Deck 45: Drugs for Disorders and Conditions of the Female Reproductive System Ma

Question 1

The client receives estrogen for prostate cancer.He asks the nurse why he is receiving a female hormone.What is the best response by the nurse?
1)"It shrinks your cancer by making the cells die at a faster rate."
2)"It eliminates the testosterone that feeds your cancer."
3)"It suppresses secretion of the androgens that make your cancer grow."
4)"It keeps nutrients from getting to,and feeding,your cancer."

Answer 1

3

Question 2

20A client has been prescribed an estrogen-progestin combination oral contraceptive.How should the nurse explain the mechanism of action of this pill? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"This pill will prevent you from ovulating."
2)"This pill makes it less likely that an embryo will implant."
3)"The spermicide in this pill will kill sperm before fertilization."
4)"The progestin in the pill will kill the egg before fertilization."
5)The estrogen-progestin combination causes irritability of the uterine lining so implanted embryos are expelled.

Answer 2

1,2

Question 3

A client calls the clinic and tells the nurse she has nausea and breast tenderness and is afraid she might be pregnant.She is taking oral contraceptives and has taken them exactly as prescribed.What is the best response by the nurse?
1)Tell the client to purchase an at-home pregnancy test to determine pregnancy.
2)Tell the client to come in for an evaluation and to discuss birth control.
3)Tell the client that these symptoms are side effects of oral contraceptives.
4)Verify with the client that she has taken all her pills just as prescribed.

Answer 3

3

Question 4

The nurse teaches the postpartum client about oxytocin (Pitocin).The nurse evaluates that learning has occurred when the client makes which statement?
1)"It will increase my uterine contractions."
2)"It will increase my volume of fluid loss."
3)"It will increase my vaginal muscle tone."
4)"It will increase my milk production."

Question 5

Oxytocics are different from tocolytics in that oxytocics
1)slow uterine contractions.
2)raise the level of luteinizing hormones.
3)increase ovarian secretion.
4)stimulate uterine contractions.

Question 6

The client takes Ortho-Novum for 3 months and calls the clinic to report she is having vaginal bleeding.What is the best plan by the nurse at this time?
1)Ask the client if she has been having sexual intercourse recently.
2)Tell the client to go to the emergency department for medical treatment.
3)Ask the client if she is bleeding between cycles or if this is her regular period.
4)Tell the client not to worry if the bleeding resembles her monthly flow.

Question 7

An adolescent client will receive Depo-Provera as a method of birth control.She asks the nurse how long the drug will be effective.What is the best response by the nurse?
1)Two months
2)Six months
3)One year
4)Three months

Question 8

A client comes to the women's center and tells the nurse she has had unprotected sex.She asks for emergency contraception.What is the best assessment for the nurse to ask?
1)"How long ago did you have unprotected sex?"
2)"Did you use a condom?"
3)"What kind of birth control have you used in the past?"
4)"Where are you in your monthly cycle?"

Question 9

Progestins are secreted by the
1)anterior pituitary.
2)corpus luteum.
3)ovarian follicles.
4)hypothalamus.

Question 10

A client calls the clinic and tells the nurse that she has missed taking several of her contraceptive pills during the current cycle.What is the best instruction for the nurse to give the client?
1)"Please come into the clinic immediately to have a pregnancy test done."
2)"You might consider another form of birth control if you keep missing your pills."
3)"If you have missed less than three of your pills,you do not need to worry."
4)"You should use an alternative form of birth control for the rest of this cycle."

Question 11

A female client has been unable to conceive a child for five years.She asks the nurse about medications to treat her infertility.What is the best response by the nurse?
1)"Have you considered adopting children? Many need a good home."
2)"That is a good question;I will refer you to a specialist in infertility."
3)"There are many new drugs available;one should be able to help you."
4)"Medications will only help if your infertility is related to an endocrine problem."

Question 12

The nurse explains to a client who is taking oral contraceptives that these drugs can cause
1)thrombophlebitis.
2)hypotension.
3)weight loss.
4)pregnancy.

Question 13

The nurse teaches a class on pregnancy to clients in their first trimester.The nurse evaluates that learning has occurred when the clients make which statements? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"Ovulation occurs on approximately Day 21 of the ovarian cycle."
2)"Ovulation is caused by a surge of luteinizing hormone."
3)"Ovulation is caused by a surge of human chorionic gonadotropin."
4)"Follicle-stimulating hormone causes ovarian follicles to develop."
5)"The pituitary gland secretes gonadotropin-releasing hormone."

