Deck 51: Drugs Affecting Womens Health and the Female Reproductive System

Question 1

The nurse is aware that which of the following is not an approved indication for the use of megestrol (Megace)?

A) Breast cancer
B) Endometrial cancer
C) Prevention of pregnancy
D) Cachexia of acquired immunodeficiency syndrome

Answer 1

Prevention of pregnancy

Question 2

The nurse would conclude that which of the following is a contraindication for use of the drug ganirelix (Antagon)?

A) Headache
B) Abdominal pain
C) Suspected pregnancy
D) Vaginal bleeding

Answer 2

Suspected pregnancy

Question 3

The nurse ensures that which of the following baseline serum laboratory studies is drawn before a client receives a dose of gonadorelin (Factrel)for diagnostic purposes?

A) Follicle-stimulating hormone
B) Luteinizing hormone
C) Adrenocorticotropic hormone
D) Gonadotropin releasing hormone

Answer 3

Luteinizing hormone

Question 4

The nurse explaining the use of estrogen therapy to a client would not include which of the following effects?

A) Improvement of atrophic vaginitis
B) Decrease in vasomotor symptoms
C) Prevention of breast cancer
D) Treatment of advanced prostatic cancer

Question 5

The nurse instructs a client who will be taking urofollitropin (Bravelle)that which of the following is the most commonly reported adverse effect?

A) Pelvic pain
B) Bloating
C) Decreased urination
D) Skin rash

Question 6

A client is starting drug therapy with medroxyprogesterone (Provera).Because of possible adverse drug effects,the nurse explains that the client may wish to follow which of the following types of diets?

A) Low sodium
B) High calcium
C) High protein
D) Low carbohydrate

Question 7

After noting on a health history that a female client is taking nafarelin (Synarel),the nurse questions the client about a history of which of the following health problems?

A) Breast cysts
B) Ovarian cancer
C) Amenorrhea
D) Endometriosis

Question 8

A male client with prepubertal cryptorchidism will begin drug therapy with chorionic gonadotropin (APL).The nurse explains that the client will only need to have injections for how long?

A) Daily for 1 week
B) Two to three times weekly up to 10 doses
C) Once per week for approximately 3 months
D) Once a month for a year

Question 9

The nurse would explain to a client who will receive gonadorelin (Factrel)that it will be useful in diagnosing whether which of the following health problems is present?

A) Hypogonadism
B) Precocious puberty
C) Primary amenorrhea
D) Hypothalamus dysfunction

Question 10

The nurse instructs a client who will receive a test dose of gonadorelin (Factrel)that the client should immediately report which of the following symptoms?

A) Red,nonraised skin rash
B) Burning at the intravenous injection site
C) Labored breathing
D) Dizziness and headache

Question 11

A client taking medroxyprogesterone (Provera)tells the clinic nurse that the drug upsets her stomach.To reduce this effect,the nurse encourages the client to take the drug at which of the following times?

A) Early morning
B) With breakfast
C) At supper time
D) Bedtime

Question 12

A client beginning drug therapy with menotropins (Pergonal)indicates proper understanding of drug therapy by stating that the goal of therapy is to treat which of the following?

A) Endometriosis
B) Ovulatory dysfunction
C) Menopause
D) Central precocious puberty

Question 13

The nurse plans to teach a female client about which adverse effect associated with estrogen therapy?

A) Dry skin
B) Weight loss
C) Abdominal cramping
D) Higher pitched voice

Question 14

When treating endometriosis with nafarelin (Synarel),the nurse would instruct the client to administer the drug

A) orally.
B) intramuscularly.
C) nasally.
D) rectally.

Question 15

When explaining the purpose of administering menotropins (Pergonal)to a male client,the nurse would state that this drug

A) decreases fertility.
B) depresses sperm production.
C) increases sperm production.
D) decreases libido.

Question 16

The nurse concludes that a client understands drug information about low-dosage progestins after stating which of the following?

A) They contain estrogen hormone
B) They are generally prescribed for 17 days
C) They have a higher incidence of breakthrough bleeding
D) They are associated with more adverse effects than estrogen

Question 17

Which of the following active problems in a client's history would be a contraindication to the administration of estrogen?

A) Hypertension
B) Dysmenorrhea
C) Thrombophlebitis
D) Weight gain

Question 18

The nurse has reinforced client teaching related to drug therapy with histrelin (Supprelin).The nurse evaluates that the client understands the information when the client makes which of the following statements?

A) "I will need to give myself a shot every day."
B) "The nasal spray may dry out my nose."
C) "I don't have to worry about an allergic reaction to this drug."
D) "This drug will help my body begin puberty."

Question 19

Instructions about transdermal estradiol should include which of the following statements?

A) "Rotate the patch at the same time each day."
B) "You need to be sure to decrease your intake of calcium and vitamin D."
C) "Apply the patch to your breast area for better absorption."
D) "Press the patch into place and hold for 10 seconds when you apply it."

Question 20

Estrogen therapy is given cyclically or with the use of progestins to decrease the risk of

A) ovarian cancer.
B) endometrial cancer.
C) breast cancer.
D) vaginal cancer.