NURS 3110 exam 3
Which assessment finding should the nurse recognize is an adverse CNS effect of mitotane (Lysodren)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Confusion B. Tinnitus C. Lethargy D. Increasing depression. E. Dizziness
A D E
Which information should the nurse include in the teaching for a client prescribed testosterone? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. "Place the patch on a place that does not have hair." B. "Avoid placing the patch on active areas like the thigh or arm." C. "The patch should be changed every 7 days." D. "Observe for a rash at the patch site." E. "Keep these patches away from children."
A D E
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. 2 months B. 3 months C. 6 months D. 1 year
B
Which information should the nurse include in the teaching for a client prescribed an alpha1-adrenergic blocker for the treatment of benign prostatic hyperplasia? A. Monitor your blood pressure on a weekly basis and report any B/P over 140/90 mmHg B. Call your healthcare provider if you are unable to take the prescription for 2 days C. Hold the prescription if you are experiencing dizziness D. Take the first dose of the medication in the morning with breakfast
B
Which is responsible for the secretion of androgen? A. Pituitary gland B. Testes C. Gonadotropin-releasing hormone D. Follicle-stimulating hormone
B
Which is the initial step of the negative feedback regulation that results in the suppression of secretion of TSH and TRH thyroid hormone? A. T3 and T4 are secreted. B. Hypothalamus secretes thyroid-releasing hormone (TRH). C. Blood levels of thyroid hormone rise. D. The anterior pituitary secretes thyroid-stimulating hormone (TSH).
B
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 take an at-home pregnancy test. B. Ask the client if she is premenstrual. C. Reassure the client that these are symptoms can be a side effect of oral contraceptives. D. Instruct the client to come to the clinic to evaluate their birth control prescription.
C
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 flashes B. Urinary tract infection C. Vaginal bleeding D. Bone pain
C
A nurse is caring for a client who has diabetes mellitus and reports feeling shaky and weak. The client's blood glucose is 53 mg/dL. Which of the following actions should the nurse take? A. Administer IV sodium bicarbonate. B. Provide subcutaneous insulin for the client. C. Offer the client 120 mL (4 oz) fruit juice. D. Give the client IV potassium.
C
The nurse is reviewing the records of a child being treated for a short stature. Which prescription should the nurse anticipate the child is receiving? A. Bromocriptine (Cycloset) B. Pegmisovant (Somavert) C. Octreotide (Sandostatin) D. Somatotropin (Accretropin)
C
A client asks the nurse for emergency contraception. Which question should the nurse ask the client? A. "Did you use a condom during intercourse?" B. "What kind of birth control have you used in the past?" C. "Where are you in your monthly cycle?" D. "How long ago did you have unprotected sex?"
D
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 eliminates the testosterone that encourages the growth of the cancer cells" C. "It shrinks your cancer by causing the cells to die at a faster rate." D. "It suppresses secretion of the androgens that make your cancer grow."
D
A nurse is assessing a client who has a new prescription for levothyroxine. The nurse should identify which of the following findings as a contraindication for this drug? A. Bacterial skin infections B. Diabetes insipidus C. Immunosuppression D. Recent myocardial infarction
D
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
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? A. "Increase the rifampin dose." B. "Increase the oral contraceptive dose." C. "Wait 2 hours between taking each drug." D. "Use additional birth control methods."
D
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 increases my estrogen levels so I can ovulate." C. "This medication stimulates FSH (follicle-stimulating hormone)." D. "This medication stimulates LH (luteinizing hormone)."
D
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 4 weeks." C. "I will change the patch every 7 days for the first 3 weeks." D. "I will change the patch every 3 weeks and be patch free week 4."
D
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? A. "The obstruction is around the glans penis." B. "The urethra is enlarged." C. "The ureteral openings are swollen." D. "The glands around the urethra are enlarged."
D
The nurse is preparing to assess a client suspected of having benign prostatic hyperplasia. Which common finding should the nurse anticipate? A. Hematuria B. Nocturia C. Polyuria D. Dysuria
B
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? A. "Do you have high blood pressure?" B. "Do you have male pattern baldness?" C. "Do you have a stomach ulcer?" D. "Do you have erectile dysfunction?"
