Deck 39: Gonadal Hormones

Question 1

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 1

Breast tenderness
Weight gain
Edema

Question 2

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 health care provider?

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

Answer 2

Breakthrough bleeding

Question 3

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.

Answer 3

Estrogen may inhibit the metabolism of phenytoin.

Question 4

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 5

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 6

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 7

The health of a patient receiving androgen therapy for breast cancer declines and she becomes bed bound.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

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)

Question 10

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 11

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

Question 12

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 13

Which statement is true regarding androgen therapy?

A)Androgen use may cause hyperglycemia.
B)Androgen 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 14

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 15

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.

Question 16

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

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

Question 17

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.