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    RN Comprehensive Predictor 2026 Proctored Exam

    A nurse is preparing to administer testosterone gel to a client who has hypogonadism. Which of the following actions should the nurse take?

    Explanation & Rationale

    Rationale: A. Testosterone gel is a topical hormonal medication that can be absorbed through the skin. The nurse must wear clean gloves during application to prevent accidental exposure and secondary hormonal effects such as virilization in females or children. Hand hygiene before and after application is also essential. B. Clients are typically instructed to avoid washing the application site for several hours (often at least 2–6 hours depending on the product) to ensure adequate absorption. Waiting only 1 hour may be insufficient for proper medication uptake. C. Serum testosterone levels are not typically reassessed within 1 week of starting therapy. Hormone levels and clinical response are usually evaluated after several weeks to months to determine effectiveness and adjust dosing. D. Testosterone gel should not be applied to the genitals. It is typically applied to clean, dry, intact skin of the shoulders, upper arms, or abdomen depending on the product instructions. Application to the genital area increases irritation and inconsistent absorption.

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