B
When considering replacement therapy options for a client who has chronic adrenocortical insufficiency, a nurse should recognize that the provider will choose which of the following drugs? A. Somatropin B. Hydrocortisone C. Glucagon D. Desmopressin
B
Which finding is an adverse effect of 5-alpha reductase inhibitors? A. Acne B. Sexual dysfunction C. Headache D. Chest pain
B
Which information should the nurse include in education for a client prescribed methimazole (Tapazole)? A. "You may experience a weight loss while taking this prescription." B. "Occasionally you may feel your heart beating fast." C. "Call the clinic if you are having trouble sleeping." D. "It is important for you to schedule periodic liver function tests."
B
Which question should the nurse ask the client that is requesting a refill of prescribed tadalafil (Cialis)? A. "Do you have diabetes mellitus?" B. "Do you use nitroglycerine?" C. "Do you have any sexually transmitted diseases?" D. "Do you take blood pressure medication?"
B
Which describes the goal of androgen therapy in men? A. Increase the libido B. Release follicle-stimulating hormone C. Increase the sperm count D. Increase luteinizing hormone
A
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? A. Hyperkalemia B. Hyponatremia C. Hypoglycemia D. Respiratory alkalosis
A
Which should the recognize as adverse effects from the use of sildenafil (Viagra)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Nasal congestion B. Nausea C. Blurry vision D. Priapism E. Photophobia
A C D E
Which system disorders are associated with erectile dysfunction (ED)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Cardiovascular B. Integumentary C. Endocrine D. Nervous E. Renal
A C D E
Which is responsible for the secretion of estrogen? A. Endometrium B. Anterior pituitary C. Ovarian follicles D. Corpus luteum
C
A nurse is teaching a client about self-administering regular insulin. The nurse should instruct the client to rotate injection sites to prevent which of the following? A. Rapid absorption B. Intradermal injection C. Injection pain D. Lipohypertrophy
D
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
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
A nurse should recognize that a provider will prescribe a lower dose of sitagliptin for a client who has type 2 diabetes mellitus and who also has which of the following? A. Thyroid disease B. Bronchitis C. Heart failure D. Renal impairment
D
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
A nurse administers pramlintide at 0800 to a client who has type 1 diabetes mellitus. At which of the following times should the nurse expect the drug to exert its peak action? A. 0820 B. 0900 C. 1030 D. 1100
A
A nurse at a provider's office is assessing a client who has been taking hydrocortisone for adrenal insufficiency. The client reports fatigue and feeling overwhelmed by personal responsibilities. Which of the following findings should the nurse identify as an indication the provider might need to increase the client's dosage? A. Hypotension B. Hyperglycemia C. Weight gain D. Fat redistribution
A
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 phosphokinase (CPK) D. ALT
A
A nurse is caring for a client who is taking metformin to treat type 2 diabetes mellitus and reports muscle pain. Which of the following adverse reactions should the nurse suspect? A. Lactic acidosis B. Anticholinergic effects C. Extrapyramidal effects D. Hypophosphatemia
A
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 should use an alternative form of birth control for the rest of this cycle." B. "Please come into the clinic immediately to have a pregnancy test done." C. "If you have missed fewer than three of your pills, you do not need to worry." D. "You might consider another form of birth control if you keep missing your pills."
A
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? A. "Can we talk about your concerns?" B. "Are you aware that these changes are only temporary?" C. "Can you tell me specifically what changes you are talking about?" D. "Would you like to speak with your healthcare provider?"
A
A nurse is educating the parents of a child who has a new diagnosis of Prader-Willi Syndrome (PWS) and has been prescribed somatropin. Which of the following statements by a parent indicates understanding of the teaching? A. "We will use a different spot for injection each time we give the medication." B. "We'll give the shot in the thigh muscle rather than fatty tissue to decrease injection pain." C. "We'll watch our child for signs of low blood sugar while using somatropin." D. "We should stop the medication if our child loses weight."
A
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
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 juice.
A
A nurse is teaching a client about acarbose therapy to treat type 2 diabetes mellitus. Which of the following instructions should the nurse include? A. Eat more iron-rich foods. B. Avoid drinking grapefruit juice. C. Increase fiber intake. D. Avoid drinking green tea
A
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
A
A nurse is teaching a client who has a prescription for glipizide therapy to treat type 2 diabetes mellitus. Which of the following instructions should the nurse include? A. Avoid drinking alcohol. B. Sit or stand for 30 min after taking the drug. C. Urinate every 4 hr. D. Take the drug 2 hr after a meal.
