Question 1

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

Accepted Answer

Megestrol (Megace) is not indicated for the prevention of pregnancy. It is a progestin medication used for the treatment of breast and endometrial cancer, and for the management of cachexia in patients with acquired immunodeficiency syndrome (AIDS).

Question 2

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

Accepted Answer

Ganirelix is a gonadotropin-releasing hormone (GnRH) antagonist that is commonly used in assisted reproduction technologies to prevent premature ovulation in women undergoing controlled ovarian stimulation. A contraindication for the use of ganirelix is a suspected or established pregnancy, as the drug can interfere with reproductive function and embryo implantation. Headache, abdominal pain, and vaginal bleeding are known side effects of ganirelix but are not contraindications to its use.

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?

Accepted Answer

B

Question 4

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

Accepted Answer

Estrogen therapy has not been shown to prevent breast cancer and may actually increase the risk of developing breast cancer. The other options are correct effects of estrogen therapy.

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?

Accepted Answer

Pelvic pain is the most commonly reported adverse effect of urofollitropin (Bravelle), which is used in fertility treatments to stimulate the ovaries.

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?

Accepted Answer

Medroxyprogesterone can cause fluid retention, so a low-sodium diet is recommended to minimize this side effect.

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?

Accepted Answer

Nafarelin (Synarel) is a medication used to treat endometriosis, so the nurse should question the female client about a history of 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?

Accepted Answer

According to the American Urological Association, treatment with human chorionic gonadotropin (HCG) for prepubertal cryptorchidism typically involves two to three injections per week for up to 10 doses.

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?

Accepted Answer

Gonadorelin is a gonadotropin-releasing hormone agonist that can be used to diagnose hypogonadism by stimulating the release of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) from the pituitary gland.

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?

Accepted Answer

Labored breathing can indicate an allergic reaction, which is a potential serious adverse effect of gonadorelin. The other symptoms are common side effects but do not require immediate reporting.

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?

Accepted Answer

Taking medroxyprogesterone (Provera) at bedtime may reduce stomach upset because the client can sleep through any potential discomfort.

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?

Accepted Answer

Menotropins (Pergonal) is a medication used for the treatment of infertility in women due to ovulatory dysfunction. It works by stimulating the ovaries to release eggs.

Question 13

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

Accepted Answer

Abdominal cramping is a potential adverse effect associated with estrogen therapy. Other potential adverse effects can include breast tenderness, mood changes, vaginal bleeding or discharge, and fluid retention. Dry skin is not typically associated with estrogen therapy, and weight loss is not a common adverse effect. A higher pitched voice is not an adverse effect of estrogen therapy.

Question 14

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

Accepted Answer

Nafarelin is administered nasally via a nasal spray for the treatment of endometriosis.

Question 15

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

Accepted Answer

Menotropins (Pergonal) are used to stimulate the production of sperm in males who have low sperm count or other fertility issues. Therefore, the drug increases sperm production.

Question 16

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

Accepted Answer

Low-dosage progestins are associated with a higher incidence of breakthrough bleeding compared to higher doses or combined hormonal contraceptives. This is due to the lower amount of hormone present to stabilize the endometrial lining.

Question 17

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

Accepted Answer

Thrombophlebitis is a condition in which a blood clot forms in a vein, which can increase the risk of developing a blood clot with the administration of estrogen. Hypertension, dysmenorrhea, and weight gain are not contraindications to the administration of estrogen.

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?

Accepted Answer

The answer of The nurse has reinforced client teaching related...

Question 19

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

Accepted Answer

It is important to press the patch into place and hold for 10 seconds when applying it to ensure good adhesion and proper absorption of the medication. A) While it is important to rotate the patch, it does not need to be done at the exact same time each day. B) There is no need to decrease calcium and vitamin D intake while using transdermal estradiol. C) The patch should not be applied to the breast area, as this can increase the risk of breast cancer.

Question 20

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

Accepted Answer

Estrogen therapy alone increases the risk of endometrial cancer, but adding progestins counteracts this risk. Cyclic use of estrogen and progestins is commonly used to prevent endometrial cancer in women taking estrogen therapy.

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

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

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

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?

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

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

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?

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 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?

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?

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 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 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?

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

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

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

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

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

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?

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

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