NURS 3110 Exam 3

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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 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 .) "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."

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."

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

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 nurse is teaching a group of clients who have diabetes about meal planning. Which of the following client statements indicates understanding? "I will avoid having snacks." "I will not eat fruit canned in syrup." "I will not eat more than 2,800 mg of sodium a day." "I should not eat anything containing sugar."

"I will not eat fruit canned in syrup."

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. 4 answers 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."

"It may take a few weeks for you to see the full benefits from this​ drug." ​"Be sure to keep all of your​ follow-up appointments." ​"Do not start a fiber laxative without first discussing it with your health care​ team." ​"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? ​Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 4answers 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."

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

The nurse has provided client education about type 2 diabetes mellitus. Which statements made by the client indicate additional teaching is​ needed? ​Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. ​"The prescriptions that I will be on will help me lose​ weight." B. ​"I can take an oral prescription and will never have to inject​ myself." C. ​"I can increase my​ body's ability to use the insulin by exercising​ regularly." D. ​"I have several lifestyle changes to​ make." E. ​"I am not at risk for kidney disease like type 1​ diabetics."

"The prescriptions that I will be on will help me lose​ weight." ​"I can take an oral prescription and will never have to inject​ myself." ​"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? ​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."

"These medications are not a​ cure." ​"Taking an antihistamine might make my problem​ worse." ​"Avoiding caffeine intake may reduce my​ symptoms." ​"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? ​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."

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

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? "We will use a different spot for injection each time we give the medication." "We'll give the shot in the thigh muscle rather than fatty tissue to decrease injection pain." "We'll watch our child for signs of low blood sugar while using somatropin." "We should stop the medication if our child loses weight."

"We will use a different spot for injection each time we give the medication."

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. "You can add table sugar to cereals." "Use hydrogenated oils for cooking." "Use the same portion sizes to exchange carbohydrates." "Carbohydrates should comprise 55% of daily caloric intake." "Eat something if you choose to drink alcohol."

"You can add table sugar to cereals." "Use the same portion sizes to exchange carbohydrates." "Carbohydrates should comprise 55% of daily caloric intake." "Eat something if you choose to drink alcohol."

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? 0820 0900 1030 1100

0820

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. 2 months D. 3 months

3 months

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

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? Hypokalemia Hyperglycemia Acute renal failure Acute pancreatitis

Acute renal failure

The nurse finds a client with diabetes mellitus type 1 unresponsive. Which is the priority nursing​ action? A. Assess the vital signs B. Call the rapid response team C. Administer oxygen D. Administer glucagon

Administer glucagon

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? Mix pramlintide with insulin in the syringe. Administer pramlintide before meals. Take pramlintide once daily at bedtime. Inject pramlintide into the upper arm.

Administer pramlintide before meals.

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 small doses over a period of several weeks D. Administer steroids every other day

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? A. Administration of intravenous hydrocortisone. B. Placement of a nasogastric tube. C. Immediate endotracheal intubation. D. Administration of intravenous diuretic.

Administration of intravenous hydrocortisone.

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) Thyroid-stimulating hormone (TSH) Alanine aminotransferase (ALT) LDL CBC Creatinine clearance

Alanine aminotransferase (ALT) LDL

Which information should the nurse include when teaching a client about proper subcutaneous injection​ techniques? A. Massage the site after injection B. Rotate sites monthly C. Inject the area using a 60° angle D. Apply a pad to the site after injections

Apply a pad to the site after injections

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

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

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. Mannitol Aspartame Sucrose Sucralose Xylitol

Aspartame Sucralose

The nurse is preparing to educate a client prescribed levothyroxine​ (Synthroid). Which information should the nurse include in the​ teaching? A. Assess weekly serum blood levels. B. Monitor daily temperature C. Assess for decreased appetite. D. Assess for altered sleep patterns.

Assess for altered sleep patterns.

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

Avoid carbonated beverages Participate in regular​ weight-bearing exercises

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? Avoid drinking alcohol. Sit or stand for 30 min after taking the drug. Urinate every 4 hr. Take the drug 2 hr after a meal.

Avoid drinking alcohol.

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.

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

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

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? Oral contraceptives Calcium supplements Beta blockers Iron supplements

Beta blockers

Which assessment findings should the nurse anticipate for the client with​ Cushing's syndrome? A. ​Thin, gaunt appearance of the face B. Hypotension C. Upper body obesity D. Tachycardia

Upper body obesity

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? Sildenafil Bethanechol Tamsulosin Finasteride

Bethanechol

A nurse should questions 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

Which finding is a sign or symptom of​ hypothyroidism? A. Bradycardia B. Anxiety C. Weight loss D. Tachycardia

Bradycardia

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. Hold the prescription if you are experiencing dizziness B. Take the first dose of the medication in the morning with breakfast C. Monitor your blood pressure on a weekly basis and report any​ B/P over​ 140/90 mmHg D. Call your healthcare provider if you are unable to take the prescription for 2 days

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

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

Cardiovascular Endocrine Nervous Renal

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.

