Deck 34: Womens Health Drugs

Question 1

A couple is being treated for infertility with ovulation-inducing drugs.The nurse should instruct the couple about the increased likelihood of which of the following?

A)Severe weight gain
B)Irregular menses
C)Multiple births
D)Alopecia

Answer 1

Multiple births

Question 2

The nurse is preparing to administer the contraceptive form of medroxyprogesterone (Depo-Provera).What route should be planned?

A)Oral
B)Intramuscular
C)Vaginal
D)Transdermal

Answer 2

Intramuscular

Question 3

The patient who is on estrogen therapy should be counselled that smoking may cause which of the following?

A)An increased incidence of nausea
B)An increased tendency to bleed during menstruation
C)Increased levels of triglycerides
D)An increased risk for thrombosis

Answer 3

An increased risk for thrombosis

Question 4

A 48-year-old female patient has been started on estrogen hormone therapy after experiencing the symptoms of menopause.Which of the following is a contraindication to the administration of estrogen drugs for this patient?

A)Osteoporosis
B)Uterine bleeding
C)Thrombophlebitis
D)Atrophic vaginitis

Question 5

A patient is to receive estrogen replacement therapy.What important information should the nurse tell the patient about this medication?

A)Double up on the medication if a dose is missed.
B)Do not be concerned about breast lumps or bumps that occur.
C)Report any weight gain of more than 2 kg per week.
D)Take the medication on an empty stomach to enhance absorption.

Question 6

A patient who is taking the bisphosphonate alendronate (Fosamax)has been instructed to lie flat in bed for 2 days after having plastic surgery.What important information should the nurse emphasize to the patient at this time?

A)Continue to take the alendronate with water.
B)Do not take the alendronate until she can sit up for 30 minutes.
C)Take the medication with breakfast.
D)Stop taking the medication 72 hours before her surgery.

Question 7

Which of the following is an effect of a tocolytic drug?

A)Uterine relaxation
B)Uterine stimulation
C)Ovulation stimulation
D)Ovulation suppression

Question 8

A 51-year-old female will be starting raloxifene (Evista)as part of the treatment for postmenopausal osteoporosis.The nurse should inform this patient about which of the following possible occurrences?

A)Pregnancy
B)Breast cancer
C)Stress fractures
D)Venous thromboembolism

Question 9

Which of the following adverse effects may be experienced by patients receiving fertility drugs,such as clomiphene (Clomid)?

A)Dizziness
B)Drowsiness
C)Dysmenorrhea
D)Increased appetite

Question 10

The patient taking an oral contraceptive should be aware of potential drug interactions with which of the following medications? Select all that apply.

A)doxycycline (Doryx),an antibiotic
B)guaifenesin (Robitussin),an antitussive
C)warfarin (Coumadin), an anticoagulant
D)atenolol (Tenormin),a ?-blocker
E)isoniazid (INH),an antituberculosis drug
F)ibuprofen (Motrin),a nonsteroidal anti-inflammatory drug (NSAID)
G)theophylline (Theo-Dur),a bronchodilator
H)omeprazole (Prilosec),a proton pump inhibitor

Question 11

A patient will be taking bisphosphonate alendronate (Fosamax).The nurse should instruct the patient to take this medication at which time?

A)In the evening just before bedtime
B)In the morning with an 250-ml glass of water
C)With the first bite of the morning meal
D)Between meals on an empty stomach

Question 12

Which of the following drugs is used to treat primary or secondary amenorrhea and to alleviate the symptoms of endometriosis?

A)oxytocin (Pitocin)
B)estradiol transdermal (Estraderm)
C)raloxifene (Evista)
D)medroxyprogesterone (Depo-Provera)

Question 13

A woman visits a health centre requesting oral contraception.Which laboratory test is most important for the nurse to assess before the patient begins oral contraception therapy?

A)Complete blood count
B)Urinalysis
C)Vaginal cultures
D)Pregnancy test

Question 14

A female patient lives in Toronto and is preparing to take a plane trip to Australia.She has been taking the selective estrogen receptor modulator (SERM)raloxifene (Evista).Which of the following instructions is appropriate for this patient?

A)Stop taking the drug at least 72 hours before the trip.
B)Remember to take this drug with a full glass of water each morning.
C)Increase the calcium supplements that are taken with the drug.
D)No change in interventions is needed.

Question 15

In which of the following situations is the use of the estrogens contraindicated?

A)A patient who has atrophic vaginitis
B)A patient who has inoperable prostate cancer
C)For prevention of postpartum lactation in a patient who has just given birth
D)A patient who has just been diagnosed with breast cancer

Question 16

Which type of contraceptive drug most closely duplicates the normal hormonal levels of the female menstrual cycle?

A)Monophasic
B)Biphasic
C)Triphasic
D)Long-acting

Question 17

A patient is receiving oxytocin (Pitocin)to induce labour.During administration of this medication,which of the following is an appropriate nursing measure?

A)Giving magnesium sulfate along with the oxytocin
B)Administering the medication in an intravenous (IV)bolus
C)Administering the medication with an IV infusion pump
D)Monitoring fetal heart rate and maternal vital signs every 4 hours

Question 18

The nurse is reviewing the risk factors for osteoporosis.Which of the following is considered a risk factor for osteoporosis?

A)White or Asian race
B)African race
C)History of participation in active sports
D)Obesity