Mylab 44-47

Which statement made by a client indicates an understanding of the role of follicle-stimulating hormone (FSH) and the male reproductive system? 1) "Follicle-stimulating hormone (FSH) regulates sperm production." 2) "Follicle-stimulating hormone (FSH) regulates male androgen production." 3) "Follicle-stimulating hormone (FSH) regulates production of testosterone." 4) "Follicle-stimulating hormone (FSH) regulates male progesterone."

1) "Follicle-stimulating hormone (FSH) regulates sperm production."

A client receiving insulin tells the nurse their blood glucose has been low the last few mornings. Which additional statement made by the client may be a contributing factor to the decrease in the blood glucose? 1) "I have been taking a garlic supplement to prevent colds." 2) "I have been taking St. John's wort to help with my memory." 3) "I have been taking extra vitamin C because so many people have colds." 4) "I have been taking vitamin D to help build up my bones."

1) "I have been taking a garlic supplement to prevent colds."

Which statement made by a client indicates an understanding of the education about insulin administration? 1) "I should only use a calibrated insulin syringe for the injections." 2) "I should check my blood sugar immediately prior to administration of insulin." 3) "I should use the abdominal area only for insulin injections." 4) "I should provide direct pressure over the site following the injection."

1) "I should only use a calibrated insulin syringe for the injections."

Which information should the nurse include in the teaching for a client prescribed testosterone? SATA (3) 1) "Place the patch on a place that does not have hair." 2) "Avoid placing the patch on active areas like the thigh or arm." 3) "The patch should be changed every 7 days." 4) "Observe for a rash at the patch site." 5) "Keep these patches away from children."

1) "Place the patch on a place that does not have hair." 4) "Observe for a rash at the patch site." 5) "Keep these patches away from children."

Which information should the nurse include in the education for a client prescribed finasteride (Proscar)? 1) "Pregnant women should not touch this medication." 2) "This drug has only very minor side effects." 3) "Side effects of the prescription occur within 1 week of starting treatment." 4) "Swallow medication whole with a full glass of water."

1) "Pregnant women should not touch this medication."

The nurse has provided client education about type 2 diabetes mellitus. Which statements made by the client indicate additional teaching is needed? SATA (3) 1) "The prescriptions that I will be on will help me lose weight." 2) "I can take an oral prescription and will never have to inject myself. 3) "I can increase my body's ability to use the insulin by exercising regularly." 4) "I have several lifestyle changes to make." 5) "I am not at risk for kidney disease like type 1 diabetics."

1) "The prescriptions that I will be on will help me lose weight." 2) "I can take an oral prescription and will never have to inject myself." 5) "I am not at risk for kidney disease like type 1 diabetics."

The nurse has completed the education for a client being treated for benign prostatic hypertrophy (BPH). Which statements by the client indicate an understanding of the disease? SATA ( 1) "These medications are not a cure." 2) "Taking an antihistamine might make my problem worse." 3) "Avoiding caffeine intake may reduce my symptoms." 4) "Surgery is the best treatment for this condition." 5) "I should avoid drinking fluids in the late evening."

1) "These medications are not a cure." 2) "Taking an antihistamine might make my problem worse." 3) "Avoiding caffeine intake may reduce my symptoms." 5) "I should avoid drinking fluids in the late evening."

A male patient has been started on a 5-alpha reductase inhibitor for the treatment of benign prostatic hyperplasia (BPH). Which information should the nurse provide? SATA (3) 1) "Use a condom during intercourse." 2) "Keep this medication in a secure place away from children." 3) "Do not give blood while you are taking this medication." 4) "Do not do heavy exercise while taking this medication." 5) "Reduce your sodium intake while taking this drug."

1) "Use a condom during intercourse." 2) "Keep this medication in a secure place away from children." 3) "Do not give blood while you are taking this medication."

Which system disorders are associated with erectile dysfunction (ED)? SATA (4) 1) Cardiovascular 2) Integumentary 3) Endocrine 4) Nervous 5) Renal

1) Cardiovascular 3) Endocrine 4) Nervous 5) Renal

Which information should the nurse include in the education about the mechanism of action for metformin (Glucophage)? SATA (2) 1) Decreases sugar production in the liver 2) Inhibits absorption of carbohydrates 3) Stimulates the pancreas to produce more insulin 4) Reduces insulin resistance 5) Increases energy use

1) Decreases sugar production in the liver 4) Reduces insulin resistance

Which physical assessment findings support a diagnosis of hypogonadism in an 18-year-old male? SATA (3) 1) Facial hair is minimal, soft, and light in color 2) Absent pubic hair 3) Decreased subcutaneous fat 4) Small testicles 5) Pale skin

1) Facial hair is minimal, soft, and light in color 2) Absent pubic hair 4) Small testicles

Which are the primary blood tests for diagnosing diabetes? SATA (3) 1) Fasting plasma glucose 2) Random glucose testing 3) Hemoglobin A1C 4) Oral glucose tolerance test 5) Post prandial glucose test

1) Fasting plasma glucose 3) Hemoglobin A1C 4) Oral glucose tolerance test

The nurse is reviewing the blood work of a client suspected of having diabetes. Which result should the nurse be concerned about? 1) HBA1C level is 8.4%. 2) Fasting plasma glucose of 115 g/dL. 3) Fasting plasma glucose is 110 g/dL. 4) Oral glucose tolerance test of 185 mg/dL.

1) HBA1C level is 8.4%.

