A person who has undergone a radical prostatectomy for advanced cancer is receiving diethylstilbestrol (DES). The nurse would expect to see which effect of this drug? A. Increased facial hair B. Testicular atrophy C. Deepening voice D. Weight loss

Advanced prostate cancer refers to cancer that has spread beyond the prostate gland and may not be curable. Treatment aims to control the cancer's growth and manage symptoms to improve quality of life. Diethylstilbestrol (DES) is one example of medication used in the management of this type of cancer. Although not commonly used today due to the development of safer alternatives, DES, a synthetic form of estrogen, was historically employed to suppress the production of testosterone, which prostate cancer cells often rely on for growth.

Current treatments for advanced prostate cancer may include hormone therapy to lower testosterone levels, chemotherapy, radiation therapy, and targeted therapies that hone in on specific characteristics of cancer cells. Surgical options, like a radical prostatectomy, remove the prostate gland and surrounding tissues, which is often followed up with adjunct treatments. The overarching goal is to inhibit cancer progression and alleviate symptoms, enhancing the patient's life expectancy and well-being.

Testosterone, a male hormone, promotes the growth of some prostate cancers. Testosterone inhibition is a cornerstone of hormone therapy for prostate cancer treatment. Medications like DES can reduce testosterone production by interrupting signals from the brain to the testicles. This decrease in testosterone can slow or stop the growth of prostate cancer cells.

Side effects of testosterone inhibition can include hot flashes, decreased sexual desire, erectile dysfunction, and changes in body composition like increased body fat and decreased muscle mass. As observed with DES, it may also lead to testicular atrophy, an effect directly aligned with the suppression of testosterone synthesis. Patients receiving hormone therapy are closely monitored for these effects, and in some cases, supportive care and medications can help manage these side effects.

The NCLEX-PN (National Council Licensure Examination for Practical Nurses) is a crucial exam for practical or vocational nurses aiming to obtain their licenses. Preparing for this exam involves studying a wide range of nursing topics, including pharmacology and the management of medical conditions such as prostate cancer.

Understanding the mechanisms and effects of medications like DES on disease processes is essential. Nursing students should be able to identify the appropriate drug for a given condition and anticipate its effects on the body to make informed clinical decisions. Additionally, mastering concepts like testosterone inhibition is vital since it's a key treatment strategy for certain cancers. Students might encounter questions regarding the management and expected outcomes of specific drug therapies and must be prepared to choose the correct answer based on their knowledge of pharmacology and pathophysiology.