A
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 ovulation B. Suppress the growth of the follicle C. Suppress the follicle stimulating hormone D. Inhibit the luteinizing hormone
A
Which describes the primary goal of pharmacotherapy for the treatment of hyperthyroidism (Graves' disease)? A. Lower the activity of the thyroid gland B. Decrease the metabolic processes C. Prevent a thyroid storm from occurring D. Increase synthesis of thyroid hormones
A
Which does the nurse anticipate to be prescribed for the treatment of a client's erectile dysfunction (ED)? A. Sildenafil (Viagra) B. Tamsulosin (Flomax) C. Leuprolide (Lupron) D. Finasteride (Proscar)
A
Which finding indicates that endocrine pharmacotherapy has been successful in treating a male client? A. Patient's sperm count is 22 million/mL. B. Patient's ejaculate volume is 2 mL. C. Patient reports reduced difficulty in achieving and maintaining an erection. D. Patient reports pleasure with intercourse.
A
Which food selection should the client with hyperthyroidism be instructed to avoid? A. Soy sauce B. High-calorie foods C. Dairy products D. Caffeine-free soda
A
Which information should the nurse include in the education for a client prescribed sildenafil (Viagra)? A. Be sure to take only one pill in a 24-hour period. B. Sildenafil (Viagra) should be taken with food. C. Grapefruit juice can decrease the effects of sildenafil (Viagra). D. You can take sildenafil (Viagra) anywhere from 1 to 6 hours before sex.
A
Which information should the nurse include in the teaching for a client prescribed doxazosin (Cardura)? A. Do not drive for 12-24 hours after starting this medication. B. Take your first dose as soon as you get your prescription. C. Increase fluids with this medication. D. You may experience sweating and a headache while taking this medication.
A
Which is responsible for the secretion of progestins? A. Corpus luteum B. Hypothalamus C. Anterior pituitary D. Ovarian follicles
A
Which is the mechanism of action for finasteride (Proscar)? A. Promotes the shrinkage of an enlarged prostate gland B. Increases the testosterone level C. Stimulates RNA synthesis D. Relaxes smooth muscle in the penis
A
Which outcome should the nurse anticipate for the client receiving treatment with radioactive iodine (Iodine-131) therapy? A. The client will most likely require thyroid replacement therapy. B. The client should avoid contact with others until the treatment is over. C. The client should limit fluid intake during the treatment. D. The client will only temporarily accomplish the euthyroid state.
A
Which prescription is most appropriate for a client with benign prostatic hyperplasia (BPH) and hypertension? A. Terazosin (Hytrin) B. Tamsulosin (Flomax) C. Sildenafil (Viagra) D. Finasteride (Proscar)
A
Which response should the nurse provide a client that asks why infertility drugs are not being developed for men? A. "It's difficult because only about 5% of infertile men have an endocrine problem." B. "It's difficult because many men do not want to even admit they have a problem." C. "It's difficult because about 25% of infertile men also have erectile dysfunction." D. "It's difficult because the medications have many side effects that men do not like."
A
Which statement made by an older female client prescribed medroxyprogesterone (Provera) should the nurse be most concerned about? A. "I have experienced moments of confusion." B. "I have been experiencing bouts of nausea." C. "I have had periods of feeling very sad." D. "I have gained a bit of weight."
A
Which information should the nurse include in the teaching for the client prescribed long-term corticosteroid therapy? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Avoid carbonated beverages B. Participate in regular weight-bearing exercises C. Avoid taking calcium supplements D. Take your prescription with food or milk E. Avoid caffeine in the diet
A B
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? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. "Use a condom during intercourse." B. "Keep this medication in a secure place away from children." C. "Do not give blood while you are taking this medication." D. "Do not do heavy exercise while taking this medication." E. "Reduce your sodium intake while taking this drug."
A B C
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.) A. Reduces the risk of ovarian cancer B. Relieves hot flashes C. Prevents osteoporosis D. Reduces the risk of breast cancer E. Reduces the risk of thromboembolism
A B C
A nurse is providing teaching to a client about taking fludrocortisone to treat adrenocortical insufficiency. Which of the following instructions should the nurse include? (select all that apply) A. Obtain weight measurement daily. B. Report weakness or palpitations. C. Have blood pressure checked regularly. D. Eat more iron-rich foods. E. Avoid drinking grapefruit juice.