Question 14

The client is pre-menopausal and asks the nurse if she should be taking hormone replacement therapy (HRT).What will the best plan by the nurse include?
1)Discuss alternative methods of dealing with pre-menopausal symptoms.
2)Schedule an appointment with the physician to begin hormone replacement therapy (HRT).
3)Determine if the client has risk factors that would contraindicate hormone replacement therapy (HRT).
4)Tell the client to schedule an appointment when she is having menopause.

Question 15

The client is considered infertile.The physician orders clomiphene (Clomid).The nurse teaches the client about the medication and evaluates that learning has occurred when the client makes which statement?
1)"This medication increases my estrogen levels so I can ovulate."
2)"This medication stimulates LH (luteinizing hormone)."
3)"This medication stimulates FSH (follicle-stimulating hormone)."
4)"This medication stimulates gonadotropin-releasing hormone."

Question 16

The client is receiving oxytocin (Pitocin)for induction of labor.Which assessment finding will most likely result in the nurse stopping the infusion?
1)The client tells the nurse she has a serious headache.
2)The vaginal exam reveals that the client is entering transition.
3)The client reports that the uterine contractions are strong in intensity.
4)Uterine contractions occur every 2 to 3 minutes and last 40 to 60 seconds.

Question 17

The nurse manages care for several clients receiving hormone replacement therapy (HRT).What will the priority assessment by the nurse include as related to side effects?
1)Pain in the calf
2)Decreased libido
3)Low-back pain
4)Chronic fatigue

Question 18

Estrogens are secreted by the
1)corpus luteum.
2)anterior pituitary.
3)ovarian follicles.
4)endometrium.

Question 19

Progestins are primarily used in the treatment of
1)breast cancer.
2)amenorrhea.
3)dysfunctional uterine bleeding.
4)menopause.

Question 20

The client plans to use oral contraceptives for birth control.Which client behavior would the nurse be most concerned about?
1)The client has several sexual partners.
2)The client is being treated for bipolar disorder.
3)The client smokes one-half pack of cigarettes per day.
4)The client drinks two glasses of wine a day.

Question 21

A nurse uses the mnemonic ACHES to remember the possible adverse effects of oral contraceptives.Which statements follow this mnemonic? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"You may experience increased acne while on oral contraceptives."
2)"If you experience chest pain,call the clinic immediately."
3)"If you begin to lose more hair than is normal your dose may need to be adjusted."
4)"Any blurry vision or loss of vision should be reported immediately."
5)"If you notice swelling in your feet,hands,or face,notify the clinic."

Question 22

A client has been prescribed Premarin.What medication information should the nurse provide? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"You may notice a decrease in your libido while on this medication."
2)"If you notice pain in your abdomen that goes through to your back,be certain to notify the clinic."
3)"Do not become pregnant while on this drug."
4)"If you add the herbal black cohosh to this therapy the results will be better."
5)"This medication will help prevent cardiovascular disease."

Question 23

A client has been prescribed NuvaRing.What medication education should the nurse provide to this client? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"This ring should be inserted into your uterus."
2)"Once inserted,this ring will provide contraception for 6 months."
3)"You should expect to replace the ring every 3 weeks."
4)Contraceptive protection is provided for 3 weeks.
5)The ring uses estrogen and progestin to provide contraception.

Question 24

A college student calls the family planning clinic and states,"I had unprotected sex and now I am afraid I will get pregnant." The nurse would provide which information about Plan B? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"You can purchase Plan B without a prescription."
2)"You will need to request Plan B from the pharmacist."
3)"You will take two separate doses of Plan B."
4)"If you are already pregnant,Plan B will end the pregnancy."
5)"Plan B will prevent ovulation and implantation."

Question 25

A client has been taking low-dose oral contraceptives.She calls the clinic and reports that she is mid-cycle and has noticed some slight spotting.What information should the nurse provide? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"Slight spotting may occur,especially with low-dose oral contraceptives."
2)"You may be pregnant;please stop taking these pills and come to the clinic."
3)"Monitor the bleeding and contact us again if it becomes continuous or heavy."
4)"This is an adverse reaction;stop using the pills."
5)"You must have gotten the wrong pills at the pharmacy."