The home health nurse observes a client's 3-month supply of insulin vials are not refrigerated. Which action should the nurse take? 1) Instruct the client that the insulin should be stored away from direct sunlight or excessive heat. 2) Have the client discard the vials. 3) Instruct the client to label each vial with the date when opened. 4) Instruct the client that unopened bottles can be stored for up to 3 months

1) Instruct the client that the insulin should be stored away from direct sunlight or excessive heat.

Which insulin has the longest onset? 1) Insulin detemir (Levemir) 2) Insulin glulisine (Apidra) 3) Insulin lispro (Humalog) 4) Insulin isophane (NPH)

1) Insulin detemir (Levemir)

The physician writes orders for the client with diabetes mellitus. Which order should the nurse clarify with the healthcare provider? 1) Lantus insulin 20U BID 2) Administering regular insulin 30 minutes prior to meals 3) Five units of Humalog/10 units NPH daily 4) Metformin (Glucophage) 1000 mg per day in divided doses

1) Lantus insulin 20U BID

Which prescription is classified as a biguanide? 1) Metformin HCI (Glucophage) 2) Repaglinide (Prandin) 3) Tolbutamide (Orinase) 4) Acarbose (Precose)

1) Metformin HCI (Glucophage)

Which should the nurse recognize as adverse effects from the use of sildenafil (Viagra)? SATA ( 1) Nasal congestion 2) Nausea 3) Blurry vision 4) Priapism 5) Photophobia

1) Nasal congestion 3) Blurry vision 4) Priapism 5) Photophobia

Which laboratory test should the nurse monitor the client for who is receiving insulin? 1) Potassium 2) Serum amylase 3) AST (aspartate aminotransferase) 4) Sodium

1) Potassium

Which history of clinical conditions should the nurse inquire about from a client with azoospermia? SATA (3) 1) Sexually transmitted infections 2) Erectile dysfunction 3) Mumps 4) Tuberculosis 5) Atherosclerosis

1) Sexually transmitted infections 3) Mumps 4) Tuberculosis

Which prescription is most appropriate for a client with benign prostatic hyperplasia (BPH) and hypertension? 1) Terazosin (Hytrin) 2) Sildenafil (Viagra) 3) Finasteride (Proscar) 4) Tamsulosin (Flomax)

1) Terazosin (Hytrin)

Which information should the nurse include in the education about anabolic steroids for a group of high school athletes? SATA (3) 1) The use of anabolic steroids can lead to infertility. 2) The entire body is affected by anabolic steroids, especially your liver. 3) The use of anabolic steroids is the most effective way to increase muscle mass. 4) The use of anabolic steroids should be monitored by your doctor. 5) The use of anabolic steroids can lead to very aggressive behavior.

1) The use of anabolic steroids can lead to infertility. 2) The entire body is affected by anabolic steroids, especially your liver. 5) The use of anabolic steroids can lead to very aggressive behavior.

The nurse teaches the client about glucocorticoid therapy. The nurse evaluates that additional teaching is required when the client makes which statement? 1. "I can take the medication at any time as long as I don't forget it." 2. "I will monitor my blood sugar on a regular basis." 3. "I will eat a diet that is high in protein." 4. "I should take my medication after I have eaten."

1. "I can take the medication at any time as long as I don't forget it."

A client has been prescribed levothyroxine (Levothroid). What medication information should the nurse provide? SATA (4) 1. "It may take a few weeks for you to see the full benefits from this drug." 2. "Be sure to keep all of your follow-up appointments." 3. "Take this medication at whatever time you eat your evening meal." 4. "Do not start a fiber laxative without first discussing it with your health care team." 5. "Take your calcium supplement at least 4 hours after taking this drug."

1. "It may take a few weeks for you to see the full benefits from this drug." 2. "Be sure to keep all of your follow-up appointments." 4. "Do not start a fiber laxative without first discussing it with your health care team." 5. "Take your calcium supplement at least 4 hours after taking this drug."

The nursing instructor teaches the student nurses about the endocrine system. The nursing instructor evaluates that learning has occurred when the student nurses make which statements? SATA (4) 1. "The hypothalamus secretes releasing hormones." 2. "Hormones released by the endocrine system influence every organ in the body." 3. "The hypothalamus is considered the master gland." 4. "The pituitary gland secretes TSH (thyroid-stimulating hormone)." 5. "The endocrine system is a major controller of homeostasis."

1. "The hypothalamus secretes releasing hormones." 2. "Hormones released by the endocrine system influence every organ in the body." 4. "The pituitary gland secretes TSH (thyroid-stimulating hormone)." 5. "The endocrine system is a major controller of homeostasis."

Which finding is a symptom of Cushing's syndrome? 1. Acne 2. Osteoporosis 3. Confusion 4. Delayed wound healing 5. Lethargy

1. Acne 2. Osteoporosis 4. Delayed wound healing

Which should the nurse anticipate will be included in a​ client's treatment plan to limit the incidence of serious adverse effects when prescribing​ corticosteroids? 1. Administer steroids every other day 2. Administer large doses for acute conditions then discontinue the prescription 3. Administer oral doses of the prescription whenever possible 4. Administer small doses over a period of several weeks

1. Administer steroids every other day

A client with​ Addison's disease is experiencing​ nausea, vomiting, and confusion. Which priority intervention should the nurse anticipate to be included in the plan of​ care? 1. Administration of intravenous hydrocortisone. 2. Placement of a nasogastric tube. 3. Immediate endotracheal intubation. 4. Administration of intravenous diuretic.