A B C
A nurse is providing teaching to a client who is about to begin exenatide therapy to treat type 2 diabetes mellitus. Which of the following instructions should the nurse include? (select all that apply) A. Inject the drug subcutaneously. B. Expect the peak effect in 2 hr. C. Use the drug as a supplement to an oral hypoglycemic. D. Inject the drug 1 hr after a meal. E. Discard used pens 10 days after the first use.
A B C
Which information should the nurse include in the teaching for a client prescribed a progestin only oral contraceptive? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 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 B C
Which prescription information should the nurse provide the client prescribed Premarin? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 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 B C
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) A. Encourage the client to urinate prior to 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 client's temperature.
A B C E
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? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. "These medications are not a cure." B. "Taking an antihistamine might make my problem worse." C. "Avoiding caffeine intake may reduce my symptoms." D. "Surgery is the best treatment for this condition." E. "I should avoid drinking fluids in the late evening."
A B C E
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 B D
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? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 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 B D
Which physical assessment findings support a diagnosis of hypogonadism in an 18-year-old male? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Facial hair is minimal, soft, and light in color B. Absent pubic hair C. Decreased subcutaneous fat. D. Small testicles. E. Pale skin
A B D
A nurse is caring for a client who is about to begin taking propylthiouracil (PTU) to treat hyperthyroidism. The nurse should instruct the client to report which of the following adverse effects? (select all that apply) A. Sore throat B. Joint pain C. Insomnia D. Bradycardia E. Rash
A B D E
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? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 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 B D E
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? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. "The hypothalamus secretes releasing hormones." B. "Hormones released by the endocrine system influence every organ in the body." C. "The hypothalamus is considered the master gland." D. "The pituitary gland secretes TSH (thyroid-stimulating hormone)." E. "The endocrine system is a major controller of homeostasis."
A B D E
Which information should the nurse include in the education for a client has been prescribed levothyroxine (Levothroid)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. "It may take a few weeks for you to see the full benefits from this drug." B. "Be sure to keep all of your follow-up appointments." C. "Take this medication at whatever time you eat your evening meal." D. "Do not start a fiber laxative without first discussing it with your health care team." E. "Take your calcium supplement at least 4 hours after taking this drug."
A B D E
Which information should the nurse include in the education about anabolic steroids for a group of high school athletes? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. The use of anabolic steroids can lead to infertility. B. The entire body is affected by anabolic steroids, especially your liver. C. The use of anabolic steroids is the most effective way to increase muscle mass. D. The use of anabolic steroids should be monitored by your doctor. E. The use of anabolic steroids can lead to very aggressive behavior.
A B E
Which information should the nurse provide a client that has stopped taking oral contraceptives so that she can become pregnant? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 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 C
Which history of clinical conditions should the nurse inquire about from a client with azoospermia? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Sexually transmitted infections B. Erectile dysfunction C. Mumps D. Tuberculosis E. Atherosclerosis
A C D
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? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 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 C E
Which should the nurse instruct a client to report that has been prescribed methimazole (Tapazole)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Unexplained bruising B. Anxiety C. Decrease sense of taste D. Weight loss E. Intolerance to cold
A C E
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? A. Placement of a nasogastric tube. B. Administration of intravenous hydrocortisone. C. Administration of intravenous diuretic. D. Immediate endotracheal intubation.
B
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
A nurse is assessing a client who has hypoglycemia. Which of the following findings should the nurse expect? A. Polyuria B. Diaphoresis C. Ketones in urine D. Fruity breath odor
B
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 dysfunction for which he takes sildenafil C. Diabetes mellitus for which he takes glyburide D. Angle-closure glaucoma for which he takes pilocarpine
B
A nurse is caring for a client who is taking desmopressin. The nurse should make which of the following assessments to evaluate the drug's effectiveness? A. Peripheral pulses B. Urine output C. Skin integrity D. Blood glucose
B
A nurse is caring for a client who is taking propylthiouracil (PTU) and reports weight gain, drowsiness, and depression. The nurse should identify that the client is experiencing which of the following adverse reactions to the drug? A. Thyrotoxicosis B. Hypothyroidism C. Lactic acidosis D. Radiation sickness
B
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
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.