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. 3 answers A. Confusion B. Tinnitus C. Lethargy D. Increasing depression. E. Dizziness

Confusion Increasing depression Dizziness

Which describes the function of the thyroid​ gland? A. Stimulate growth B. Conserve water in the body C. Control basal metabolism D. Control pituitary gland secretion

Control basal metabolism

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

Corpus luteum

Which information should the nurse include in the education about the mechanism of action for metformin​ (Glucophage)? ​Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Decreases sugar production in the liver B. Inhibits absorption of carbohydrates C. Stimulates the pancreas to produce more insulin D. Reduces insulin resistance E. Increases energy use

Decreases sugar production in the liver Reduces insulin resistance

For which condition does vasopressin​ (Vasostrict) treat? A. Diabetes mellitus. B. Electrolyte imbalances. C. Diabetes insipidus. D. Dehydration.

Diabetes insipidus.

A nurse is assessing a client who has hypoglycemia. Which of the following findings should the nurse expect? Polyuria Diaphoresis Fruity breath odor Ketones in urine

Diaphoresis

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

Which should the nurse include in the plan of care when administering intranasal desmopressin​ (DDAVP) to a​ client? A. Be sure to have fresh water at the bedside. B. Direct the spray high into the nasal cavity. C. Withhold other prescriptions when administering desmopressin​ (DDAVP) to ensure absorption. D. Instruct the client to blow his nose following administration.

Direct the spray high into the nasal cavity.

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. You may experience sweating and a headache while taking this medication. D. Increase fluids with this medication.

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

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.

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

Dysfunctional uterine bleeding

A nurse is teaching a client about acarbose therapy to treat type 2 diabetes mellitus. Which of the following instructions should the nurse include? Eat more iron-rich foods. Avoid drinking grapefruit juice. Increase fiber intake. Avoid drinking green tea.

Eat more iron-rich foods.

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) 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.

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 providing teaching to a client who is about to begin levothyroxine therapy to treat hypothyroidism. Which of the following instructions should the nurse include? Take levothyroxine with food to increase absorption. Take levothyroxine with an antacid to reduce gastrointestinal effects. Expect life-long therapy with the drug. Carry a carbohydrate snack at all times.

Expect life-long therapy with the drug.

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

Facial hair is​ minimal, soft, and light in color Absent pubic hair Small testicles

Which are the primary blood tests for diagnosing​ diabetes? ​Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply A. Fasting plasma glucose B. Random glucose testing C. Hemoglobin A1C D. Oral glucose tolerance test E. Post prandial glucose test

Fasting plasma glucose Hemoglobin A1C Oral glucose tolerance test

Which symptom is common for a client with untreated type1 diabetes​ mellitus? A. Fatigue B. Weight gain C. Increased energy D. Decreased hunger

Fatigue

When should the nurse administer a​ client's prescribed 10 units of lispro​ (Humalog)? A. Fifteen minutes after meals B. When the meal trays arrive on the floor C. Thirty minutes before meals D. Five minutes before a meal

Five minutes before a meal

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

Which are thought to be the contributing factors to the development of type I​ diabetes? ​Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Gender B. Genetics C. Ethnicity D. Environment E. Immunology

Genetics Environment Immunology

Which of the following drugs should a nurse have available for a client who is experiencing insulin toxicity? Naloxone Diphenhydramine Acetylcysteine Glucagon

Glucagon

The nurse is reviewing the blood work of a client suspected of having diabetes. Which result should the nurse be concerned​ about? A. HBA1C level is​ 8.4%. B. Oral glucose tolerance test of 185​ mg/dL C. Fasting plasma glucose is 110​ g/dL. D. Fasting plasma glucose of 115​ g/dL

HBA1C level is​ 8.4%.