1. Administration of intravenous hydrocortisone.

The client has been diagnosed with diabetes insipidus. What will the best plan by the nurse include? 1. Assess for increased urine production. 2. Assess for hyperglycemia. 3. Assess for hyponatremia. 4. Assess for fluid retention.

1. Assess for increased urine production.

Which information should the nurse include in the teaching for the client prescribed​ long-term corticosteroid​ therapy? SATA (2) 1. Avoid carbonated beverages 2. Participate in regular​ weight-bearing exercises 3. Avoid taking calcium supplements 4. Take your prescription with food or milk 5. Avoid caffeine in the diet

1. Avoid carbonated beverages 2. Participate in regular​ weight-bearing exercises

Which assessment finding should the nurse recognize is an adverse CNS effect of mitotane​ (Lysodren)? SATA (4) 1. Confusion 2. Tinnitus 3. Lethargy 4. Increasing depression. 5. Dizziness

1. Confusion 3. Lethargy 4. Increasing depression. 5. Dizziness

The client receives hydrocortisone therapy. The nurse will primarily assess for which electrolyte disturbance? 1. Hypernatremia and hyperglycemia 2. Hypernatremia and hyperkalemia 3. Hypercalcemia and hyperkalemia 4. Hypoglycemia and hyponatremia

1. Hypernatremia and hyperglycemia

The client has hyperthyroidism. The nurse teaches the client to avoid which food selections? 1. Soy sauce 2. Milk products 3. High-calorie foods 4. Caffeine-free soda

1. Soy sauce

An older adult client has hypothyroidism. Which assessment finding would the nurse report to the physician immediately? 1. Weight gain 2. Generalized weakness 3. Muscle cramps 4. Dry skin

1. Weight gain

Vasopressin is used in the treatment of 1. diabetes insipidus. 2. dehydration. 3. electrolyte imbalances. 4. diabetes mellitus.

1. diabetes insipidus.

A client receiving androgen therapy expresses concern about recent body changes as a result of the therapy. Which is the most therapeutic response by the nurse? 1) "Would you like to speak with your healthcare provider?" 2) "Can we talk about your concerns?" 3) "Are you aware that these changes are only temporary?" 4) "Can you tell me specifically what changes you are talking about?"

2) "Can we talk about your concerns?"

The nurse has provided education for a client with benign prostatic hyperplasia (BPH). Which statement made by the patient indicates an understanding of the condition? 1) "The urethra is enlarged." 2) "The glands around the urethra are enlarged." 3) "The obstruction is around the glans penis." 4) "The ureteral openings are swollen."

2) "The glands around the urethra are enlarged."

The nurse finds a client with diabetes mellitus type 1 unresponsive. Which is the priority nursing action? 1) Call the rapid response team. 2) Administer glucagon. 3) Administer oxygen. 4) Assess the vital signs.View Answer

2) Administer glucagon.

Which information should the nurse include when teaching a client about proper subcutaneous injection techniques? 1) Inject the area using a 60° angle. 2) Apply a pad to the site after injections. 3) Rotate sites monthly. 4) Massage the site after injection.

2) Apply a pad to the site after injections.

The nurse reviewing the records of a female client notes a prescription for high doses of androgen. For which condition should the nurse understand the client is being treated? 1) Cervical cancer 2) Breast cancer 3) Uterine cancer 4) Ovarian cancer

2) Breast cancer

Which information should the nurse include in the teaching for a client prescribed doxazosin (Cardura)? 1) Take your first dose as soon as you get your prescription. 2) Do not drive for 12-24 hours after starting this medication. 3) You may experience sweating and a headache while taking this medication. 4) Increase fluids with this medication.

2) Do not drive for 12-24 hours after starting this medication.

When should the nurse administer a client's prescribed 10 units of lispro (Humalog)? 1) Thirty minutes before meals 2) Five minutes before a meal 3) When the meal trays arrive on the floor 4) Fifteen minutes after meals

2) Five minutes before a meal

Which are thought to be the contributing factors to the development of type I diabetes? SATA (3) 1) Gender 2) Genetics 3) Ethnicity 4) Environment 5) Immunology

2) Genetics 4) Environment 5) Immunology

Which triggers the release of insulin in the body? 1) Increase in glycogen 2) Increase in blood glucose 3) Increase in carbohydrates 4) Increase in glucagon

2) Increase in blood glucose

Which finding indicates that endocrine pharmacotherapy has been successful in treating a male client? 1) Patient reports reduced difficulty in achieving and maintaining an erection. 2) Patient's sperm count is 22 million/mL. 3) Patient's ejaculate volume is 2 mL. 4) Patient reports pleasure with intercourse.

2) Patient's sperm count is 22 million/mL.

Which describes the mechanism of action of regular insulin? 1) Stimulate the pancreas to produce insulin. 2) Promote entry of glucose into the cells. 3) Facilitate the entry of glucose into the bloodstream. 4) Stimulate the pancreas to secrete more insulin.

2) Promote entry of glucose into the cells.

