Question 1

During a health history, a client who is taking Premarin tells the nurse about using a variety of herbal supplements. Which of the following are contraindicated on estrogen therapy? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of During a health history, a client who...

Question 2

A client at 35 weeks' gestation is having contractions caused by preterm labor. Which statement by the nurse best describes the rationale for giving this client magnesium sulphate?

Accepted Answer

Magnesium sulphate is given to relax the uterus and slow contractions, which buys time for the baby's lungs to develop. It does not cause the baby to gain weight rapidly, decrease stress levels, or allow for home monitoring.

Question 3

Which nursing diagnosis would be most appropriate for a client who is experiencing vaginal atrophy as a result of menopause?

Accepted Answer

The answer of Which nursing diagnosis would be most appropriate...

Question 4

Which client would not be a good candidate for induction of labor using parenteral oxytocin (Pitocin)?

Accepted Answer

Clients who have had a previous Caesarian section are not good candidates for induction of labor using parenteral oxytocin (Pitocin) due to the risk of uterine rupture. Therefore, only option D is not a good candidate for induction using Pitocin. Options A, B, and C may all be candidates for induction, depending on individual circumstances and medical consultation.

Question 5

MCSA Nursing students are beginning a rotation at a women's health centre and have been asked to teach a young client on the use of a birth control pill for contraception, The client asks the student how the "pill" works. What is the best response of the student?

Accepted Answer

Small doses of hormones in the birth control pill work by inhibiting the release of other hormones from the pituitary gland that are necessary for ovulation to occur. This prevents the release of an egg from the ovary, which in turn prevents conception.

Question 6

A client is being treated pharmacologically for endometriosis. Which statement by the client indicates a need for further instruction?

Accepted Answer

Pharmacological treatment for endometriosis can temporarily inhibit fertility. Clients should be advised to use contraception during treatment if they do not wish to become pregnant.

Question 7

Which statement by a client taking estrogen/progesterone combination hormone replacement therapy (HRT) requires immediate intervention by the nurse?

Accepted Answer

The client's complaint of nausea and right shoulder pain after eating fried fish could indicate a possible adverse reaction or side effect of the medication and requires further assessment by the nurse.

Question 8

The nurse is reviewing the menstrual cycle with a client who is experiencing menstrual irregularities. What does the nurse teach the client about where the majority of progesterone is secreted?

Accepted Answer

The majority of progesterone is secreted by the corpus luteum, which is formed in the ovary after the release of an egg during ovulation.

Question 9

A client reports taking Premarin for many years. Which reason for it's use does the nurse determine during the health history? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of A client reports taking Premarin for many...

Question 10

MCMA A young woman is seen at the health clinic to discuss options for birth control. She states that she is currently using the pill but often forgets to take it, and that she is looking for long term options. Which of the following would be possibilities for consideration?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Paragard, Depo-Provera, and Mirena are all long-term birth control options that do not require daily pill-taking.

Question 11

The nurse should question the use of medroxyprogesterone acetate (Provera) in a client who:

Accepted Answer

Medroxyprogesterone acetate can worsen depression and should be used with caution or avoided altogether in clients who have a history of depression.

Question 12

The nurse is reviewing the labor and delivery plan for a pregnant client who is scheduled to receive oxytocin (Pitocin) for induction of labor contractions. Which client statement indicates the need for additional instruction from the nurse?

Accepted Answer

Oxytocin (Pitocin) administration for labor induction typically requires the patient to be monitored closely, which includes continuous fetal monitoring and frequent checks of the mother's vital signs. This makes walking around extensively impractical or not recommended, as it could interfere with the necessary monitoring.

Question 13

MCMA The nurse is teaching a class to a group of teenagers on various Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply

Accepted Answer

The answer of MCMA The nurse is teaching a class...

Question 14

The nurse is caring for a client who is taking medroxyprogesterone (Provera). Which of the following health problems should the nurse instruct the client to notify her health care provider for? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse is caring for a client...

Question 15

MCSA An adolescent client is experiencing oligomenorrhea with infrequent periods over the last year. What is the most likely cause of this client's problem?

Accepted Answer

Anovulatory cycles are the most likely cause of oligomenorrhea, which is infrequent periods.

Question 16

Which client would benefit most from using hormone replacement therapy (HRT)?

