Question 1

The nurse is caring for a client who is taking medroxyprogesterone (Provera).For which health problems should the nurse contact the health care provider?
Select all that apply.

Accepted Answer

Medroxyprogesterone can increase the risk of thromboembolic events, which can cause confusion (B), lower extremity pain and swelling (C), and right-sided weakness (D) due to potential stroke or deep vein thrombosis. Changes in cardiac enzymes (E) could indicate a cardiac event, which is also a concern with this medication.

Question 2

A client is being considered for progestin therapy.However,the nurse is concerned because of which risk factors?
Select all that apply.

Accepted Answer

The answer of A client is being considered for progestin...

Question 3

A client who is prescribed progestin is experiencing hip joint pain.What does this new finding suggest to the nurse?
Select all that apply.

Accepted Answer

The answer of A client who is prescribed progestin is...

Question 4

The nurse is reviewing the indications for the use of clomiphene (Clomid)with couples seeking infertility treatment.Which statement concerning clomiphene (Clomid)does not accurately represent this medication?

Accepted Answer

Clomiphene is not given to males to increase sperm motility, it is only used in women to induce ovulation. Choice A is accurate as weight gain can be a side effect of clomiphene. Choice C is also accurate, as clomiphene increases the chance of multiple gestations. Choice D is accurate, as clomiphene is commonly used to induce ovulation in women who do not ovulate regularly.

Question 5

The nurse should the use of medroxyprogesterone acetate (Provera)in a client who:

Accepted Answer

Medroxyprogesterone acetate can exacerbate depression, so it should be used cautiously in clients with a history of depression.

Question 6

During a health history,a client who is taking Premarin tells the nurse about using a variety of herbal supplements.For which supplements should the nurse assess the client?
Select all that apply.

Accepted Answer

The nurse should assess the client for St. John's wort, red clover, black cohosh, and ginseng because these herbal supplements have the potential to interact with Premarin and affect its effectiveness or increase the risk of side effects. Garlic is not typically associated with interactions with Premarin.

Question 7

The cervix of a laboring client is not adequately ripening to support the pending delivery of the fetus.Which medications should the nurse prepare to administer to this client?
Select all that apply.

Accepted Answer

Dinoprostone (Cervidil) and Misoprostol (Cytotec) are both prostaglandin medications that are used to ripen the cervix and promote cervical dilation. Methylergonovine (Methergine) is a medication used to prevent postpartum hemorrhage by causing contractions, but it is not used to ripen the cervix. Oxytocin (Pitocin) is a medication used to induce or augment labor by causing strong uterine contractions, but it is not used primarily to ripen the cervix. Medroxyprogesterone (Provera) is a hormone medication that is not used for cervical ripening.

Question 8

A client is receiving medroxyprogesterone (Provera)for secondary amenorrhea.Which medications would be contraindicated for this client?
Select all that apply.

Accepted Answer

Medroxyprogesterone (Provera) is a progestin used to treat conditions like secondary amenorrhea. Barbiturates, rifampin, and topiramate can decrease the effectiveness of medroxyprogesterone by increasing its metabolism, making these drugs contraindicated or requiring careful monitoring if used concurrently. Acetaminophen and furosemide do not have this interaction.

Question 9

A client receiving an infusion of oxytocin (Pitocin)begins to experience sustained uterine contractions.What should the nurse do to help this client?
Select all that apply.

Accepted Answer

Stop the infusion to prevent uterine rupture. Provide intravenous fluids as prescribed to maintain hydration and prevent hypotension. Position the client on her side to relieve pressure on the vena cava and improve uterine blood flow.

Question 10

The nurse is monitoring a client who is receiving nifedipine (Adalat)for premature labor.For which side effects of this medication should the nurse contact the health care provider?
Select all that apply.

Accepted Answer

The answer of The nurse is monitoring a client who...

Quiz 69: Estrogens, Progestins, and Drugs Modifying Uterine Function

The nurse is caring for a client who is taking medroxyprogesterone (Provera) .For which health problems should the nurse contact the health care provider? Select all that apply.

A client is being considered for progestin therapy.However,the nurse is concerned because of which risk factors? Select all that apply.

A client who is prescribed progestin is experiencing hip joint pain.What does this new finding suggest to the nurse? Select all that apply.

The nurse is reviewing the indications for the use of clomiphene (Clomid) with couples seeking infertility treatment.Which statement concerning clomiphene (Clomid) does not accurately represent this medication?

The nurse should the use of medroxyprogesterone acetate (Provera) in a client who:

During a health history,a client who is taking Premarin tells the nurse about using a variety of herbal supplements.For which supplements should the nurse assess the client? Select all that apply.

The cervix of a laboring client is not adequately ripening to support the pending delivery of the fetus.Which medications should the nurse prepare to administer to this client? Select all that apply.

A client is receiving medroxyprogesterone (Provera) for secondary amenorrhea.Which medications would be contraindicated for this client? Select all that apply.

A client receiving an infusion of oxytocin (Pitocin) begins to experience sustained uterine contractions.What should the nurse do to help this client? Select all that apply.

The nurse is monitoring a client who is receiving nifedipine (Adalat) for premature labor.For which side effects of this medication should the nurse contact the health care provider? Select all that apply.