Which is the mechanism of action for finasteride (Proscar)? 1) Relaxes smooth muscle in the penis 2) Promotes the shrinkage of an enlarged prostate gland 3) Increases the testosterone level 4) Stimulates RNA synthesis

2) Promotes the shrinkage of an enlarged prostate gland

Which client has the highest risk of developing type 2 diabetes mellitus? 1) The 38-year-old client who smokes one pack of cigarettes per day 2) The 42-year-old client who is 50 pounds overweight 3) The 50-year-old client who does not get any physical exercise 4) The 56-year-old client who drinks three glasses of wine each evening

2) The 42-year-old client who is 50 pounds overweight

A client with type 1 diabetes mellitus receiving insulin asks the nurse if they can have a glass of wine with their dinner. Which information should the nurse provide the client? 1) The alcohol could increase your resistance to the insulin. 2) The alcohol could predispose you to hypoglycemia. 3) The alcohol could cause serious liver disease. 4) The alcohol could decrease the metabolism of the insulin.

2) The alcohol could predispose you to hypoglycemia.

Which finding is a sign or symptom of hypothyroidism? 1. Anxiety 2. Bradycardia 3. Tachycardia 4. Weight loss

2. Bradycardia

Which is the initial step of the negative feedback regulation that results in the suppression of secretion of TSH and TRH thyroid​ hormone? 1. Blood levels of thyroid hormone rise. 2. Hypothalamus secretes thyroid-releasing hormone (TRH). 3. T3 and T4 are secreted. 4. The anterior pituitary secretes thyroid-stimulating hormone (TSH).

2. Hypothalamus secretes thyroid-releasing hormone (TRH).

Which statement made by a client indicates an understanding of the education for corticosteroid​ therapy? SATA (3) 1. "If I cannot take my medicine for more than 2​ days, I will contact my healthcare​ provider." 2. ​"I will take my medication at the same time every​ day." 3. "I will take my medication with food or a​ meal." 4. ​"I will avoid dairy products while taking this​ medication." 5. ​"If I notice my vision is​ changing, I will contact my health care​ provider."

2. ​"I will take my medication at the same time every​ day." 3. "I will take my medication with food or a​ meal." 5. ​"If I notice my vision is​ changing, I will contact my health care​ provider."

Which information should the nurse include in education for a client prescribed methimazole​ (Tapazole)? 1. ​"Occasionally you may feel your heart beating​ fast." 2. ​"It is important for you to schedule periodic liver function tests.​" 3. "Call the clinic if you are having trouble​ sleeping." 4. "You may experience a weight loss while taking this​ prescription."

2. ​"It is important for you to schedule periodic liver function tests.​"

Which question should the nurse ask the client that is requesting a refill of prescribed tadalafil (Cialis)? 1) "Do you have diabetes mellitus?" 2) "Do you have any sexually transmitted diseases?" 3) "Do you use nitroglycerine?" 4) "Do you take blood pressure medication?"

3) "Do you use nitroglycerine?"

Which response should the nurse provide a client that asks why infertility drugs are not being developed for men? 1) "It's difficult because the medications have many side effects that men do not like." 2) "It's difficult because about 25% of infertile men also have erectile dysfunction." 3) "It's difficult because only about 5% of infertile men have an endocrine problem." 4) "It's difficult because many men do not want to even admit they have a problem."

3) "It's difficult because only about 5% of infertile men have an endocrine problem."

A client with type 1 diabetes mellitus asks the nurse why they cannot receive insulin in a pill form. Which response should the nurse provide the client? 1) "The cells cannot recognize insulin in that form." 2) "The insulin could not be properly absorbed." 3) "The stomach acid would destroy the insulin." 4) "The action of insulin would be unpredictable."

3) "The stomach acid would destroy the insulin."

Which information should the nurse include in the education for a client prescribed sildenafil (Viagra)? 1) Grapefruit juice can decrease the effects of sildenafil (Viagra). 2) You can take sildenafil (Viagra) anywhere from 1 to 6 hours before sex. 3) Be sure to take only one pill in a 24-hour period. 4) Sildenafil (Viagra) should be taken with food.

3) Be sure to take only one pill in a 24-hour period.

Which information should the nurse include in the teaching for a client prescribed an alpha1-adrenergic blocker for the treatment of benign prostatic hyperplasia? 1) Take the first dose of the medication in the morning with breakfast. 2) Monitor your blood pressure on a weekly basis and report any B/P over 140/90 mmHg. 3) Call your healthcare provider if you are unable to take the prescription for 2 days. 4) Hold the prescription if you are experiencing dizziness.

3) Call your healthcare provider if you are unable to take the prescription for 2 days.

Which symptom is common for a client with untreated type 1 diabetes mellitus? 1) Increased energy 2) Weight gain 3) Fatigue 4) Decreased hunger

3) Fatigue

Which type of insulin should the nurse anticipate to administer intravenously to a client with a blood glucose of 563? 1) Insulin aspart (NovoLog) 2) Insulin isophane (NPH) 3) Insulin regular (Humulin R). 4) Insulin glargine (Lantus)

3) Insulin regular (Humulin R).

Which condition is a client at risk for who is prescribed a biguanide? 1) Anaphylaxis 2) Hepatotoxicity 3) Lactic acidosis 4) Pancreatitis

3) Lactic acidosis

Which symptom should the nurse associate with hypoglycemia? 1) Thirst 2) Increased urination 3) Moist skin 4) Nausea

3) Moist skin

The nurse is preparing to assess a client suspected of having benign prostatic hyperplasia. Which common finding should the nurse anticipate? 1) Dysuria 2) Hematuria 3) Nocturia 4) Polyuria

3) Nocturia

Which should the nurse include in the education for a client prescribed testosterone buccally? 1) Inflammation may occur in the mucosal tissue. 2) Fluctuations of libido and energy may occur. 3) Produces a continuous supply of testosterone in the blood. 4) The dosage can last for 2 weeks.