B
A nurse is speaking with a client who is taking glipizide to treat type 2 diabetes mellitus and has called to report feeling shaky, hungry, and fatigued. Which of the following actions should the nurse instruct the client to take? A. Drink 16 oz of water. B. Perform a fingerstick blood glucose check. C. Take another glipizide tablet. D. Lie down and rest.
B
A nurse is teaching a client who has a prescription for pramlintide therapy to treat type 1 diabetes mellitus. Which of the following instructions should the nurse include? A. Mix pramlintide with insulin in the syringe. B. Administer pramlintide before meals. C. Take pramlintide once daily at bedtime. D. Inject pramlintide into the upper arm.
B
The nurse has provided education for a client prescribed glucocorticoid therapy. Which statement made by the client indicates further teaching is required? A. "I will eat a diet that is high in protein." B. "I can take the medication at any time as long as I don't forget it." C. "I should take my medication after I have eaten." D. "I will monitor my blood sugar on a regular basis."
B
Which result from the diagnostic testing with cosyntropin (Cortrosyn) for adrenocortical insufficiency indicates secondary adrenocortical insufficiency has occurred? A. The client experiences flushing following the injection. B. The client's plasma level of cortisol rises following the injection. C. The client's urine cortisol fails to rise following the injection. D. The client has carpal spasms following injection.
B
Which should the nurse include in the education for a client prescribed testosterone buccally? A. The dosage can last for 2 weeks B. Produces a continuous supply of testosterone in the blood C. Inflammation may occur in the mucosal tissue D. Fluctuations of libido and energy may occur
B
Which should the nurse include in the plan of care when administering intranasal desmopressin (DDAVP) to a client? A. Withhold other prescriptions when administering desmopressin (DDAVP) to ensure absorption. B. Direct the spray high into the nasal cavity. C. Be sure to have fresh water at the bedside. D. Instruct the client to blow his nose following administration.
B
Which should the nurse monitor the client for that is receiving hormone replacement therapy (HRT)? A. Night sweats B. Thrombophlebitis C. Fractures D. Colorectal cancer
B
A nurse is caring for a client who is about to begin taking pioglitazone to treat type 2 diabetes mellitus. The nurse should explain to the client about the need to monitor which of the following laboratory values? (select all that apply) A. Thyroid-stimulating hormone (TSH) B. Alanine aminotransferase (ALT) C. LDL D. CBC E. Creatinine clearance
B C
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.) A. "Apply the 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 an upper incisor."
B C D
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 C D E
A nurse is reinforcing dietary teaching to a client who has type 2 diabetes mellitus. Which of the following instructions should the nurse include? Select all that apply. A. "Use hydrogenated oils for cooking." B. "Eat something if you choose to drink alcohol." C. "Use the same portion sizes to exchange carbohydrates." D. "Carbohydrates should comprise 55% of daily caloric intake." E. "You can add table sugar to cereals."
B C D E
Which statement made by a client indicates an understanding of the education for corticosteroid therapy? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. "If I cannot take my medicine for more than 2 days, I will contact my healthcare provider." B. "I will take my medication at the same time every day." C. "I will take my medication with food or a meal." D. "I will avoid dairy products while taking this medication." E. "If I notice my vision is changing, I will contact my health care provider."
B C E
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? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 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 D
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? A. Breast cancer B. Deep-vein thrombosis C. Ovarian hyperstimulation syndrome D. Restless leg syndrome
C
A nurse is caring for a client who is about to begin insulin glargine therapy. The nurse should identify the need for additional precautions because the client also takes which of the following types of drugs? A. Oral contraceptives B. Calcium supplements C. Beta blockers D. Iron supplements
C
A nurse is caring for a client who is taking metformin and is scheduled to undergo angiography using iodine-containing contrast dye. The nurse should identify that an interaction between metformin and the IV contrast dye increases the client's risk for which of the following conditions? A. Hypokalemia B. Hyperglycemia C. Acute renal failure D. Acute pancreatitis
C
A nurse is caring for a client who is taking pioglitazone to treat type 2 diabetes mellitus. The nurse should monitor for which of the following findings? A. Joint pain B. Constipation C. Weight gain D. Dilated pupils
C
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
A nurse 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
C
A nurse is caring for a client who takes repaglinide 15 to 30 min before each meal to treat type 2 diabetes mellitus. The client asks, "If I skip a meal, what should I do?" Which of the following responses should the nurse make? A. Double the dose before the next meal. B. Take half the dose. C. Skip the dose. D. Take the usual dose.
