ATI Reproductive and Genitourinary System
A nurse is caring for a client who has a new prescription for transdermal conjugated estrogen and medroxyprogesterone to treat postmenopausal symptoms. The nurse should explain to the client that this drug combination includes which of the following therapeutic effects? Select all that apply. Reduces the risk of ovarian cancer Relieves hot flashes Prevent osteoporosis Reduces the risk of breast cancer Reduces the risk of thromboembolism
A B C
A nurse is assessing a client who has a new prescription of oxybutynin to treat neurogenic bladder. Which of the following assessment findings should the nurse identify as an adverse effect of the drug? Diaphoresis Dilated pupils Dizziness Distended bladder Fever
All except A
A nurse is assessing a client who has a new prescription for the combination oral contraceptive estradiol and drospirenone. Which of following findings should the nurse identify as a contraindication to use of this medication? Drinks a glass of wine each night Smokes half a pack of cigarettes a day Runs marathons regularly Drives a school bus
B
A nurse is teaching a client about conjugated estrogen and medroxyprogesterone. Which of the following instructions should the nurse include? Monitor for rectal bleeding? Avoid drinking alcoholic beverages Have blood pressure checked regularly Sit up for 30 min after taking the drug
C
A nurse is caring for a client who is about to begin taking cabergoline to treat infertility. The nurse should explain to the client the need to monitor which of the following laboratory values? Potassium Glucose BUN and creatinine Prolactin level
D
A nurse is caring for a client who is about to begin taking finasteride to treat benign prostatic hypertrophy. The nurse should explain to the client the need to monitor which of the following laboratory values? Prostate-specific antigen (PSA) BUN Creatinine Phosphokinase (CPK) ALT
A
A nurse is caring for a client who has a new prescription for conjugated equine estrogen. The nurse should instruct the client to report which of the following indications of a serious adverse event? Hot flashes Urinary Tract Infection Vaginal bleeding Bone pain
C
A nurse is caring for a client who missed a dose of her oral contraceptive. Which of the following instructions should the nurse give the client? Take a pregnancy test Double up on pills for remainder of the pack Take the missed dose as soon as possible Stop the oral contraceptive and use a different contraceptive
C
A nurse is caring for a client who received menopausal gonadotropin (hMG). Which of the following findings should the nurse expect? Prolactin secretion Estrogen release Follicular maturation Oxytocin secretion
C
A nurse is teaching a client who has a new prescription for a testosterone transdermal patch. Which of the following statements made by the client indicates an understanding of the teaching? I should have pancreatic function tests obtained while taking this drug I should have my white blood cell count checked annually I should take off the patch to shower I should apply the medication to a different site each time
D
After administering terbutaline to a client to inhibit preterm labor, the nurse should assess which of the following? Peripheral pulses Temperature Vision Heart Rate
D
A nurse is providing safety education to a client who is scheduled to begin treatment with tamsulosin for benign prostatic hypertrophy (BPH). Which of the following instructions should the nurse include in the teaching? Change positions slowly Crush the medication Take the medication on an empty stomach Report increased urinary output immediately
A
A nurse is caring for a male client who has hyperthyroidism and is not responding to treatment. The nurse should identify that hyperthyroidism is a contraindication for which of the following drugs? Sildenafil Bethanechol Tamsulosin Finasteride
B
A nurse is caring for a client who is about the begin clomiphene therapy to treat infertility. The nurse should monitor the client for which of the following adverse effects? Breast cancer Deep-vein thrombosis Ovarian-hyperstimulation syndrome Restless leg syndrome
C
A nurse is providing teaching to a client about using leuprolide to treat endometriosis. Which of the following instructions should the nurse include? Perform weight bearing activities Wear sunscreen or protective clothing Take the drug with food to increase absorption Avoid drinking grapefruit juice
A
A nurse is teaching a client about receiving leuprolide to treat endometriosis. The nurse should instruct the client to expect which of the following side effects? Vaginal dryness Hypertension Blurred vision Orthostatic hypotension
A
A nurse should question the use of ethinyl estradol and drospirenone by a client who has renal disease due to the increased risk of which of the following? Hyperkalemia Hyponoatremia Hypoglycemia Respiratory Distress
A
A nurse should question the use of conjugated equine estrogen by a client who has a history of which of the following? Diaphoresis Peptic ulcer disease Rheumatoid arthritis Blood clots
D
A provider has prescribed a dinoprostone vaginal insert to promote cervical ripening in a client who is at 40 weeks gestation. When administering the dinoprostone which of the following actions should the nurse take? (select all that apply) Encourage the client to urinate prior to insertion Remove the pouch when active labor begins Monitor for uterine hyperstimulation Encourage the client to walk after insertion Monitor the client's temperature
A B C and E
A nurse is providing teaching to a client who is taking bethanechol for urinary retention. Which of the following instructions should the nurse include? (select all that apply) Avoid driving and activities that require alertness Increase fluid intake Take the drug with food Stay close to a bathroom after taking the drug Increase weight-bearing activities
A B and D
A nurse is caring for a client who has a benign prostatic hypertrophy and is taking tamulosin. The nurse should question the use of the drug if the client also has which of the following? A seizure disorder for which he takes carbamazepine Erectile dysfunction for which he takes sildenafil Diabetes mellitus for which he takes glyburide Angle-closure glaucoma for which he takes pilocarpine
B
A nurse is providing teaching to a client about sildenafil to treat erectile dysfunction. Which of the following instructions should the nurse include? Take the drug with a glass of grapefruit juice Do not take the drug with high-fat foods Increase intake of foods rich in vitamin K Avoid aged cheeses and red wine
B
A nurse is teaching a client who has a new prescription for transdermal testosterone gel to treat delayed puberty. Which of the following instructions should the nurse include? Select all that apply. Apply the gel to the scrotum Cover the area of application with clothing Wash your hands after applying the gel Do not shower for several hours after applying gel Apply the gel to the gums above an upper incisor
B C and D
A nurse is preparing to administer finasteride to a client who has benign prostatic hypertrophy. Which of the following precautions should the nurse plan to take when administering this drug? Administer medication while client is sitting or reclining Withhold the medication if the client doesn't eat Wear gloves when handling the tablet Monitor heart rate prior to administration
C
A nurse is caring for a client who is taking combination oral contraceptive ethinyl estradiol and drospirenone and is about to begin taking rifampin to treat tuberculosis. Which of the following instructions should the nurse give the client due to a possible drug interaction? Increase the rifampin dose Increase the oral contraceptive dose Wait 2 hours between taking each drug Use additional birth control methods
D