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

Heart rate

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? Somatropin Hydrocortisone Glucagon Desmopressin

Hydrocortisone

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? Hyperkalemia Hyponatremia Hypoglycemia Respiratory alkalosis

Hyperkalemia

Which electrolyte disturbance should the nurse assess a client for that is receiving hydrocortisone​ therapy? A. Hypernatremia and hyperkalemia B. Hypernatremia and hyperglycemia C. Hypoglycemia and hyponatremia D. Hypercalcemia and hyperkalemia

Hypernatremia and hyperglycemia

Which should the nurse monitor the client for that is receiving glucocorticoid​ therapy? A. Weight loss B. Hypotension C. Hypothermia D. Hypertension

Hypertension

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? Hypotension Hyperglycemia Weight gain Fat redistribution

Hypotension

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

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

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? Thyrotoxicosis Hypothyroidism Lactic acidosis Radiation sickness

Hypothyroidism

Which triggers the release of insulin in the​ body? A. Increase in glucagon. B. Increase in carbohydrates C. Increase in glycogen D. Increase in blood glucose

Increase in blood glucose

Which describes the goal of androgen therapy in​ men? A. Increase the libido B. Increase luteinizing hormone C. Release​ follicle-stimulating hormone D. Increase the sperm count

Increase the libido

Which symptom should the nurse monitor the client for that is diagnosed with diabetes​ insipidus? A. Fluid retention B. Hyponatremia C. Hyperglycemia D. Increased dilute urine output

Increased dilute urine output

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. Suppress the growth of the follicle B. Inhibit ovulation C. Inhibit the luteinizing hormone D. Suppress the follicle stimulating hormone

Inhibit ovulation

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) Inject the drug subcutaneously. Expect the peak effect in 2 hr. Use the drug as a supplement to an oral hypoglycemic. Inject the drug 1 hr after a meal. Discard used pens 10 days after the first use.

Inject the drug subcutaneously. Expect the peak effect in 2 hr. Use the drug as a supplement to an oral hypoglycemic.

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

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

Which insulin has the longest​ onset? A. Insulin lispro​ (Humalog) B. Insulin glulisine​ (Apidra) C. Insulin detemir​ (Levemir) D. Insulin isophane​ (NPH)

Insulin detemir​ (Levemir)

Which type of insulin should the nurse anticipate to administer intravenously to a client with a blood glucose of​ 563? A. Insulin regular​ (Humulin R) B. Insulin aspart​ (NovoLog) C. Insulin isophane​ (NPH) D. Insulin glargine​ (Lantus)

Insulin regular​ (Humulin R)

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? Lactic acidosis Anticholinergic effects Extrapyramidal effects Hypophosphatemia

Lactic acidosis

Which condition is a client at risk for that is prescribed a​ biguanide? A. Pancreatitis B. Hepatotoxicity C. Lactic acidosis D. Anaphylaxis

Lactic acidosis

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

Lantus insulin 20U BID

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? Rapid absorption Intradermal injection Injection pain Lipohypertrophy

Lipohypertrophy

Which describes the primary goal of pharmacotherapy for the treatment of hyperthyroidism​ (Graves' disease)? A. Decrease the metabolic processes B. Increase synthesis of thyroid hormones C. Prevent a thyroid storm from occurring D. Lower the activity of the thyroid gland

Lower the activity of the thyroid gland

Which prescription is classified as a​ biguanide? A. Metformin HCI​ (Glucophage) B. Tolbutamide​ (Orinase) C. Acarbose​ (Precose) D. Repaglinide​ (Prandin)

Metformin HCI​ (Glucophage)

Which symptom should the nurse associate with​ hypoglycemia? A. Moist skin B. Increased urination C. Thirst D. Nausea

Moist skin

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. Weight loss D. Muscle wasting

Muscle wasting

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

Nasal congestion Blurry vision Priapism Photophobia

The nurse is preparing to assess a client suspected of having benign prostatic hyperplasia. Which common finding should the nurse​ anticipate? A. Polyuria B. Nocturia C. Dysuria D. Hematuria

Nocturia

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) Obtain weight measurement daily. Report weakness or palpitations. Have blood pressure checked regularly. Eat more iron-rich foods. Avoid drinking grapefruit juice.

Obtain weight measurement daily. Report weakness or palpitations. Have blood pressure checked regularly.

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. Octreotide​ (Sandostatin) B. Bromocriptine​ (Cycloset) C. Pegmisovant​ (Somavert) D. Somatotropin ​(Accretropin)

Octreotide​ (Sandostatin)

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? Provide subcutaneous insulin for the client. Offer the client 120 mL (4 oz) fruit juice. Give the client IV potassium. Administer IV sodium bicarbonate.

Offer the client 120 mL (4 oz) fruit juice.

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

Ovarian follicles

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 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? Drink 16 oz of water. Perform a fingerstick blood glucose check. Take another glipizide tablet. Lie down and rest.

Perform a fingerstick blood glucose check.

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. Wear sunscreen or protective clothing. Take the drug with food to increase absorption. Avoid drinking grapefruit juice.

Perform weight-bearing activities.

