The Reproductive and Genitourinary Systems Pharm

Medroxyprogesterone

Treats endometriosis

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 the gel." "Apply the gel to the gums above an upper incisor."

"Cover the area of application with clothing." "Wash your hands after applying the gel." "Do not shower for several hours after applying the gel."

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."

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

A client is prescribed finasteride to treat benign prostatic hypertrophy. When providing instructions about the finasteride, the nurse should include which of the following A Avoid high-fat foods. B Allow 6 to 12 months to see improvement. C Wear protective clothing and sunscreen. D Avoid activities that require alertness until drug effects are known.

Allow 6 to 12 months to see improvement.

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.

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

A nurse should question the use of ethinyl estradiol and drospirenone by a client who has renal disease due to the increased risk of which of the following? Hyperkalemia Hyponatremia Hypoglycemia Respiratory alkalosis

Hyperkalemia

The provider talks with the client about clomiphene therapy. Which of the following instructions should the provider include? A Take it once a day until they can confirm pregnancy. B Begin taking it on the first day and stop on the last day of menstruation. C Begin 5 days after menstruation begins and take it every day for next 5 days. D Take it once, 17 to 19 days after the onset of menstruation.

Begin 5 days after menstruation begins and take it every day for next 5 days.

Finasteride

Benign prostatic hypertrophy

A nurse is caring for a male client who has hyperthyroidism and is not responding to treatment. The nurse should identify that hyperthyroidism a contraindication for which of the following drugs? Sildenafil Bethanechol Tamsulosin Finasteride

Bethanechol

A nurse should question the use of conjugated equine estrogen by a client who has a history of which of the following? Osteoporosis Peptic ulcer disease Rheumatoid arthritis Blood clots

Blood clots

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.

Change positions slowly.

Combination oral contraceptives, such as ethinyl estradiol and drospirenone, should be used with caution in clients with which of the following disorders? A Diabetes B Hypothyroidism C Thrombocytopenia D Osteoporosis

Diabetes

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.) Diaphoresis Dilated pupils Dizziness Distended bladder Fever

Dilated pupils Dizziness Distended bladder Fever

A provider has prescribed a dinoprostone vaginal insert to promote cervical ripening in 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.) 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.

Encourage the client to urinate prior to insertion. Remove the pouch when active labor begins. Monitor for uterine hyperstimulation. Monitor the client's temperature.

Sildenafil

Erectile dysfunction

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 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

Erectile dysfunction for which he takes sildenafil

A nurse is caring for a client who received human menopausal gonadotropin (hMG). Which of the following findings should the nurse expect? Prolactin secretion Estrogen release Follicular maturation Oxytocin secretion

Follicular maturation

Dinoprostone

Induces uterine contractions

Testosterone

Male puberty induction

For which of the following clients should a health care provider question the use of sildenafil to treat erectile dysfunction. A client who is taking: A Oxybutynin chloride for urinary incontinence B Phenytoin for a seizure disorder C Thyroid for hypothyroid D Nitroglycerin as needed for chest pain

Nitroglycerin as needed for chest pain

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? Breast cancer Deep-vein thrombosis Ovarian hyperstimulation syndrome Restless leg syndrome

Ovarian hyperstimulation syndrome

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 Creatine phosphokinase (CPK) ALT

Prostate-specific antigen (PSA)

Human chorionic gonadotropin)

Stimulates ovulation

Terbutaline

Stops uterine contractions

Oxybutynin chloride

Urinary incontinence

The health care provider administers oxytocin for induction of labor. The health care provider should monitor which of the following in order to assess for an adverse reaction to oxytocin? (Select all that apply) A Urine output B Blood pressure C Level of consciousness D Duration of contractions E Fetal heart rate

Urine output Blood pressure Duration of contractions Fetal heart rate

After administering terbutaline to a client to inhibit preterm labor, the nurse should assess which of the following? Peripheral pulses Temperature Vision Heart rate

Heart rate

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.

Perform weight-bearing activities.

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

Prolactin level

Which of the following drugs should the nurse have available to reverse the adverse effects of terbutaline? A Naloxone B Neostigmine (Prostigmin) C Propranolol (Inderal) D Atropine

Propranolol (Inderal)

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. Prevents osteoporosis. Reduces the risk of breast cancer. Reduces the risk of thromboembolism

Reduces the risk of ovarian cancer Relieves hot flashes Prevents osteoporosis

Recognizing the adverse effects of terbutaline, the nurse should monitor the client for which of the following? A Hypoglycemia B Tachycardia C Hyperkalemia D Wheezing

Tachycardia

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

Vaginal dryness

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? 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.

Wear gloves when handling the tablet.

A client is prescribed testosterone to treat testicular failure. The nurse instructs the client to monitor and report which of the following? A Dizziness B Paresthesia C Weight gain D Shortness of breath

Weight gain

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? Drinks a glass of wine each night Smokes half a pack of cigarettes a day Runs marathons regularly Drives a school bus

Smokes half a pack of cigarettes a day

A client is given conjugated estrogen and medroxyprogesterone acetate to treat postmenopausal vasomotor symptoms. The health care provider instructs the client to monitor for which of the following, which may indicate a serious adverse effect of the conjugated estrogen and medroxyprogesterone acetate? A Ringing in ears B Insomnia C Swelling or pain in calf D Difficulty swallowing

Swelling or pain in calf

The provider should instruct the client to do which of the following? A Take half the usual dosage. B Continue the usual dosage. C Take a pregnancy test. D Double the previous dosage.

Take a pregnancy test.

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."

"Use additional birth control methods."

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.

Do not take the drug with high-fat foods.

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.

Take the missed dose as soon as possible.

For rapid relief of urinary obstruction due to prostatic enlargement, the health care provider should choose which of the following drugs? A Sildenafil B Tamsulosin C Finasteride D Oxybutynin

Tamsulosin

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 reaction? Hot flashes Urinary tract infection Vaginal bleeding Bone pain

Vaginal bleeding

One month later, the client tells the provider that she has developed some adverse effects. Which of the following effects does clomiphene cause? (Select all that apply.) A Blurred vision B Hot flashes C Breast engorgement D Muscle pain E Nausea

Blurred vision Hot flashes Breast engorgement Nausea

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.

Have blood pressure checked regularly.

A client is prescribed clomiphene for infertility. The health care provider instructs the client on clomiphene to monitor for which of the following? A Shortness of breath B Pelvic pain C Diarrhea D Fever

Pelvic pain