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

Question 1

The client has been diagnosed with syphilis. The infective process for this client is known to be greater than 1 year. Because of the type and length of the infectious process, the nurse anticipates that the type of drug to administer and the time of administration will be:

A) spectinomycin IM once in the early stage of the disease.
B) doxycycline IM once weekly for 3 weeks.
C) probenecid IM once in the early stage of the disease.
D) benzathine penicillin G IM once weekly for 3 weeks.

Answer 1

benzathine penicillin G IM once weekly for 3 weeks.

Question 2

The client is being treated with metronidazole. The nurse is preparing an instructional session on dietary restrictions with this drug. What is the highest priority instruction regarding diet?

A) Consume a high-potassium diet during treatment and for 1 month afterward.
B) Consume a low-sodium diet during treatment and for 1 month afterward.
C) Avoid all products containing alcohol during treatment and for 3 days afterward.
D) Avoid all products containing vitamin C during treatment and for 3 days afterward.

Answer 2

Avoid all products containing alcohol during treatment and for 3 days afterward.

Question 3

The client has been started on clomiphene citrate (Clomid). She has been taking 50 mg/d of the medication and has not started to ovulate. The nurse plans to discuss with the client the next step in the course of treatment. The highest priority instruction that the nurse should give the client is to expect the physician to:

A) most likely decrease the dosage.
B) discontinue the medication.
C) most likely increase the dosage.
D) most likely start the client on a second drug.

Answer 3

most likely increase the dosage.

Question 4

The client is being treated with recombinant hCG (Ovidrel) as an ovulatory stimulant. She is concerned about risks that are associated with the drug. The nurse should verify that the client has been instructed by her primary care provider regarding the possibility that:

A) the drug is teratogenic.
B) multiple gestation could occur.
C) the drug is carcinogenic.
D) pregnancy loss could occur.

Question 5

A client has been receiving treatment with clomiphene citrate (Clomid). She complains to the nurse of experiencing hair loss. What is the highest priority action on the part of the nurse?

A) Explain to the client that this is an expected side effect of the medication.
B) Call the pharmacist; this is indicative of an error in the preparation of the medication.
C) Call the physician; the client is experiencing an anaphylactic reaction to the medication.
D) Call the physician; the client is experiencing an adverse reaction to the medication.

Question 6

The client is scheduled to begin treatment with clomiphene citrate (Clomid). Which aspect of the client's medical history would cause the nurse to contact the primary care provider?

A) Cardiac arrhythmia
B) Fibroid tumors
C) Hypertension
D) Underweight

Question 7

The client elects to receive Gardasil. The client chooses to begin the drug series in January. The nurse plans the client's schedule of administration, recognizing that which would be the correct time and route for the client to receive the medication?

A) Subcutaneous injections given in January, February, and March
B) Intramuscular injections given in January, March, and June
C) Tablets given in January, March, and May
D) Tablets given in January, February, and March

Question 8

The client has been diagnosed with chancrous lesions. In instructing the client about caring for the lesions, what is the nurse's highest priority instruction?

A) Use compresses to remove the necrotic material.
B) Apply azithromycin ointment to the lesions daily.
C) Do not remove the crust over the lesions.
D) Report any sign of necrosis to the physician.

Question 9

The client reports experiencing recurrent bouts of candidiasis. The highest priority action on the part of the nurse is to:

A) refer the client to the primary care provider for a medication change.
B) explain to the client that the condition may be difficult to eradicate.
C) determine whether the client is compliant with taking medication.
D) refer the client to the primary care provider for further testing.

Question 10

The client is a devout Catholic and has expressed great anxiety regarding the use of treatment for her infertility. The nurse should plan the client's care with the knowledge that the Catholic church:

A) supports of the use of reproductive technologies.
B) does not support the use of treatment for anxiety.
C) supports use of reproductive technology for procreation.
D) does not support the use of reproductive technologies.

Question 11

The client is 3 months pregnant and has just been diagnosed with trichomoniasis at the health clinic. She asks the nurse if she should ask her personal physician for a prescription for metronidazole. What is the nurse's response?

A) "Metronidazole can be used to treat a pregnant woman after the second trimester."
B) "Metronidazole can be used to treat a pregnant woman if she has no complications."
C) "Metronidazole can be used to treat a pregnant woman after the first trimester."
D) "Metronidazole should never be used to treat a pregnant woman."