PHARM Reproductive and Genitourinary Systems

A nurse is caring for a client who has benign prostatic hypertrophy and is taking tamsulosin. The nurse should question the use of the drug if the client also has which of the following? A. A seizure disorder for which he takes carbamazepine B. Erectile dysfuntion for which he take sildenafil C. Diabetes mellitus for which he takes glyburide D. Angle-closure glaucoma for which he take pilocarpine

B. Erectile dysfuntion for which he take sildenafil

A nurse is assessing a client who has a new prescription for the combination oral contraceptive ethinyl estradiol and drospirenone. Which of the following findings should the nurse identify as a contraindication to use of this medication? A. Drinks a glass of wine each night B. Smokes half a pack of cigarettes a day C. Runs marathons regularly D. Drives a school bus

B. Smokes half a pack of cigarettes a day

A nurse is teaching a client about conjugated estrogen and medroxyprogesterone. Which of the following instructions should the nurse include? A. Monitor for rectal bleeding B. Avoid drinking alcoholic beverages C. Have blood pressure checked regularly D. sit up for 30min after taking the drug

C. Have blood pressure checked regularly

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? A. Take a pregnancy test B. Double up on pills for remainder of the pack C. Take the missed dose as soon as possible D. Stop the oral contraceptive and use a different contraceptive

C. Take the missed dose as soon as possible

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? A. Potassium B. Glucose C. BUN and creatinine D. Prolactin Level

D. Prolactin Level

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? A. Prostate-specific antigen (PSA) B. BUN C. Creatine Phosphkinase (CPK) D. ALT

A. Prostate-specific antigen (PSA)

A nurse should questions the use of conjugated equine estrogen by a client who has a history of which of the following? A. Osteoporosis B. Peptic ulcer disease C. Rheumatoid arthritis D. Blood Clots

D. Blood Clots

After administration of Terbutaline to a client to inhibit preterm labor, the nurse should assess which of the following? A. Peripheral pulses B. Temperature C. Vision D. Heart Rate

D. Heart Rate

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? A. Change positions slowly B. Crush the medication C. Take the medication on an empty stomach D. Report increased urinary output immediately

A. Change positions slowly

A nurse should question the use of thinyl estradiol and drospirenone by a client who has renal disease due to the increased risk of thich of the following? A. Hyperkalemia B. Hyponatremia C. Hypoglycemia D. Respiratory alkalosis

A. Hyperkalemia

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? A. Sildenafil B. Bethanechol C. Tamsulosin D. Finasteride

B. Bethanechol

A nurse is teaching a client who has a new prescription for transdermal testosterone gel to treat delayed pubertyWhich of the following instructions should the nurse include ? (Select all that apply .)

cover the area of application with clothing, wash your hands after applying the gel, don't shower for several hours after applying the gel

A nurse is providing teaching to a client about sildenafil to treat erectile dysfunction. which of the following instructions should the nurse include?

do not take the drug with high-fat foods

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) A. Avoid driving and activities that require alertness B. Increase fluid intake C. take the drug with food D. Stay close to a bathroom after taking the drug E. Increase weight-bearing activities

A. Avoid driving and activities that require alertness B. Increase fluid intake D. Stay close to a bathroom after taking the drug

A nurse is providing teaching to a clent about using leuprolide to treat endometriosis. Which of the following instructions should the nurse include? A. Perform weight-bearing activities B. Wear sunscreen or protective clothing C. Take the drug with food to increase absorption D. Avoid drinking grapefruit

A. Perform weight-bearing activities

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 indication of a serious adverse reaction? A. Hot flashses B. urinary tract infection C. Vaginal bleeding D. Bone pain

C. Vaginal bleeding

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? (Select all that apply) A. Diaphoresis B. Dilated pupils C. Dizziness D. Distended bladder E. Fever

B. Dilated pupils C. Dizziness D. Distended bladder E. Fever

A nurse is preparing to administer finasteride to a client who has benign prostatic hypertrophy (BPH). Which of the following precautions should the nurse plan to take when administering this drug? A. Refrain from crushing the tablet B. Withhold the medication if the client doesnt eat C. Wear gloves when handling the tablet D. Monitor heart rate prior to administration

C. Wear gloves when handling the tablet

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? A. I should have pancreatic function tests obtained while taking this drug B. I should have my white blood cell count checked annually C. I should take off the patch to shower D. I should apply the medication to a different site each time

D. I should apply the medication to a different site each time

a provider has prescribed a dinoprostone vaginal insert to promote cervical ripening to a client who is at 40 weeks of gestation. When administering dinoprostone, which of the following actions should the nurse take? (select all that apply)

Have the patient urinate prior to insertion,Remove the pouch when active labor begins,Monitor for uterine hyperstimulation,Monitor the patient's temperature

A nurse is caring for a client who is about to begin clomiphene therapy to treat infertility. The nurse should monitor the client for which of the following adverse effects?

Ovarian hyperstimulation syndrome

A nurse is caring for a client who received human menopausal gonadotropin (hMG) Which of the following findings should the nurse expect ?

follicular maturation

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?

reduces the risk of ovarian cancer, relieves hot flashes, prevents osteoporosis

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?

use additional birth control methods

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