This question tests knowledge of hypersensitivity reactions and their classification. Type I hypersensitivity reactions involve IgE antibodies, Type II involves IgG or IgM antibodies, and Type III involves immune complex deposition. Type IV hypersensitivity reactions are delayed and involve T cells, not antibodies. Therefore, if a person believes that Type IV hypersensitivity reactions involve an antibody response, more teaching is required.