Question 1

The nurse is teaching the parent of an 11-year-old girl about the Gardasil vaccine.What will the nurse include in teaching?&#10;A)&#34;Gardasil is given to females and not to males.&#34;&#10;B)&#34;Gardasil protects against cervical dysplasia.&#34;&#10;C)&#34;Gardasil reduces the need for routine Pap smears.&#34;&#10;D)&#34;Gardasil will be given as a single injection.&#34;

Accepted Answer

Gardasil protects against human papillomavirus,which is a cause of cervical dysplasia and cancer.It is offered to both females and males.The vaccine does not decrease the need for regular cervical cancer screening.It is given in a 3-vaccine series,with the second dose in 2 months and the third dose in 6 months.

Question 2

A patient is taking azithromycin to treat a chancroid infection.What nonpharmacologic measures will the nurse recommend as adjunct therapy to treat this infection?&#10;A)Apply a bacteriostatic ointment to the lesions twice daily.&#10;B)Avoid washing the lesions to prevent spread of the infection.&#10;C)Cover the lesions with gauze at all times to minimize discomfort.&#10;D)Use compresses to remove necrotic material and clean the lesions 3 times daily.

Accepted Answer

Patients should be counseled to cleanse the lesions 3 times daily and to use compresses to remove necrotic material.It is not necessary to apply bacteriostatic ointment or to cover the lesions with gauze.Washing the lesions is recommended.

Question 3

A 30-year-old woman describes having periods every 30 days,lasting 8 days,with heavy bleeding.The nurse understands that these are signs of which condition?&#10;A)Menometrorrhagia&#10;B)Menorrhagia&#10;C)Menorrhea&#10;D)Metrorrhagia

Accepted Answer

Menorrhagia is defined as regular uterine bleeding lasting more than 7 days with heavy bleeding.Metrorrhagia is irregular uterine bleeding lasting more than 7 days with heavy bleeding.Menorrhea is normal uterine bleeding.Menometrorrhagia is a combination of menorrhagia and metrorrhagia.

Question 4

The nurse performs a history on a woman who will begin taking clomiphene citrate (Clomid)to induce ovulation.Which aspect of this patient's history is of concern?&#10;A)Anovulation&#10;B)Dysmenorrhea&#10;C)Sexually transmitted infection&#10;D)Uterine fibroids

Accepted Answer

Patients with a history of uterine fibroids should not take clomiphene.Anovulation is the indication for clomiphene.Dysmenorrhea and sexually transmitted infections are not contraindications.

Question 5

A woman is diagnosed with bacterial vaginosis and will begin taking metronidazole (Flagyl).What will the nurse teach the patient about this medication?&#10;A)&#34;Abstain from sexual intercourse while taking this medication.&#34;&#10;B)&#34;Do not consume alcohol while taking this drug and for 48 hours after stopping.&#34;&#10;C)&#34;Take this medication on an empty stomach to increase absorption.&#34;&#10;D)&#34;Topical preparations are ineffective for treating bacterial vaginosis.&#34;

Accepted Answer

Metronidazole can cause a disulfiram-like reaction when taken with alcohol,so patients should be cautioned against using foods or drug products that contain alcohol.There is no need to abstain from sexual intercourse.Metronidazole should be taken with food.The topical preparation is effective against bacterial vaginosis.

Question 6

A woman is diagnosed with polycystic ovarian disease (PCOS)after being unable to conceive.Her provider has ordered metformin (Glucophage)and clomiphene citrate (Clomid).The nurse will explain that metformin is given for which purpose?

A)To increase androgen levels
B)To induce ovulation
C)To promote a dominant follicle
D)To regulate menstrual periods

Accepted Answer

Metformin decreases androgen levels,which helps to regulate periods.It does not induce ovulation but increases the possibility of ovulation by its antiandrogenic effects.Clomiphene citrate promotes a dominant follicle.

Question 7

The parent of a 16-year-old female tells the nurse that the child has not had a menstrual period in spite of having breast and pubic hair development.The nurse recognizes this as characteristic of which condition?

A)Dysmenorrhea
B)Hypothyroidism
C)Primary amenorrhea
D)Secondary amenorrhea

Accepted Answer

Females who have never had a period have primary amenorrhea,which is defined as no menses by age 14 without secondary sex characteristics,or no menses by age 16 with secondary sex characteristics.Dysmenorrhea refers to painful cramping with periods.Hypothyroidism can contribute to secondary amenorrhea,which is characterized by cessation of periods for at least 6 months once menses have begun.

Question 8

A woman who has menorrhagia is prescribed ibuprofen,and she asks the nurse how a pain medication can decrease uterine bleeding.The nurse will explain that this is most likely explained by ibuprofen's effects on

A)estrogen levels.
B)platelet aggregation.
C)prostaglandin production.
D)uterine endometrium.

Accepted Answer

Ibuprofen blocks prostaglandin production,which decreases uterine bleeding and cramps.Ibuprofen does not affect estrogen levels.Its effects on platelet aggregation would most likely increase bleeding.It does not have effects on the uterine endometrium.

Question 9

A woman who is infertile has taken 50 mg of clomiphene citrate (Clomid)from days 5 through 9 of a cycle and has not ovulated.The nurse will anticipate that the provider will perform which action?&#10;A)Begin recombinant follicle-stimulating hormone therapy.&#10;B)Increase the dose to 100 mg on days 5 through 9 of her next cycle.&#10;C)Order clomiphene citrate to be given throughout her next cycle.&#10;D)Repeat the 50 mg of clomiphene citrate for 2 more cycles.

Accepted Answer

If clomiphene is unsuccessful,the provider may increase the dose by 50-mg increments for 2 each cycles up to 250 mg until ovulation occurs.Recombinant FSH may be used if this fails.It is not correct to administer the drug throughout the cycle or to continue with the initial dose.

Question 10

A woman who is 6 weeks pregnant develops a vaginal yeast infection and asks the nurse what she can use to treat it.The nurse will make which recommendation?&#10;A)Apply over-the-counter Gyne-Lotrimin cream.&#10;B)Ask her provider about nystatin vaginal tablets.&#10;C)Request a prescription for oral fluconazole (Diflucan).&#10;D)Use over-the-counter Monistat-3 suppositories.

Accepted Answer

Nystatin vaginal tablets are the safest to use during pregnancy.Monistat-3 is contraindicated during the first trimester of pregnancy.Oral fluconazole will have systemic side effects and is pregnancy category C or D.

Question 11

A woman is diagnosed with gonorrhea and receives ceftriaxone intramuscularly in clinic and a prescription for doxycycline to be taken twice daily for 7 days.She asks the nurse why she needs to take medicine since she has had a shot.How will the nurse respond?

A)"Both medications are required to fully treat the gonorrheal infection."
B)"Doxycycline helps prevent spread of gonorrhea to your sexual partners."
C)"Patients with gonorrhea are always treated for chlamydia as well."
D)"The second medication decreases your chances of disease recurrence."

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Question 12

A young woman reports not having a period for 7 months.Which test will the provider likely order first to evaluate the cause of amenorrhea in this patient?&#10;A)Pelvic ultrasound&#10;B)Pregnancy test&#10;C)Progestational challenge test&#10;D)Serum insulin levels

Accepted Answer

The answer of A young woman reports not having a...

Deck 58: Drugs for Disorders in Womens Health, infertility, and Sexually Transmitted Infections