Deck 41: Drugs Used in Mens and Womens Health

Question 1

Why must caution be used when taking a phosphodiesterase inhibitor to enhance male sexual function?

A) It can become habit-forming.
B) Life-threatening consequences can occur with cardiovascular disorders.
C) It is an ineffective treatment.
D) It is expensive and available only by special prescription.

Answer 1

Life-threatening consequences can occur with cardiovascular disorders.

Question 2

What is the mechanism whereby estrogen functions as a contraceptive?

A) Inhibiting LH, blocking release of ovum from a follicle
B) Thinning cervical mucus, which inhibits sperm migration
C) Trapping the ovum in the endometrial wall, preventing its growth
D) Blocking FSH, thereby preventing release of ovum

Answer 2

Blocking FSH, thereby preventing release of ovum

Question 3

A patient diagnosed with benign prostatic hypertrophy asks why tamsulosin (Flomax), an alpha-1 adrenergic blocking agent, has been prescribed. Which explanation by the nurse is most accurate?

A) It inhibits the action of testosterone.
B) It improves sexual function.
C) It reduces the size of the prostate.
D) It increases urinary flow.

Answer 3

It increases urinary flow.

Question 4

A patient states that she has a difficult time remembering when to resume her triphasic contraceptive pills following her menses. Which alternative plan will the nurse suggest that she discuss with her health care provider?

A) Changing to the 28-day packet
B) Using the inert pills every other month
C) Changing her prescription to the minipill
D) Calling the health care provider whenever she forgets to get appropriate instruction

Question 5

The nurse is giving instructions to a young female at an outpatient clinic regarding combination oral contraceptive therapy. Which information will the nurse include? (Select all that apply.)

A) Medication should be taken at approximately the same time daily.
B) A back-up birth control method should be used for the first 6 months.
C) Medication should be discontinued 1 year before attempting pregnancy.
D) Headaches, dizziness, and chest or abdominal pain should be reported immediately.
E) If a pill is missed, take it immediately and remain on schedule for the next dosage.

Question 6

The nurse is teaching a patient beginning therapy with dutasteride (Avodart). How long will it take before the patient can expect results?

A) 24 hours
B) 2 weeks
C) 1 month
D) 6 months

Question 7

The health care provider has instructed a patient to use over-the-counter miconazole (Monistat) cream to treat her vaginal yeast infection. Which information is important to include in patient education? (Select all that apply.)

A) Wash the genital area thoroughly before inserting the vaginal cream.
B) Wash the applicator before usage.
C) Wear a minipad to catch remaining discharge following vaginal administration.
D) Wash hands before and after administration.
E) The sexual partner may require treatment as well.

Question 8

Which is more likely to be experienced by women taking the minipill as an oral contraceptive?

A) Ovulation, dysmenorrhea, and break-through bleeding
B) Excessive weight gain and breast tenderness
C) Increased estrogen-related adverse effects
D) Difficulty breast-feeding after pregnancy

Question 9

A female patient has developed leukorrhea since being on oral broad-spectrum antibiotics for the past week for a lower respiratory infection. Which organism causes leukorrhea?

A) Herpes simplex
B) Mycoplasma hominis
C) Human papillomavirus
D) Candida albicans

Question 10

The nurse will teach the patient beginning therapy with alfuzosin, an alpha-1 adrenergic blocking agent, to expect which common adverse effects, which tend to be self-limiting? (Select all that apply.)

A) Nausea
B) Insomnia
C) Dizziness
D) Headache
E) Lethargy
F) Anorexia

Question 11

The nurse is obtaining a history on a patient who is seeking oral contraceptives. Which condition would contraindicate the use of oral contraceptives?

A) Sexually transmitted diseases (STDs)
B) Hypothyroidism
C) Varicose veins
D) Thromboembolic disease

Question 12

A nurse working at the community health clinic receives a call from a teen client who reports that she has missed one of her birth control pills. Which response by the nurse is accurate? (Select all that apply.)

A) Take the missed pill now.
B) Take the next pill at the regularly scheduled time.
C) Come into the clinic for a pregnancy test.
D) Start with the next month's pill packet at day 1.
E) Take the missed pill and the next pill together at the next regularly scheduled time.

Question 13

Which type of drug is most effective in the treatment of erectile dysfunction (ED)?

A) Phosphodiesterase inhibitors
B) Antiandrogen agents
C) Sympathomimetic agents
D) Alpha-1 adrenergic blocking agents

Question 14

The nurse is completing a female reproductive history on a 16-year-old. Which are important assessments to include? (Select all that apply.)

A) Breast self-examination routine
B) Age of menarche and pattern of menses
C) Smoking and blood pressure history when seeking a prescription for OCPs
D) Sexual orientation and number of partners
E) Number of pregnancies, live births, miscarriages, and abortions
F) Nutritional intake of carbohydrates