Focus 8 Reproductive and Genitourinary ATI Test
MAOI s
avoid tyramine containing foods
Sildenafil contradicted
clients who are taking nitroglycerin
Tamsulosin contradicted
clients who take erectile dysfunctional drugs.
A nurse is providing teaching to a client about using leuprolide to treat endometriosis. Which of the following instructions should the nurse include? a) perform wieght bearing activities b) wear sunscreen or protective clothing c) take the drug with food to increase absorption d) avoid drinking grapefruit juice
perform weight bearing activities. (increase calcium and vit. D) -leuprolide suppresses estrogen and can cause bone loss. -im administration only, q 3-4 months.
Methylergovine
reproductive system drug that can cause hypertension
Canergoline
reproductive system drug that can cause orthostatic hypotension
Turbutaline
reproductive system drug that causes hyperglycemia.
A nurse is caring for a client with a missed dose of her oral contraceptive. Which of the following instructions should the nurse five the client. a) take a pregnancy test b) double up on pills for the remainder of the oack c) take the missed dose as soon as possible d) stop oral contrceptive and use different one.
take as soon as possible
Finasteride contradicted
women and children
Combo oral contraceptive ethinyl estradiol and drospirenone, what are contradictions?
-smokes cigarettes(increased risk of thromboembolic event, hypertension, and cardiovascular disease) -higher risk over 35 yrs -grapefruit can increase toxicity -exercise regularly -healthy low fat diet -stay hydrated.
Transdermal conjugated estrogen and medroxyprogesterone
-this combo increases risk of breast cancer (regular checkups) -this combo or estrogen alone increases the risk of thromboembolism (watch for signs of this) -estrogen alone will INCREASE risks of endometrial and ovarian cancer -estrogen alone also reduces hot flashes, sweating and sleep disturbances. -estrogen alone increases bone density and prevents osteoporosis.
A nurse should question the use of conjugated equine by a client who has a history of which of the following? a) osteoporosis b) peptic ulcer disease c) rheumatoid arthritis d) blood clots
ANSWER blood clots -high risk in someone with thromboembolic disease. -risk for thrombophlebitis, myocardial infarction, pulm embolism, and CVA. -contradicted in someone with liver disease, uncontrolled vaginal bleeding, or breast, vaginal, cervical, or endometrial cancer.
Transdermal conjugated estrogen and medroxyprogesterone to treat postmenopausal symptoms, what are the therapeutic effects? a) reduces risk of ovarian cancer b) relieves hot flashes c) prevents osteoporosis d) reduce the risk of breast cancer e) reduces the the risk of thromboembolism
ANSWER: -reduces the risk of ovarian cancer -relieves hot flashes -prevents osteoporosis
Oxybutynin (to treat neurogenic bladder) adverse effects a) diaphoresis b) dilated pupils c) dizziness d) distended bladder e) fever
ANSWER: -dilated pupils -dizziness -distended bladder -fever -surpresses sweating -can cause dry eyes, blurred vision -drowsiness -heat exhaustion
Safety education for a client taking tamsulosin for BPH. a) change positions slowly b) crush the medication c) take the meds on empty stomach d) report increased urinary output
ANSWER: change positions slowly. -can also be used to treat hypertension. drops bp -capsule form, do not crush or chew -take same time daily, 30 min after meal -improve urinary flow for a client (report fluid retention, edema, wt gain)
A nurse is providing teaching to a client about sildenafil to treat erectile dysfunction. Which of the following instructions should the nurse include. a) take the drug with a glass of grapefruit juice b) do not take the drug with high-fat foods. c) increase intake of foods rich in vitamin K. d) avoid aged cheeses and red wine
ANSWER: do not take with high fat foods. -high fat foods delay absorption and reduce peak effects of sildenafil. -grapefruit juice reduce metabolism of sildenafil.
Prostatic hypertrophy and taking tamsulosin, contradicted with what drug. a) carbamazepine (antiseizure) b) sildenafil (erectile dysfunction) c) glyburide (diabetes) d) pilocarpine (glaucome)
ANSWER: erectile dysfunction Sildenafil can cause hypotension in combo together.
A nurse who is caring for a client who received human menopausal gonadotropin (hMG). Which of the following findings should the nurse expect? a) prolactin secretion b) estrogen release c) follicular maturation d) oxytocin secretion
ANSWER: follicular maturation -before taking, one must receive a drug to induce follicular maturation, such as hMG, clomiphene or follitropin. - receive hCG 1 day after last dose of hMG or follitropin. Or 7-9 days after clomiphene dose.
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 lab values. a) potassium b) glucose c) BUN and creatinine d) prolactin level
ANSWER: prolactin level. Cabergoline inhibits secretion of prolactin.
A nurse is caring for a client who is taking combo oral contraceptive ethinyl estradiol and drospirenone and about to begin rifampin to treat possible tb. Which of the following instructions should the nurse give the client due to possible drug interaction. a) increase the rifampin dose b) increase oral contraceptive dose c) wait 2 hours between taking each drug d) use additional birth control methods
ANSWER: use additional birth control methods -rifampin increases metabolism of oral contraceptives, reducing effectiveness. -oral contraceptives reduce the effects of warfarin and hypoglycemic drugs. -antifungal and anticonvulsants can reduce effects of oral contraceptives
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. a) vaginal dryness b) hypertension c) blurred vision d) orthostatic hypotension
ANSWER: vaginal dryness -use water based vaginal lubes to minimize these effects.
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 a) apply gel to the scrotum b) cover the area of application with clothing c) wash your hands after applying the gel d) do not shower for several hours after applying the gel. e) apply the gel to the gums above the upper incisor
ANSWER: -cover the area of application with clothing (prevents exposing others to drug) -wash your hand after applying the gel -do not shower for several hours after applying the gel. -apply gel to upper arm, shoulders, or abdomen. -previously used patches were applied to genetalia (had to shave) -buccal form should be applied to the gums above the upper incisor.
Dinoprostone vaginal insert to promote cervical ripening in a client who is 40 weeks gestation. When administering dinoprostone, which of the following actions should the nurse take? Select all a) encourage client to urinate before insertion b) remove the pouch when active labor begins c) monitor for uterine hyperstimulation d) encourage the client to walk after insertion e) monitor the clients temp
ANSWER: -encourage client to urinate before insertion (no interuptions of administration) -remove pouch when active labor begins or 12 hours after the insertion. -monitor for uterine hyperstimulation (can cause fetal distress. Monitor fetal heart rate and remove if hyperstimulation occurs) -monitor fever as can cause a fever (report fever to provider) *client should lay supine for 2 hours while pouch releases slowly.
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 contradiction for which of the following drugs? a) sildenafil b) bethanechol c) tamsulosin d) finasteride
ANSWER: Bethanechol -cholinergic drug that can cause cardiac dysrythmias in clients who have hyperthyroidism by triggering the release of norepinephrine
A nurse is caring for a client who is about to begin clomiphene therapy to treat infertility. The nurse should monitor the client closely for which of the following adverse effects? a) breast cancer b) DVT c) ovarian hyperstimulation syndrome e) restless leg syndrome
ANSWER: Ovarian hyperstimulation syndrome -can cause pelvic pain which means ovarian hyperstimulation and can lead to cyst rupture. - can cause hot flashes, nausea, and headache. -can cause blurred vision