Question 1

The nurse is giving instructions to a young female at an outpatient clinic regarding combination OCP therapy.What information will the nurse include?(Select all that apply.)

Accepted Answer

Medications should be taken at approximately the same time daily.Headaches,dizziness,and chest or abdominal pain should be reported immediately to the health care provider because these may be symptoms of a serious adverse effect.If one pill is missed,patients are directed to take it as soon as possible and continue with their normal schedule.If more than one pill is missed and a period is skipped,patients should return to their health care provider for a pregnancy test before restarting contraception.A backup contraceptive method is recommended at any point with OCP therapy.Because of a possibility of birth defects,the pill should be discontinued 3 months before attempting pregnancy.

Question 2

The nurse is instructing a patient on use of a transdermal contraceptive.When evaluating the patient's understanding of the information provided,the nurse identifies a need for further education when the patient states

Accepted Answer

Patches should not be cut.The first patch should be applied during the first 24 hours of the menstrual period.A backup contraceptive should be used concurrently for the first 7 days of the first cycle.When removing the patch,it should be folded over on itself and placed in a sturdy container.

Question 3

A patient states that she has a difficult time remembering when to resume her triphasic contraceptive pills following her menses.Which alternative plan will the nurse suggest that she discuss with her health care provider?

Accepted Answer

Using the 28-day packet would allow her to continue with the same type of combination oral contraception.The 28-day packet would allow her to continue daily pills and eliminate the need to recall.Using the inert pills on alternate months will alter her menstrual schedule.Changing to the mini pill might not meet her contraceptive needs.It is unnecessary and inappropriate to contact the provider for missed doses.

Question 4

A nurse working at the community health clinic receives a call from a teen patient who reports that she has missed one of her birth control pills.Which response by the nurse is accurate?(Select all that apply.)

Accepted Answer

If a patient misses one pill,she should take the missed pill immediately.Even if a patient misses one pill,she should take the next pill for that day on time after taking the missed pill immediately.A pregnancy test is not necessary.Starting the next month's pill packet at day 1 is not the appropriate action to take.Taking both the missed pill and the next pill at the next scheduled time is not the appropriate action to take.

Question 5

A patient diagnosed with benign prostatic hypertrophy asks why tamsulosin (Flomax),an alpha-1 adrenergic blocking agent,has been prescribed.Which explanation by the nurse is most accurate?

Accepted Answer

Alpha-1 adrenergic blocking agents are used to relax the smooth muscle of the bladder and prostate.Tamsulosin specifically blocks alpha 1 receptors on the prostate gland and certain areas of the bladder neck,causing muscle relaxation and increased urine flow in men with enlarged prostate glands.Adrenergic blocking agents do not affect hormone production,directly affect sexual function,or affect prostate size.

Question 6

The nurse at an outpatient clinic is educating a group of young adults regarding prevention of the spread of sexually transmitted infections.Information will include(Select all that apply.)

Accepted Answer

Abstinence will prevent sexually transmitted infections,and use of sexual abstinence during the communicable phase of any disease will prevent reinfection.All sexual partners need to understand the importance of "partner services," the documentation of all sexual partners for the purpose of providing evaluation and treatment.Hormonal contraceptives do not prevent sexually transmitted infections.When infections are present,abstain from sexual intercourse.A recent study indicates that frequent use of nonoxynol 9 may actually increase the risk of HIV infection during vaginal intercourse because of irritation of vaginal tissues.

Question 7

The nurse is teaching a patient beginning therapy with dutasteride (Avodart).How long will it take before the patient can expect results?

Accepted Answer

Longer than 6 to 12 months of treatment may be necessary to assess whether a therapeutic response has been achieved.

Question 8

The nurse will teach the patient beginning therapy with alfuzosin,an alpha-1 adrenergic blocking agent,to expect which common (and usually self-limiting)adverse effect(s)?(Select all that apply.)

Accepted Answer

Dizziness,headache,and lethargy are adverse effects of treatment with alfuzosin.Nausea,insomnia,and anorexia are not adverse effects of treatment with alfuzosin.

Question 9

A female patient has developed leukorrhea since being on oral broad spectrum antibiotics for the past week for a lower respiratory infection.Which organism causes leukorrhea?

Accepted Answer

Candida albicans infections of the mouth,gastrointestinal tract,or vagina may develop as secondary infections during the use of broad spectrum antibiotics,such as penicillins,tetracyclines,and cephalosporins.Herpes simplex,Mycoplasma hominis,and HPV do not cause leukorrhea.

Question 10

The nurse is obtaining a history on a patient who is seeking oral contraceptives.Which condition would contraindicate the use of oral contraceptives?

Accepted Answer

Women who have a history of thromboembolic disease must consult with a health care provider before obtaining a prescription for an oral contraceptive.Serious adverse effects include embolisms and thrombus formation,cardiac abnormalities,seizures,and severe depression.STDs,hypothyroidism,and varicose veins do not pose a problem with contraceptive therapy.

Question 11

The nurse is completing a female reproductive history on a 16 year old.What important assessment(s)should be included?(Select all that apply.)

Accepted Answer

All women of reproductive age should perform regular BSEs.Onset and pattern of menses provide baseline assessments for future comparison.OCPs are contraindicated in women who smoke or have hypertension.Sexual orientation and number of partners provide a baseline assessment for future STD assessments.Gestational history provides baseline information for future pregnancies.Nutritional intake of carbohydrates is not included when obtaining a female reproductive history.