3) Produces a continuous supply of testosterone in the blood.

Which is a primary function of the islets of Langerhans? 1) Secretion of enzymes 2) Exocrine function 3) Secretion of glucagon 4) Absorption of insulin

3) Secretion of glucagon

Which finding is an adverse effect of 5-alpha reductase inhibitors? 1) Headache 2) Acne 3) Sexual dysfunction 4) Chest pain

3) Sexual dysfunction

Which is responsible for the secretion of androgen? 1) Follicle-stimulating hormone 2) Gonadotropin-releasing hormone 3) Testes 4) Pituitary gland

3) Testes

A client has diabetes insipidus and receives desmopressin (DDAVP). The nurse completes medication education and evaluates that learning has occurred when the client makes which statement? 1. "This medication is a potent vasodilator; my blood pressure can fall." 2. "This medication promotes diuresis in my body; my blood pressure can fall." 3. "This medication increases water reabsorption in my kidneys." 4. "This medication suppresses hormone secretion from my posterior pituitary gland."

3. "This medication increases water reabsorption in my kidneys."

The client receives glucocorticoid therapy. The nurse would prioritize assessment for which finding? 1. Hypothermia 2. Hypotension 3. Hypertension 4. Weight loss

3. Hypertension

Which should the nurse monitor a client for that has been on​ long-term steroid​ therapy? 1. Ulcerative colitis 2. Acute closed angle glaucoma 3. Muscle wasting 4. Weight loss

3. Muscle wasting

The client is very distraught that her 12-year-old son is of very short stature. What is the best plan by the nurse? 1. Bromocriptine​ (Cycloset) 2. Octreotide​ (Sandostatin) 3. Somatotropin ​(Accretropin) 4. Pegmisovant​ (Somavert)

3. Somatotropin ​(Accretropin)

Which should the nurse be most concerned about during the treatment of a client experiencing a thyroid​ storm? 1. The client requires a second dose of propylthiouracil 2. The client becomes hyperglycemic 3. The client begins to shiver 4. The client develops crackles in both lung bases

3. The client begins to shiver

The client receives treatment with radioactive iodine (Iodine-131) therapy. What will the best evaluation by the nurse reveal? 1. The client will only temporarily accomplish the euthyroid state. 2. The client could safely become pregnant while receiving this treatment. 3. The client will most likely require thyroid replacement therapy. 4. The client does not have to distance herself from others.

3. The client will most likely require thyroid replacement therapy.

The client has been diagnosed with Cushing's syndrome. What will the nurse's assessment likely reveal? 1. Low blood pressure and hypoglycemia 2. Well-healed scars on the upper body 3. Upper body obesity 4. Thin, gaunt appearance of the face

3. Upper body obesity

The primary goal of pharmacotherapy in hyperthyroidism (Graves' disease) is to 1. increase metabolism. 2. increase synthesis of corticosteroid. 3. lower the activity of the thyroid hormone. 4. increase the activity of the thyroid hormone.

3. lower the activity of the thyroid hormone.

Which information should the nurse include in the teaching of a client with type 1 diabetes mellitus that would like to participate in sports? 1) "Lower your dose of insulin." 2) "Eat a large meal after your game." 3) "Take an oral hypoglycemic agent on game days rather than insulin." 4) "Eat a meal 1 hour before the game and consume a carbohydrate snack and fluids during the game."

4) "Eat a meal 1 hour before the game and consume a carbohydrate snack and fluids during the game."

Which initial question should the nurse ask the client who is receiving chlorpropamide (Diabinese) and is experiencing nausea, flushing, and palpitations? 1) "Have you taken your medication as directed?" 2) "Did you eat or drink anything new this week?" 3) "Have you increased the amount of fiber in your diet?" 4) "Have you had any alcoholic beverages to drink this week?"

4) "Have you had any alcoholic beverages to drink this week?

Which comments made by a high school athlete should the nurse interpret as indicating an understanding of the risks of using anabolic steroids? SATA (2) 1) "The only legal way I can take these drugs is if I inject them myself." 2) "Once I stop taking these drugs, my body will return to normal." 3) "As long as my coach says these drugs are okay, they won't hurt me." 4) "I might become mentally dependent on these drugs." 5) "I should not take ibuprofen while taking these other drugs."

4) "I might become mentally dependent on these drugs." 5) "I should not take ibuprofen while taking these other drugs."

Which statement made by a client indicates an understanding of type 2 diabetes mellitus? 1) "My beta cells just cannot produce enough insulin for my cells." 2) "My peripheral cells have increased sensitivity to insulin." 3) "My cells have increased receptors sites, but there is not enough insulin." 4) "My cells are resistant to the insulin my pancreas makes."

4) "My cells are resistant to the insulin my pancreas makes."

Which response should the nurse provide a client that asks about dawn phenomenon? 1) "At night your body converts glycogen into glucose resulting in hyperglycemia." 2) "During the night your body releases hormones that elevate blood glucose." 3) "During the night your blood glucose levels decline and then rise again in the morning." 4) "Your body naturally produces cortisol and growth hormone between 4:00 and 8:00 am."

4) "Your body naturally produces cortisol and growth hormone between 4:00 and 8:00 am."

Which information should the nurse include in the education of a client when explaining type 1 diabetes mellitus? 1) "The exocrine function of the pancreas is not working." 2) "The target cells are resistant to insulin." 3) "Your alpha cells should be able to secrete insulin, but they cannot." 4) "Your pancreas cannot secrete insulin."