C
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. Administer medication while client is sitting or reclining. B. Withhold the medication if the client doesn't eat. C. Wear gloves when handling the tablet. D. Monitor heart rate prior to administration.
C
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 30 min after taking the drug.
C
A nurse is teaching a group of clients who have diabetes about meal planning. Which of the following client statements indicates understanding? A. "I will not eat more than 2,800 mg of sodium a day." B. "I will avoid having snacks." C. "I will not eat fruit canned in syrup." D. "I should not eat anything containing sugar."
C
For which condition does vasopressin (Vasostrict) treat? A. Diabetes mellitus. B. Dehydration. C. Diabetes insipidus. D. Electrolyte imbalances.
C
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 increase the amount of milk I produce." B. "Oxytocin will promote fluid loss." C. "Oxytocin will increase my uterine contractions." D. "Oxytocin will stimulate milk production."
C
The nurse has provided education for a client prescribed desmopressin (DDAVP). Which statement made by the client indicates an understanding of the information? A. "This medication is a potent vasodilator." B. "This medication suppresses hormone secretion from my posterior pituitary gland." C. "This medication increases water reabsorption in my kidneys." D. "This medication promotes diuresis in my body."
C
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? A. "Ovarian cancer." B. "Cervical cancer." C. "Breast cancer." D. "Uterine cancer."
C
Which describes the action of oxytocics? A. Slow down uterine contractions B. Increase the level of luteinizing hormones C. Stimulate uterine contractions D. Increase ovarian secretion
C
Which describes the function of the thyroid gland? A. Conserve water in the body B. Stimulate growth C. Control basal metabolism D. Control pituitary gland secretion
C
Which describes the primary function of luteinizing hormone (LH) in men? A. Regulate growth of male sex organs. B. Regulate sperm production. C. Regulate testosterone. D. Regulate secondary sex characteristics.
C
Which electrolyte disturbance should the nurse assess a client for that is receiving hydrocortisone therapy? A. Hypoglycemia and hyponatremia B. Hypernatremia and hyperkalemia C. Hypernatremia and hyperglycemia D. Hypercalcemia and hyperkalemia
C
Which finding should the nurse be most concerned about for a client with hypothyroidism? A. Dry skin B. Generalized weakness C. Weight gain D. Muscle cramps
C
Which information should the nurse include in the education for a client prescribed finasteride (Proscar)? A. "Side effects of the prescription occur within 1 week of starting treatment." B. "This drug has only very minor side effects." C. "Pregnant women should not touch this medication." D. "Swallow medication whole with a full glass of water."
C
Which is progestin primarily prescribed to treat? A. Breast cancer B. Menopause C. Dysfunctional uterine bleeding D. Amenorrhea
C
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? A. Administer large doses for acute conditions then discontinue the prescription B. Administer oral doses of the prescription whenever possible C. Administer steroids every other day D. Administer small doses over a period of several weeks
C
Which should the nurse be most concerned about during the treatment of a client experiencing a thyroid storm? A. The client requires a second dose of propylthiouracil B. The client becomes hyperglycemic C. The client begins to shiver D. The client develops crackles in both lung bases
C
Which should the nurse include in the plan of care for a client receiving Ortho-Novum experiencing vaginal bleeding? A. Ask the client if she has been having sexual intercourse recently. B. Tell the client not to worry if the bleeding resembles her monthly flow. C. Ask the client if she is bleeding between cycles or if this is her regular period. D. Tell the client to go to the emergency department for medical treatment.
C
Which should the nurse monitor a client for that has been on long-term steroid therapy? A. Acute closed angle glaucoma B. Ulcerative colitis C. Muscle wasting D. Weight loss
C
Which statement made by a client indicates an understanding of the role of follicle-stimulating hormone (FSH) and the male reproductive system? A. "Follicle-stimulating hormone (FSH) regulates production of testosterone." B. "Follicle-stimulating hormone (FSH) regulates male androgen production." C. "Follicle-stimulating hormone (FSH) regulates sperm production." D. "Follicle-stimulating hormone (FSH) regulates male progesterone."