Question 12

What is the mechanism whereby estrogen functions as a contraceptive?

Accepted Answer

Estrogens block pituitary release of FSH,preventing the ovaries from developing a follicle from which the ovum is released.Progestins inhibit pituitary release of LH,the hormone responsible for releasing an ovum from a follicle.Estrogens and progestins alter cervical mucus by making it thick and viscous,inhibiting sperm migration.Hormones also change the endometrial wall,impairing implantation of the fertilized ovum.

Question 13

Why must caution be used when taking a phosphodiesterase inhibitor to enhance male sexual function?

Accepted Answer

The patient must consult with a health care provider before using a phosphodiesterase inhibitor.People with cardiovascular disorders are particularly susceptible to life-threatening consequences with its use.It is unlikely that a patient will develop physiologic dependence on the medication,although psychological dependence may occur.Phosphodiesterase inhibitors can be a very effective treatment for ED.Phosphodiesterase inhibitors are readily available online and are not expensive.

Question 14

Which is more likely to be experienced by women taking the mini pill as an oral contraceptive?

Accepted Answer

The mini pill is made up of progestin,which inhibits ovulation.This form of contraception is an alternative for women particularly susceptible to adverse effects caused by estrogen therapy.Between 30% and 40% of women continue to ovulate with this form of contraception,however,and there is a slightly higher incidence of uterine and tubal pregnancies.Dysmenorrhea,manifested by irregular or infrequent menses and spotting between cycles,is common in women taking the mini pill.The mini pill has a reduced chance for weight gain and breast tenderness,does not contain estrogen,and does not cause difficulty with breastfeeding.

Question 15

Which type of drug is most effective in the treatment of erectile dysfunction (ED)?

Accepted Answer

Sildenafil (Viagra),a phosphodiesterase inhibitor,increases cyclic guanosine monophosphate concentrations in the corpus cavernosum,which results in smooth muscle relaxation and greater blood flow into the corpus cavernosum,producing an erection.Antiandrogen agents,sympathomimetic agents,and adrenergic blocking agents are not effective in treating ED.

Question 16

A woman using the NuvaRing vaginal ring informs the nurse that the ring was accidentally expelled a day ago.The nurse will instruct this patient to

Accepted Answer

If the ring is expelled for longer than 3 hours,the patient should be instructed to rinse it in cool or lukewarm water,reinsert,and use a nonhormonal backup contraceptive for the next 7 consecutive days of continuous ring use.It is not necessary to insert a new ring after a day.

Question 17

The health care provider has instructed a patient to use over-the-counter miconazole (Monistat)cream to treat her vaginal yeast infection.What information is important to include in patient education?(Select all that apply.)

Accepted Answer

It is imperative that proper cleansing of the genital area be done regularly using soap and water; rinse and dry well.A minipad should be worn to catch remaining discharge.Hands should be washed before and after medication insertion and before and after toileting.Both partners in a sexual relationship require treatment.The male partner may require oral anti-infectives.The vaginal applicator should be thoroughly washed with soap and water after each use and then dried.

Quiz 40: Drugs Used in Men’s and Women’s Health

The nurse is giving instructions to a young female at an outpatient clinic regarding combination OCP therapy.What information will the nurse include?(Select all that apply.)

The nurse is instructing a patient on use of a transdermal contraceptive.When evaluating the patient's understanding of the information provided,the nurse identifies a need for further education when the patient states

A patient states that she has a difficult time remembering when to resume her triphasic contraceptive pills following her menses.Which alternative plan will the nurse suggest that she discuss with her health care provider?

A nurse working at the community health clinic receives a call from a teen patient who reports that she has missed one of her birth control pills.Which response by the nurse is accurate?(Select all that apply.)

A patient diagnosed with benign prostatic hypertrophy asks why tamsulosin (Flomax) ,an alpha-1 adrenergic blocking agent,has been prescribed.Which explanation by the nurse is most accurate?

The nurse at an outpatient clinic is educating a group of young adults regarding prevention of the spread of sexually transmitted infections.Information will include(Select all that apply.)

The nurse is teaching a patient beginning therapy with dutasteride (Avodart) .How long will it take before the patient can expect results?

The nurse will teach the patient beginning therapy with alfuzosin,an alpha-1 adrenergic blocking agent,to expect which common (and usually self-limiting) adverse effect(s) ?(Select all that apply.)

A female patient has developed leukorrhea since being on oral broad spectrum antibiotics for the past week for a lower respiratory infection.Which organism causes leukorrhea?

The nurse is obtaining a history on a patient who is seeking oral contraceptives.Which condition would contraindicate the use of oral contraceptives?

The nurse is completing a female reproductive history on a 16 year old.What important assessment(s) should be included?(Select all that apply.)

What is the mechanism whereby estrogen functions as a contraceptive?

Why must caution be used when taking a phosphodiesterase inhibitor to enhance male sexual function?

Which is more likely to be experienced by women taking the mini pill as an oral contraceptive?

Which type of drug is most effective in the treatment of erectile dysfunction (ED) ?

A woman using the NuvaRing vaginal ring informs the nurse that the ring was accidentally expelled a day ago.The nurse will instruct this patient to

The health care provider has instructed a patient to use over-the-counter miconazole (Monistat) cream to treat her vaginal yeast infection.What information is important to include in patient education?(Select all that apply.)