4) "Your pancreas cannot secrete insulin."

Which describes the goal of androgen therapy in men? 1) Increase the sperm count 2) Release follicle-stimulating hormone ) Increase luteinizing hormone 4) Increase the libido

4) Increase the libido

Which describes the primary function of luteinizing hormone (LH) in men? 1) Regulate sperm production 2) Regulate secondary sex characteristics 3) Regulate growth of male sex organs 4) Regulate testosterone

4) Regulate testosterone

Which does the nurse anticipate to be prescribed for the treatment of a client's erectile dysfunction (ED)? 1) Leuprolide (Lupron) 2) Finasteride (Proscar) 3) Tamsulosin (Flomax) 4) Sildenafil (Viagra)

4) Sildenafil (Viagra)

The client has hypothyroidism and is treated with levothyroxine (Synthroid). The nurse plans to do medication education. What will the best plan by the nurse include? 1. Monitor daily temperature 2. Assess for decreased appetite. 3. Assess weekly serum blood levels. 4. Assess for altered sleep patterns.

4. Assess for altered sleep patterns.

The nurse plans to administer intranasal desmopressin (DDAVP) to the client. What will the best plan by the nurse include? 1. Instruct the client to blow his nose following administration. 2. Be sure to have fresh water at the bedside. 3. Withhold other medications so absorption of desmopressin (DDAVP) will not be affected. 4. Direct the spray high into the nasal cavity.

4. Direct the spray high into the nasal cavity.

Which result from the diagnostic testing with cosyntropin​ (Cortrosyn) for adrenocortical insufficiency indicates secondary adrenocortical insufficiency has​ occurred? 1. The client experiences flushing following the injection. 2. The​ client's urine cortisol fails to rise following the injection. 3. The client has carpal spasms following injection. 4. The​ client's plasma level of cortisol rises following the injection.

4. The​ client's plasma level of cortisol rises following the injection.

The function of the thyroid gland is to 1. stimulate growth. 2. control pituitary gland secretion. 3. conserve water in the body. 4. control basal metabolism.

4. control basal metabolism.

Which is progestin primarily prescribed to​ treat? A. Dysfunctional uterine bleeding B. Menopause C. Breast cancer D. Amenorrhea

A. Dysfunctional uterine bleeding

Which client behavior should the nurse be most concerned about for the client prescribed an​ estrogen/progestin oral​ contraceptive? A. Smoking​ one-half pack of cigarettes per day B. Drinking two glasses of wine a day C. Multiple several sexual partners D. Pharmacological treatment for bipolar disorder

A. Smoking​ one-half pack of cigarettes per day

The nurse has provided education for a client prescribed the contraceptive Seasonale. Which statement made by the client indicates an understanding of the​ information? A. ​"After I have taken pills for 84​ days, I will not take pills for 7​ days." B. ​"I will change the patch each​ week." C. ​"After I have taken 21​ pills, I will not take pills for 7​ days." D. ​"I will remove the ring at the end of 3​ weeks."

A. ​"After I have taken pills for 84​ days, I will not take pills for 7​ days."

Which information should the nurse include in the education for a client prescribed flibanserin​ (Addyi) for the treatment of sexual desire​ disorder? A. ​"Do not drink alcohol while taking the​ medication." B. ​"This medication increases desire by increasing endogenous estrogen​ production." C. ​"You may experience insomnia while taking this​ prescription." D. ​"Abstain from dairy products while taking this​ medication."

A. ​"Do not drink alcohol while taking the​ medication."

The nurse is preparing to obtain a history from a client suspected of experiencing the early stage of menopause. Which statements made by the client support the​ condition? SATA (3) A. ​"I have experienced bouts of​ depression." B. ​"I have a great deal of trouble​ sleeping." C. ​"I have lost interest in having​ sex." D. ​"I have been experiencing​ headaches." E. ​"I have been leaking urine when I cough and​ sneeze."

A. ​"I have experienced bouts of​ depression." B. ​"I have a great deal of trouble​ sleeping." D. ​"I have been experiencing​ headaches."

A nurse is teaching a patient about the possible adverse effects of oral contraceptives. The nurse evaluates that the patient understands this teaching if which statement is​ made? SATA (4) A. ​"I may experience increased acne while on oral​ contraceptives." B. ​"If I experience chest​ pain, I will call the clinic​ immediately." C. ​"If I begin to lose more hair than is​ normal, my dose may need to be​ adjusted." D. ​"Any blurry vision or loss of vision should be reported​ immediately." E. ​"If I notice swelling in my​ feet, hands, or​ face, I will notify the​ clinic."

A. ​"I may experience increased acne while on oral​ contraceptives." B. ​"If I experience chest​ pain, I will call the clinic​ immediately." D. ​"Any blurry vision or loss of vision should be reported​ immediately." E. ​"If I notice swelling in my​ feet, hands, or​ face, I will notify the​ clinic."

Which information should the nurse provide a client that has stopped taking oral contraceptives so that she can become​ pregnant? SATA ( A. ​"It may take several months for ovulation to return to​ normal." B. ​"The incidence of miscarriage is slightly​ increased." C. ​"It may take several months for your menstrual periods to become​ regular." D. ​"The length of use can affect your​ fertility." E. ​"If you are not pregnant within a year your healthcare provider will refer you to an infertility​ specialist."