C
Which symptom should the nurse monitor the client for that is diagnosed with diabetes insipidus? A. Hyponatremia B. Fluid retention C. Increased dilute urine output D. Hyperglycemia
C
nurse is providing teaching to a client who is about to begin levothyroxine therapy to treat hypothyroidism. Which of the following instructions should the nurse include? A. Take levothyroxine with food to increase absorption. B. Take levothyroxine with an antacid to reduce gastrointestinal effects. C. Expect life-long therapy with the drug. D. Carry a carbohydrate snack at all times.
C
A nurse is caring for a client who is about to begin taking somatropin. The nurse should explain the need to monitor which of the following laboratory values? (select all that apply) A. Blood amylase B. Creatinine clearance C. Urine calcium D. Blood glucose E. CBC
C D
A nurse is taking with a client who has a new diagnosis of diabetes mellitus type 2 and their caregiver. Which of the following sweeteners should the nurse include as a zero-calorie sweetener option? Select all that apply. A. Mannitol B. Xylitol C. Sucralose D. Aspartame E. Sucrose
C D
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 oral contraceptive contains estradiol valerate, a synthetic estrogen, and dienogest, a progestin." C. "The amounts of both estrogen and progestin in each pill vary in 3 distinct phases during the treatment cycle." 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 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 21 pills, I will not take pills for 7 days." B. "I will remove the ring at the end of 3 weeks." C. "I will change the patch each week." D. "After I have taken pills for 84 days, I will not take pills for 7 days."
D
The nurse is preparing to educate a client prescribed levothyroxine (Synthroid). Which information should the nurse include in the teaching? A. Assess for decreased appetite. B. Monitor daily temperature C. Assess weekly serum blood levels. D. Assess for altered sleep patterns.
D
When caring for a laboring client, which assessment finding indicates the oxytocin (Pitocin) infusion should be discontinued? A. The vaginal exam reveals that the client is entering transition. B. The client reports that the uterine contractions are strong in intensity. C. Uterine contractions occur every 2 to 3 minutes and last 40 to 60 seconds. D. Uterine contractions that are continuous and sustained.
D
Which assessment findings should the nurse anticipate for the client with Cushing's syndrome? A. Hypotension B. Thin, gaunt appearance of the face C. Tachycardia D. Upper body obesity
D
Which client behavior should the nurse be most concerned about for the client prescribed an estrogen/progestin oral contraceptive? A. Drinking two glasses of wine a day B. Multiple several sexual partners C. Pharmacological treatment for bipolar disorder D. Smoking one-half pack of cigarettes per day
D
Which finding is a sign or symptom of hypothyroidism? A. Weight loss B. Tachycardia C. Anxiety D. Bradycardia
D
Which information should the nurse include in the education for a client prescribed flibanserin (Addyi) for the treatment of sexual desire disorder? A. "You may experience insomnia while taking this prescription." B. "Abstain from dairy products while taking this medication." C. "This medication increases desire by increasing endogenous estrogen production." D. "Do not drink alcohol while taking the medication."
D
Which initial steps occurs in the process of the formation of the corpus luteum? A. Ovarian follicles mature B. Follicle-stimulating hormone (FSH) and luteinizing hormone (LH) are secreted C. A surge of luteinizing hormone (LH) occurs D. Gonadotropin-releasing hormone (GnRH) is secreted
D
Which of the following drugs should a nurse have available for a client who is experiencing insulin toxicity? A. Naloxone B. Diphenhydramine C. Acetylcysteine D. Glucagon
D
Which should the nurse monitor the client for that is receiving glucocorticoid therapy? A. Weight loss B. Hypotension C. Hypothermia D. Hypertension
D
Which comments made by a high school athlete should the nurse interpret as indicating an understanding of the risks of using anabolic steroids? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. "The only legal way I can take these drugs is if I inject them myself." B. "Once I stop taking these drugs, my body will return to normal." C. "As long as my coach says these drugs are okay, they won't hurt me." D. "I might become mentally dependent on these drugs." E. "I should not take ibuprofen while taking these other drugs."
D E
Which education should the nurse include in the teaching for a client prescribed a NuvaRing? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 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 E