Accepted Answer

The client who is unable to sleep because of continual hot flashes and night sweats would benefit most from using hormone replacement therapy (HRT) as it can help reduce these symptoms associated with menopause. It is important to note that HRT is not a one-size-fits-all solution and should only be used under the guidance of a healthcare provider.

Question 17

A client is receiving medroxyprogesterone (Provera) for secondary amenorrhea. Which medications would be contraindicated for this client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Medroxyprogesterone (Provera) is a progestin used to treat conditions like secondary amenorrhea. Barbiturates, rifampin, and topiramate can decrease the effectiveness of medroxyprogesterone by increasing its metabolism, making these drugs contraindicated or requiring careful monitoring if used concurrently. Acetaminophen and furosemide do not have this interaction.

Question 18

Which statement by a menopausal client reflects an advantage of using estrogen/progesterone combination hormone replacement therapy (HRT)?

Accepted Answer

According to research, taking estrogen/progesterone combination HRT can lower the risk of heart attack in women until the age of 60. The use of HRT does not protect against breast or uterine cancer and its effect on Alzheimer's disease is still not fully understood.

Question 19

A client at 25 weeks' gestation has experienced a fetal demise. What medication is most likely to be used first to induce labor in this client?

Accepted Answer

Dinoprostone (Cervidil) is the most commonly used medication to induce labor in the case of fetal demise. It is a synthetic prostaglandin E2 that helps to ripen the cervix and stimulate uterine contractions. The medication is usually inserted into the vagina and left in place for up to 12 hours. It is then removed, and labor usually begins within 24 hours. Methylergonovine (Ergotrate), Parenteral oxytocin (Pitocin), and Carboprost (Hemabate) are not typically used for inducing labor in the case of fetal demise.

Question 20

Which outcome statement indicates that a client has effectively been treated with conjugated estrogen (Premarin) for severe and frequent hot flashes?

Accepted Answer

The outcome statement that indicates effective treatment with conjugated estrogen (Premarin) for severe and frequent hot flashes is the client reporting one to two hot flashes per day. Sleeping 4-5 hours every night, experiencing headaches while taking the drug, and reporting an improvement in mood are not directly related to the treatment of hot flashes.

Quiz 6: Pharmacology of Alterations in the Endo-crine System

A client at 35 weeks' gestation is having contractions caused by preterm labor. Which statement by the nurse best describes the rationale for giving this client magnesium sulphate?

Which nursing diagnosis would be most appropriate for a client who is experiencing vaginal atrophy as a result of menopause?

Which client would not be a good candidate for induction of labor using parenteral oxytocin (Pitocin) ?

MCSA Nursing students are beginning a rotation at a women's health centre and have been asked to teach a young client on the use of a birth control pill for contraception, The client asks the student how the "pill" works. What is the best response of the student?

A client is being treated pharmacologically for endometriosis. Which statement by the client indicates a need for further instruction?

Which statement by a client taking estrogen/progesterone combination hormone replacement therapy (HRT) requires immediate intervention by the nurse?

The nurse is reviewing the menstrual cycle with a client who is experiencing menstrual irregularities. What does the nurse teach the client about where the majority of progesterone is secreted?

A client reports taking Premarin for many years. Which reason for it's use does the nurse determine during the health history? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

The nurse should question the use of medroxyprogesterone acetate (Provera) in a client who:

The nurse is reviewing the labor and delivery plan for a pregnant client who is scheduled to receive oxytocin (Pitocin) for induction of labor contractions. Which client statement indicates the need for additional instruction from the nurse?

MCMA The nurse is teaching a class to a group of teenagers on various Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply

MCSA An adolescent client is experiencing oligomenorrhea with infrequent periods over the last year. What is the most likely cause of this client's problem?

Which client would benefit most from using hormone replacement therapy (HRT) ?

A client is receiving medroxyprogesterone (Provera) for secondary amenorrhea. Which medications would be contraindicated for this client? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

Which statement by a menopausal client reflects an advantage of using estrogen/progesterone combination hormone replacement therapy (HRT) ?

A client at 25 weeks' gestation has experienced a fetal demise. What medication is most likely to be used first to induce labor in this client?

Which outcome statement indicates that a client has effectively been treated with conjugated estrogen (Premarin) for severe and frequent hot flashes?