A. ​"It may take several months for ovulation to return to​ normal." C. ​"It may take several months for your menstrual periods to become​ regular."

Which information should the nurse include in the teaching for a client prescribed a progestin only oral​ contraceptive? SATA (3) A. ​"Progestin oral contraceptives have a higher failure​ rate." B. ​"Progestin oral contraceptives inhibit plantation of a fertilized​ egg." C. ​"Works primarily by producing a thick viscous mucus that discourages the sperms entrance to the​ uterus." D. ​"You have an increased risk of a​ thromboembolism." E. ​"You may notice your menstrual cycle will be more​ regular."

A. ​"Progestin oral contraceptives have a higher failure​ rate." B. ​"Progestin oral contraceptives inhibit plantation of a fertilized​ egg." C. ​"Works primarily by producing a thick viscous mucus that discourages the sperms entrance to the​ uterus."

A client calls the family planning clinic and​ states, "I had unprotected​ sex, and now I am afraid I will get​ pregnant." Which information about Plan B should the nurse provide to​ client? SATA (3) A. ​"You can purchase Plan B without a​ prescription." B. ​"You cannot purchase Plan B until you have been examined at the family planning​ clinic." C. ​"You may take two separate doses of Plan​ B." D. ​"If you are already​ pregnant, Plan B will end the​ pregnancy." E. ​"Plan B will prevent ovulation and​ implantation."

A. ​"You can purchase Plan B without a​ prescription." C. ​"You may take two separate doses of Plan​ B." E. ​"Plan B will prevent ovulation and​ implantation."

Which prescription information should the nurse provide the client prescribed​ Premarin? SATA (2) A. ​"You may notice a decrease in your libido while on this​ prescription." B. ​"You may experience depression while taking the​ prescription." C. ​"Do not become pregnant while on this​ prescription." D. ​"If you add the herbal black cohosh to this​ therapy, the results will be​ better." E. ​"This prescription will help prevent cardiovascular​ disease."

A. ​"You may notice a decrease in your libido while on this​ prescription." B. ​"You may experience depression while taking the​ prescription." C. ​"Do not become pregnant while on this​ prescription."

Which should the nurse instruct a client to report that has been prescribed methimazole (Tapazole)? SATA (3) A. Unexplained bruising B. Anxiety C. Decrease sense of taste D. Weight loss E. Intolerance to cold

A. Unexplained bruising C. Decrease sense of taste E. Intolerance to cold

Which should the nurse include in the plan of care for a client receiving​ Ortho-Novum experiencing vaginal​ bleeding? A. Tell the client to go to the emergency department for medical treatment. B. Ask the client if she is bleeding between cycles or if this is her regular period. C. Tell the client not to worry if the bleeding resembles her monthly flow. D. Ask the client if she has been having sexual intercourse recently.

B. Ask the client if she is bleeding between cycles or if this is her regular period.

Which should the nurse monitor the client for that is receiving hormone replacement therapy​ (HRT)? A. Colorectal cancer B. Thrombophlebitis C. Night sweats D. Fractures

B. Thrombophlebitis

When caring for a laboring​ client, which assessment finding indicates the oxytocin​ (Pitocin) infusion should be​ discontinued? A. Uterine contractions occur every 2 to 3 minutes and last 40 to 60 seconds. B. Uterine contractions that are continuous and sustained. C. The vaginal exam reveals that the client is entering transition. D. The client reports that the uterine contractions are strong in intensity.

B. Uterine contractions that are continuous and sustained.

Which statement made by an older female client prescribed medroxyprogesterone​ (Provera) should the nurse be most concerned​ about? A. ​"I have had periods of feeling very​ sad." B. ​"I have experienced moments of​ confusion." C. ​"I have gained a bit of​ weight." D. ​"I have been experiencing bouts of​ nausea."

B. ​"I have experienced moments of​ confusion."

The nurse has completed the education for a client prescribed clomiphene​ (Clomid). Which statement made by the client indicates an understanding of the​ information? A. ​"This medication stimulates​ gonadotropin-releasing hormone." B. ​"This medication stimulates LH​ (luteinizing hormone)." C. ​"This medication stimulates FSH​ (follicle-stimulating hormone)." D. ​"This medication increases my estrogen levels so I can​ ovulate."

B. ​"This medication stimulates LH​ (luteinizing hormone)."

A client calls the clinic and tells the nurse that she has missed taking several of her contraceptive pills during the current cycle. What is the best instruction for the nurse to give the​ client? A. ​"You might consider another form of birth control if you keep missing your​ pills." B. ​"You should use an alternative form of birth control for the rest of this​ cycle." C. ​"Please come into the clinic immediately to have a pregnancy test​ done." D. ​ "If you have missed fewer than three of your​ pills, you do not need to​ worry."

B. ​"You should use an alternative form of birth control for the rest of this​ cycle."

The nurse teaches a class for clients in their first trimester of pregnancy. The nurse evaluates that learning has occurred when the clients make which​ statements? SATA (2) A. "Ovulation occurs on approximately Day 21 of the ovarian​ cycle." B. "Ovulation is caused by a surge of luteinizing​ hormone." C. "Ovulation is caused by a surge of human chorionic​ gonadotropin." D. "Follicle-stimulating hormone causes ovarian follicles to​ develop." E. "The pituitary gland secretes​ gonadotropin-releasing hormone."

B. "Ovulation is caused by a surge of luteinizing​ hormone." D. "Follicle-stimulating hormone causes ovarian follicles to​ develop."

