ATI Pharm Reproductive and Genitourinary Systems
A nurse is providing teaching to a client who is taking bethanechol for urinary retention. Which of the following instructions should the nurse include?
- Avoid driving and activities that require alertness - Increase fluid intake - Stay close to a bathroom after taking the drug
One month later, the client tells the provider that she has developed some adverse effects. Which of the following effects does clomiphene cause?
- Blurred vision - Hot flashes - Breast engorgement - Nausea
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?
- Dilated pupils - Dizziness - Distended bladder - Fever
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?
- Have the patient urinate prior to insertion - Remove the pouch when active labor begins - Monitor for uterine hyperstimulation - Monitor the patient's temperature
A client is prescribed finasteride to treat benign prostatic hypertrophy. When providing instructions about the finasteride, the nurse should include which of the following information?
Allow 6 to 12 months to see improvement
The provider talks with the client about clomiphene therapy. Which of the following instructions should the provider include?
Begin 5 days after menstruation begins and take it every day for the next 5 days.
Therapeutic use of Finasteride
Benign prostatic hypertrophy
A nurse should question the use of conjugated equine estrogen by client who has a history of which of the following?
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
Combination oral contraceptives, such as ethinyl estradiol and drospirenone, should be used with caution in clients with which of the following disorders?
Diabetes
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
Therapeutic use of Slidenafil
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?
Erectile dysfuntion for which he take sildenafil
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 teaching a client about conjugated estrogen and medroxyprogesterone. Which of the following instructions should the nurse include?
Have blood pressure checked regularly
After administration of Terbutaline to a client to inhibit preterm labor, the nurse should assess which of the following?
Heart rate
A nurse should question the use of ethinyl estradiol and drospirenone by a client who has renal disease due to the increased risk of thich of the following?
Hyperkalemia
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 apply the medication to a different site each time
Therapeutic use of Dinoprostone
Induces uterine contractions
Therapeutic use of 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:
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?
Ovarian hyperstimulation syndrome
A client is prescribed clomiphene infertility. The health care provider instructs the client on clomiphene to monitor for which of the following?
Pelvic pain
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?
Smokes half a pack of cigarettes a day
Therapeutic use of Human chorionic gondotropin
Stimulates ovulation
There is a pregnancy risk with teratogenic effects with Clomiphene. If there is any suspicion of pregnancy what should the client do?
Stop taking the drug immediately and take a pregnancy test
Therapeutic use of Terbutaline
Stops uterine contractions
A client is given conjugated estrogen and medroxprogesterone 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?
Swelling or pain in calf
Recognizing the adverse effects of terbutaline, the nurse should monitor the client for which of the following?
Tachycardia
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 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?
Tamsulosin
Therapeutic use of Medroxyprogesterone
Treats endometriosis
Therapeutic use of Oxybutynin chloride
Urinary Incontinence
The health care provider administers oxytocin for induction of labor. The health care provider should monitor which of the filling in order to assess for an adverse reaction to oxytocin?
- Urine output - Blood pressure - Duration of contractions - Fetal heart rate
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 ?
- 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 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 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?
Bethanechol
A nurse is providing teaching to a clent about using leuprolide to treat endometriosis. Which of the following instructions should the nurse include?
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?
Prolactin Level
Which of the following drugs should the nurse have available to reverse the adverse effect of terbutaline?
Propranolol (Inderal)
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 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?
Vaginal bleeding
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
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?
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?
Weigh gain
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)
