Question 1

A 65-year-old man is receiving estrogen as therapy for prostate cancer.The client's wife is very confused about the reason this medication is being given, because it is a medication for "women." How can the nurse best explain this use of estrogen to this family?

Accepted Answer

Estrogen can be used in the treatment of prostate cancer because it blocks the male hormones (androgens) that can promote the growth of prostate cancer cells.

Question 2

Which client would benefit most from using hormone replacement therapy?

Accepted Answer

Hormone replacement therapy (HRT) is often used to alleviate severe menopausal symptoms such as hot flashes and night sweats, which can significantly impact sleep and quality of life.

Question 3

Which statement by a client who is taking medroxyprogesterone acetate (Provera)for treatment of dysfunctional uterine bleeding requires further instruction?

Accepted Answer

Medroxyprogesterone acetate (Provera) can increase the risk of sun sensitivity, making the skin more prone to sunburn. Planning a trip to the beach without acknowledging the need for sun protection requires further instruction on the importance of using sunscreen and protective clothing while on this medication.

Question 4

A client is being treated pharmacologically for endometriosis.Which statement by the client indicates a need for further instruction?

Accepted Answer

The statement "I will be able to get pregnant as soon as I finish taking this medication" indicates a misunderstanding. Pharmacological treatment for endometriosis, especially with medications like GnRH agonists, can temporarily suppress ovulation and menstruation, potentially affecting fertility. It may take some time after stopping the medication for fertility to return to normal.

Question 5

Which statement by a client taking estrogen/progesterone combination HRT requires immediate intervention by the nurse?

Accepted Answer

Right shoulder pain and nausea, especially after eating a fatty meal, could indicate gallbladder issues, which can be a serious side effect of estrogen/progesterone therapy. Immediate evaluation is necessary.

Question 6

During the menstrual cycle, the majority of progesterone is secreted by:

Accepted Answer

The corpus luteum, which forms from the remnants of the ovarian follicle after ovulation, is the primary source of progesterone during the menstrual cycle.

Question 7

A 16-year-old client has come to a women's clinic with complaints of oligomenorrhea.She states that her periods have been infrequent since she began menstruating last year.What is the most likely cause of this client's problem?

Accepted Answer

Anovulatory cycles are common in adolescents who have recently begun menstruating, as their hormonal systems are still maturing, leading to irregular and infrequent periods.

Question 8

A client is being treated for infertility.She has used clomiphene (Clomid)for six months without success.The client is now going to be treated with a group of drugs called follitropins.Which statement by this client would require immediate intervention by the health care provider?

Accepted Answer

Wheezing after starting a new medication could indicate an allergic reaction, which is a potentially serious side effect requiring immediate medical attention.

Question 9

A woman at 25 weeks' gestation has experienced a fetal demise.What medication is most likely to be used first to induce labor in this client?

Accepted Answer

Dinoprostone (Cervidil) is commonly used to induce labor by ripening the cervix, especially in cases of fetal demise where the cervix may not be naturally prepared for labor.

Question 10

Which client would not be a good candidate for induction of labor using parenteral oxytocin (Pitocin)?

Accepted Answer

Clients who have had previous uterine surgery, such as the removal of a uterine fibroid, may have a higher risk of uterine rupture with the use of drugs like oxytocin (Pitocin) for labor induction. This makes them less suitable candidates for this intervention compared to the other scenarios listed.

Question 11

A school nurse is teaching a class about the female reproductive system to a group of middle school students.Which statement by the student most accurately describes the reason menstruation begins?

Accepted Answer

B is correct because menstruation begins as a result of hormonal changes in the body. The brain (specifically the hypothalamus and pituitary gland) signals the ovaries to produce estrogen and progesterone. When the levels of these hormones drop, it triggers the shedding of the uterine lining, leading to menstruation.

Question 12

A 59-year-old female is at the health care provider's office for a regularly scheduled yearly examination.The health care provider tells this client that her blood work indicates that her level of "good" cholesterol is decreasing while her level of "bad" cholesterol is rising.The health care provider tells the client that it is related to her completion of menopause.How does the health care provider best explain this to the client?

Accepted Answer

During menopause, a woman's estrogen levels decrease significantly. Estrogen plays a key role in maintaining higher levels of HDL ("good" cholesterol) and lower levels of LDL ("bad" cholesterol). This hormonal change contributes to the shift in cholesterol levels observed in postmenopausal women, impacting heart health.

Question 13

A client had an anterior pituitary tumor removed a few years ago.She is curious to know if this will affect her ability to become pregnant.What is the best response by the nurse to this client?

Accepted Answer

The anterior pituitary gland produces several hormones, including follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which are crucial for stimulating the ovaries to produce eggs and estrogen. Removal of the anterior pituitary gland can disrupt this hormonal balance, potentially affecting fertility.

Question 14

A client at 35 weeks' gestation has begun to have contractions.She is diagnosed with preterm labor.Which statement by the nurse best describes the rationale for giving this client magnesium sulfate?

Accepted Answer

Magnesium sulfate is administered to women in preterm labor to relax the uterus and slow down contractions, which can help delay birth and provide additional time for the baby's lungs to mature. This is crucial for improving the outcomes for preterm infants.

Question 15

Which of the following clients should not receive progestin therapy for the treatment of dysfunctional uterine bleeding?

Accepted Answer

Progestin therapy is contraindicated in clients with a history of thromboembolic disorders, such as blood clots, due to the increased risk of further clotting events.

Question 16

Which statement by a 52-year-old female client reflects an advantage of using estrogen/progesterone combination hormone replacement therapy?

Accepted Answer

The answer of Which statement by a 52-year-old female client...

Question 17

A 56-year-old postmenopausal female has received a recommendation to have a bone density test performed.The client wonders why she must have this test done, because she states that she has never broken a bone in her life and that her bones are fine.What is the nurse's best response to this client?

Accepted Answer

Postmenopausal women are at increased risk for osteoporosis due to decreased estrogen levels, which can lead to bone density loss. The test helps determine if she is developing osteoporosis.

Question 18

Which outcome statement indicates the client has effectively been treated with conjugated estrogen (Premarin)for treatment of severe and frequent hot flashes?

Accepted Answer

Conjugated estrogen (Premarin) is used to treat severe and frequent hot flashes associated with menopause. A significant reduction in the frequency of hot flashes, as indicated by the client reporting only 1-2 hot flashes per day, suggests effective treatment.

Question 19

The nurse is taking a medication history from a client who is seeking information about infertility treatments.Which drug taken by this client could potentially contraindicate the use of clomiphene (Clomid)?

Accepted Answer

The answer of The nurse is taking a medication history...

Question 20

Which nursing diagnosis would be most appropriate for a client who is experiencing vaginal atrophy as a result of menopause?

Accepted Answer

The answer of Which nursing diagnosis would be most appropriate...

Quiz 70: Estrogens, Progestins, and Drugs Modifying Uterine Function