A client receiving​ Depo-Provera as a method of birth control asks the nurse how long the prescription will be effective. Which response should the nurse provide the​ client? A. 6 months B. 1 year C. 3 months D. 2 months

C. 3 months

Which is responsible for the secretion of​ progestins? A. Anterior pituitary B. Ovarian follicles C. Corpus luteum D. Hypothalamus

C. Corpus luteum

The nurse has provided education for a client prescribed a transdermal patch for contraception. Which statement made by the client indicates an understanding of the​ teaching? A. ​"I will change the patch every 4​ weeks." B. ​"I will change the patch every 7 days for the first 3​ weeks." C. ​"I will change the patch every 3 weeks and be patch free week​ 4." D. ​"I will change the patch every 7 days for the 4​ weeks."

C. ​"I will change the patch every 3 weeks and be patch free week​ 4."

A male client prescribed estrogen for prostate cancer asks the nurse why they are receiving a female hormone. Which response should the nurse​ provide? A. ​"It keeps the cancer cells from receiving​ nutrients." B. ​"It shrinks your cancer by causing the cells to die at a faster​ rate." C. ​"It suppresses secretion of the androgens that make your cancer​ grow." D. ​"It eliminates the testosterone that encourages the growth of the cancer​ cells"

C. ​"It suppresses secretion of the androgens that make your cancer​ grow."

The nurse has provided a postpartum client education about oxytocin​ (Pitocin). Which statement made by the client indicates an understanding of the​ information? A. ​"Oxytocin will stimulate milk​ production." B. ​"Oxytocin will increase the amount of milk I​ produce." C. ​"Oxytocin will increase my uterine​ contractions." D. ​"Oxytocin will promote fluid​ loss."

C. ​"Oxytocin will increase my uterine​ contractions."

A client asks the nurse for emergency contraception. Which question should the nurse ask the​ client? A. "What kind of birth control have you used in the​ past?" B. "Did you use a condom during​ intercourse?" C. "How long ago did you have unprotected​ sex?" D. "Where are you in your monthly​ cycle?"

C. "How long ago did you have unprotected​ sex?"

The nurse is preparing to provide education for a client prescribed an estrogen progestin combination oral contraceptive. Which information should the nurse include in the​ teaching? A. Inhibit the luteinizing hormone B. Suppress the follicle stimulating hormone C. Suppress the growth of the follicle D. Inhibit ovulation

D. Inhibit ovulation

Which is responsible for the secretion of​ estrogen? A. Corpus luteum B. Anterior pituitary C. Endometrium D. Ovarian follicles

D. Ovarian follicles

A client taking oral contraceptives tells the nurse she is experiencing nausea and breast tenderness and is afraid she might be pregnant. Which information should the nurse provide the​ client? A. Instruct the client to come to the clinic to evaluate their birth control prescription. B. Ask the client if she is premenstrual. C. Instruct the client to take an​ at-home pregnancy test. D. Reassure the client that these are symptoms can be a side effect of oral contraceptives.

D. Reassure the client that these are symptoms can be a side effect of oral contraceptives.

Which describes the action of​ oxytocics? A. Increase ovarian secretion B. Increase the level of luteinizing hormones C. Slow down uterine contractions D. Stimulate uterine contractions

D. Stimulate uterine contractions

Which education should the nurse include in the teaching for a client prescribed a​ NuvaRing? SATA (2) A. ​"This ring should be inserted into your​ uterus." B. ​"Once inserted, this ring will provide contraception for 6​ months." C. ​"You should expect to replace the ring every 3​ weeks." D. ​"Contraceptive protection is provided for 3​ weeks." E. ​"The ring uses estrogen and progestin to provide​ contraception."

D. ​"Contraceptive protection is provided for 3​ weeks." E. ​"The ring uses estrogen and progestin to provide​ contraception."

The educator has reviewed the action of the biphasic estrogen-progestin oral contraceptive with the nurse. Which statement made by the nurse indicates an understanding of the​ information? A. ​"The oral contraceptive delivers a constant dose of estrogen and progestin throughout the​ 21-day treatment​ cycle." B. ​"The amounts of both estrogen and progestin in each pill vary in 3 distinct phases during the treatment​ cycle." C. ​"The oral contraceptive contains estradiol​ valerate, a synthetic​ estrogen, and​ dienogest, a​ progestin." D. ​"The amount of estrogen in each pill remains​ constant, but the amount of progestin is increased toward the end of the treatment cycle to better nourish the uterine​ lining."

D. ​"The amount of estrogen in each pill remains​ constant, but the amount of progestin is increased toward the end of the treatment cycle to better nourish the uterine​ lining."

Which initial steps occurs in the process of the formation of the corpus​ luteum? A. ​Follicle-stimulating hormone​ (FSH) and luteinizing hormone​ (LH) are secreted B. A surge of luteinizing hormone​ (LH) occurs C. Ovarian follicles mature D. ​Gonadotropin-releasing hormone​ (GnRH) is secreted

D. ​Gonadotropin-releasing hormone​ (GnRH) is secreted

The nurse reviewing the records of a client notes that he does not have a history of benign prostatic hyperplasia but is receiving finasteride (Proscar). Which assessment question should the nurse ask the client? 1) "Do you have male pattern baldness?" 2) "Do you have erectile dysfunction?" 3) "Do you have a stomach ulcer?" 4) "Do you have high blood pressure?"

1) "Do you have male pattern baldness?"