Which physical change would the nurse tell the female patient (transitioning from female to male) beginning testosterone therapy to anticipate? Select all that apply.
Deepening voice
Hypogonadism
Vaginal dryness
Menstruation cessation
Decrease libido
Correct Answer : A,C,D
A. Deepening voice: Testosterone promotes thickening of the vocal cords and changes in the larynx, leading to a deeper voice. This is a common and usually permanent masculinizing effect experienced during gender-affirming hormone therapy.
B. Hypogonadism: Hypogonadism refers to reduced function of the gonads. Testosterone therapy is used to treat gender dysphoria, not to induce hypogonadism. This is not a typical or expected outcome of initiating therapy in transgender men.
C. Vaginal dryness: Vaginal tissues become thinner and drier with testosterone due to decreased estrogen levels. Clients may notice discomfort, especially during sexual activity, and may require additional care or lubrication products.
D. Menstruation cessation: One of the expected early effects of testosterone therapy is the cessation of menses, usually within 6 months. This occurs as testosterone suppresses the hypothalamic-pituitary-ovarian axis.
E. Decrease libido: Testosterone usually increases, not decreases, libido. Many clients report heightened sexual desire as one of the early effects of masculinizing hormone therapy.
Nursing Test Bank
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Related Questions
Correct Answer is D
Explanation
A. Increased sweating: Dicyclomine is an anticholinergic agent, which typically reduces sweating rather than increases it. In fact, patients may be at risk for heat-related illness due to decreased ability to sweat effectively in hot environments.
B. Frequent urination: Anticholinergic drugs like dicyclomine generally cause urinary retention, not frequency. Clients may actually report difficulty initiating urination or decreased urinary output while on this medication.
C. Weight gain: Weight gain is not a common side effect of dicyclomine. It is not associated with metabolic changes or appetite stimulation significant enough to cause noticeable weight increase in most patients.
D. Dry mouth: Dry mouth is a frequent and expected anticholinergic side effect of dicyclomine. It results from the medication’s inhibition of salivary gland secretion, and patients should be advised to sip water or use sugar-free candy to manage it.
Correct Answer is A
Explanation
A. Naloxone: Diphenoxylate is an opioid derivative used to treat diarrhea, and naloxone is an opioid antagonist that reverses its central nervous system and respiratory depressant effects in overdose. It is the drug of choice in this situation.
B. Flumazenil: Flumazenil is a benzodiazepine antagonist used to reverse the effects of drugs like diazepam or lorazepam. It has no therapeutic effect on opioid toxicity and would not be useful here.
C. Digibind: Digibind is an antidote used specifically for digoxin toxicity. It binds to circulating digoxin to neutralize its effects, but it has no role in opioid-related overdoses.
D. Glucagon: Glucagon is used in cases of beta-blocker overdose or severe hypoglycemia. It is not effective against diphenoxylate toxicity and would not be administered in this context.
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