Deck 35: Women’s Health Drugs

Question 1

The nurse is preparing to administer the contraceptive form of medroxyprogesterone (Depo-Provera).What route should be planned?

A)Oral
B)Intramuscular
C)Vaginal
D)Transdermal

Answer 1

Intramuscular

Question 2

A patient is to receive estrogen replacement therapy.
Which orders for taking this medication should the nurse give the patient?

A)Double up on the medication if a dose is missed.
B)Do not be concerned about breast lumps or bumps that occur.
C)Report any weight gain of more than 1 kg in a 24-hour period.
D)Take the medication on an empty stomach to enhance absorption.

Answer 2

Report any weight gain of more than 1 kg in a 24-hour period.

Question 3

The patient taking an oral contraceptive should be aware of potential drug interactions with which medications? (Select all that apply.)

A)penicillin, an antibiotic
B)guaifenesin (Robitussin), an antitussive
C)warfarin (Coumadin), an anticoagulant
D)atenolol (Tenormin), a ?-blocker
E)isoniazid (INH), an antituberculosis drug
F)ibuprofen (Motrin), a nonsteroidal anti-inflammatory drug
G)theophylline (Theo-Dur), a bronchodilator
H)omeprazole (Prilosec), a proton pump inhibitor

Answer 3

penicillin, an antibiotic
warfarin (Coumadin), an anticoagulant
atenolol (Tenormin), a ?-blocker
isoniazid (INH), an antituberculosis drug
theophylline (Theo-Dur), a bronchodilator

Question 4

A 51-year-old female will be starting raloxifene as part of treatment of postmenopausal osteoporosis.The nurse should inform this patient about which possible occurrence?

A)Pregnancy
B)Breast cancer
C)Stress fractures
D)Venous thromboembolism

Question 5

Which drug is used to treat secondary amenorrhea and endometrial cancer?

A)oxytocin
B)estradiol transdermal
C)raloxifene
D)medroxyprogesterone

Question 6

A woman visiting a health centre requests oral contraception.Which laboratory test is most important for the nurse to assess before the patient begins oral contraception therapy?

A)Complete blood count
B)Urinalysis
C)Vaginal cultures
D)Pregnancy test

Question 7

A patient is receiving oxytocin to induce labour.During administration of this medication,which is an appropriate nursing measure?

A)Giving magnesium sulphate along with the oxytocin
B)Administering the medication in an intravenous (IV) bolus
C)Administering the medication with an IV infusion pump
D)Monitoring fetal heart rate and maternal vital signs every 4 hours

Question 8

A patient who is on estrogen therapy should be counselled that smoking may cause what?

A)An increased incidence of nausea
B)An increased tendency to bleed during menstruation
C)Increased levels of triglycerides
D)An increased risk for thrombosis

Question 9

A 48-year-old female patient has been started on estrogen hormone therapy after experiencing the symptoms of menopause.
Which condition is a contraindication to the administration of estrogen drugs for this patient?

A)Osteoporosis
B)Uterine bleeding
C)Thrombophlebitis
D)Atrophic vaginitis

Question 10

A couple is being treated for infertility with ovulation-inducing drugs.
The nurse should instruct the couple about the increased likelihood of which?

A)Severe weight gain
B)Irregular menses
C)Multiple births
D)Alopecia

Question 11

Which type of contraceptive drug most closely duplicates the normal hormonal levels of the female menstrual cycle?

A)Monophasic
B)Biphasic
C)Triphasic
D)Long-acting

Question 12

Which adverse effect may be experienced by patients receiving fertility drugs,such as clomiphene?

A)Dizziness
B)Drowsiness
C)Dysmenorrhea
D)Increased appetite

Question 13

The nurse is reviewing natural health products that are available for prevention of osteoporosis.Which product is considered for osteoporosis prevention?

A)Soy
B)St.John's wort
C)Ginger
D)Iodized salt

Question 14

A patient who is taking the bisphosphonate alendronate (Fosamax)has been instructed to lie flat in bed for 2 days after having plastic surgery.What must the nurse tell the patient at this time?

A)Continue to take the alendronate with water.
B)Do not take the alendronate until it is possible to sit up for 30 minutes.
C)Take the medication with breakfast.
D)Stop taking the medication 72 hours before surgery.

Question 15

For which patients is the use of the estrogens contraindicated?

A)A patient who has atrophic vaginitis
B)A patient who has inoperable prostate cancer
C)A patient who has just given birth
D)A patient who has just been diagnosed with breast cancer

Question 16

A patient will be taking bisphosphonate alendronate (Fosamax).What instruction should the nurse provide to the patient regarding administration? As instructed by the nurse,when should the patient take this medication?

A)In the evening just before bedtime
B)In the morning, with an 240-mL glass of water
C)With the first bite of the morning meal
D)Between meals, on an empty stomach

Question 17

A female patient lives in Toronto and is preparing to take a plane trip to Australia.She has been taking raloxifene,a SERM.Which instruction is appropriate for this patient?

A)Stop taking the drug at least 72 hours before the trip.
B)Remember to take this drug with a full glass of water each morning.
C)Increase the calcium supplements that are taken with the drug.
D)No change in interventions is needed.

Question 18

What is an effect of a tocolytic drug?

A)Uterine relaxation
B)Uterine stimulation
C)Ovulation stimulation
D)Ovulation suppression