Deck 38: Gonadal Hormones

Question 1

The nurse is preparing to administer an estrogen-containing medication to a patient.This medication will be held if the nurse assesses that the patient: (Select all that apply.)

A) may be pregnant.
B) has a blood pressure of 130/70.
C) has a history of phlebitis.
D) reports breast tenderness.
E) is taking thyroid hormones.

Answer 1

may be pregnant.
has a history of phlebitis.

Question 2

Which patient on oral contraceptive therapy will be at greatest risk for heart attack?

A) A 34-year-old woman with a history of osteoporosis
B) A 28-year-old woman with a history of eczema
C) A 36-year-old woman who smokes half a pack per day
D) A 36-year-old woman who has a history of abnormal Pap smears

Answer 2

A 36-year-old woman who smokes half a pack per day

Question 3

The nurse is completing discharge teaching to a new mother who will begin oral contraceptives.Which common adverse effect(s)should be expected? (Select all that apply.)

A) Elevated blood pressure
B) Breast tenderness
C) Weight gain
D) Edema
E) Increased thirst

Answer 3

Breast tenderness
Weight gain
Edema

Question 4

A female patient with a history of endometriosis presents with bilateral lower quadrant pain reportedly at midcycle.Which gonadal drug is indicated for treating symptoms of endometriosis?

A) Estrogen
B) Progesterone
C) Androgens
D) Gonadotropins

Question 5

The nurse is teaching a young woman about birth control pills.For which situation will the patient need to seek immediate follow-up with the healthcare provider?

A) Breakthrough bleeding
B) Nausea
C) Missed dose
D) Light menstrual flow

Question 6

Which is most important for the nurse to remember when instructing the patient about treatment with gonadal hormones?

A) Dosage,schedule,and adverse effects
B) Cost,storage,and route of administration
C) Drug interactions and food interactions
D) Scheduling follow-up appointments and lab studies

Question 7

The health of a patient receiving androgen therapy for breast cancer declines and she becomes bedbound.Which condition will this patient be at risk of developing?

A) Electrolyte imbalances
B) Hypercalcemia
C) Hyperglycemia
D) Fluid overload

Question 8

What is progestin therapy used for? (Select all that apply.)

A) Contraception
B) Endometriosis
C) Amenorrhea
D) Abnormal uterine bleeding
E) Cancer

Question 9

Which is the most potent of the natural estrogenic hormones produced in the ovaries?

A) Estradiol
B) Estrone
C) Estriol
D) Estrogen

Question 10

Which information will the nurse include when teaching a patient with seizures about estrogen therapy?

A) Phenytoin reduces the effectiveness of estrogen.
B) Estrogen reduces the effectiveness of phenytoin.
C) Phenytoin may inhibit the metabolism of estrogen.
D) Estrogen may inhibit the metabolism of phenytoin.

Question 11

Why is estrogen therapy used in postmenopausal women? (Select all that apply.)

A) To meet contraceptive needs
B) To treat acne
C) To prevent osteoporosis
D) To treat hot flashes
E) To maintain hormonal balance

Question 12

What is the rationale for using an androgen as part of breast cancer treatment?

A) For maintenance of fat stores
B) To promote nutrition
C) To prevent wasting resulting from cancer growth
D) For palliative treatment to suppress cancer cell growth

Question 13

When preparing a female patient for the endocrine changes that may occur as a result of androgen changes,the nurse will include information regarding:

A) priapism.
B) voice changes.
C) gynecomastia.
D) fluid retention.

Question 14

Which statement is true regarding androgen therapy?

A) Androgen use may cause hyperglycemia.
B) Androgens should be administered with food or milk to avoid gastric irritation.
C) Signs of masculinization will appear and are reversible.
D) Electrolyte imbalances are extremely rare.

Question 15

Which condition(s)would be of special concern when evaluating a patient for treatment with gonadal hormones? (Select all that apply.)

A) Sexually transmitted disease
B) Hypertension
C) Liver disease
D) Cancer of the reproductive organs
E) Smoking

Question 16

The nurse is discussing estrogen therapy with a patient education group.When relaying information,the nurse may explain that therapeutic outcomes of estrogen therapy include: (Select all that apply.)

A) contraception.
B) hormonal balance.
C) treatment of severe facial acne.
D) appetite suppression.
E) prevention of heart disease.

Question 17

When teaching a patient about estrogen therapy,which drug(s)will the nurse identify as causing drug interactions? (Select all that apply.)

A) Diazepam (Valium)
B) Warfarin (Coumadin)
C) Thyroid hormones
D) Phenytoin (Dilantin)
E) Acetaminophen (Tylenol)