Which laboratory test should the nurse monitor the client for that is receiving​ insulin? A. Serum amylase B. Sodium C. Potassium D. AST​ (aspartate aminotransferase)

Potassium

Which should the nurse include in the education for a client prescribed testosterone​ buccally? A. Fluctuations of libido and energy may occur B. The dosage can last for 2 weeks C. Produces a continuous supply of testosterone in the blood D. Inflammation may occur in the mucosal tissue

Produces a continuous supply of testosterone in the blood

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 is the mechanism of action for finasteride​ (Proscar)? A. Relaxes smooth muscle in the penis B. Increases the testosterone level C. Promotes the shrinkage of an enlarged prostate gland D. Stimulates RNA synthesis

Promotes the shrinkage of an enlarged prostate gland

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? Question content area bottom A. Instruct the client to come to the clinic to evaluate their birth control prescription. B. Instruct the client to take an​ at-home pregnancy test. C. Ask the client if she is premenstrual. D. Reassure the client that these are symptoms can be a side effect of oral contraceptives.

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

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? Bacterial skin infections Diabetes insipidus Immunosuppression Recent myocardial infarction

Recent myocardial infarction

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) 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

Which describes the primary function of luteinizing hormone​ (LH) in​ men? A. Regulate testosterone. B. Regulate secondary sex characteristics. C. Regulate growth of male sex organs. D. Regulate sperm production.

Regulate testosterone.

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? Thyroid disease Bronchitis Heart failure Renal impairment

Renal impairment

Which is a primary function of the islets of​ Langerhans? A. Secretion of glucagon B. Absorption of insulin C. Exocrine function D. Secretion of enzymes

Secretion of glucagon

Which finding is an adverse effect of​ 5-alpha reductase​ inhibitors? A. Sexual dysfunction B. Headache C. Acne D. Chest pain

Sexual dysfunction

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

Sexually transmitted infections Mumps Tuberculosis

Which does the nurse anticipate to be prescribed for the treatment of a​ client's erectile dysfunction​ (ED)? A. Tamsulosin​ (Flomax) B. Sildenafil​ (Viagra) C. Finasteride​ (Proscar) D. Leuprolide​ (Lupron)

Sildenafil​ (Viagra)

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? Double the dose before the next meal. Take half the dose. Skip the dose. Take the usual dose.

Skip the dose.

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

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

Smoking​ one-half pack of cigarettes per day

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) Sore throat Joint pain Insomnia Bradycardia Rash

Sore throat Joint pain Bradycardia Rash

Which food selection should the client with hyperthyroidism be instructed to​ avoid? A. ​High-calorie foods B. Soy sauce C. ​Caffeine-free soda D. Dairy products

Soy sauce

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

Stimulate uterine contractions

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.

Which prescription is most appropriate for a client with benign prostatic hyperplasia​ (BPH) and​ hypertension? A. Sildenafil​ (Viagra) B. Terazosin​ (Hytrin) C. Tamsulosin​ (Flomax) D. Finasteride​ (Proscar)

Terazosin​ (Hytrin)

Which is responsible for the secretion of​ androgen? A. Pituitary gland B. ​Follicle-stimulating hormone C. Testes D. ​Gonadotropin-releasing hormone

Testes

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? A. The alcohol could decrease the metabolism of the insulin. B. The alcohol could cause serious liver disease. C. The alcohol could predispose you to hypoglycemia. D. The alcohol could increase your resistance to the insulin.

The alcohol could predispose you to hypoglycemia.

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

The client begins to shiver

Which outcome should the nurse anticipate for the client receiving treatment with radioactive iodine​ (Iodine-131) therapy? A. The client should limit fluid intake during the treatment. B. The client should avoid contact with others until the treatment is over. C. The client will most likely require thyroid replacement therapy. D. The client will only temporarily accomplish the euthyroid state.

The client will most likely require thyroid replacement therapy.

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.

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

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

The​ 42-year-old client who is 50 pounds overweight

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

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

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

Thrombophlebitis

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. 3 answers A. Unexplained bruising B. Anxiety C. Decrease sense of taste D. Weight loss E. Intolerance to cold

Unexplained bruising Decrease sense of taste Intolerance to cold

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) Blood amylase Creatinine clearance Urine calcium Blood glucose CBC

Urine calcium Blood glucose

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? Peripheral pulses Urine output Skin integrity Blood glucose

Urine output

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 client reports that the uterine contractions are strong in intensity. D. The vaginal exam reveals that the client is entering transition.

Uterine contractions that are continuous and sustained.

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 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? Joint pain Constipation Weight gain Dilated pupils

Weight gain

Which finding should the nurse be most concerned about for a client with​ hypothyroidism? A. Weight gain B. Generalized weakness C. Muscle cramps D. Dry skin

Weight gain

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. ​"I will change the patch each​ week." B. ​"I will remove the ring at the end of 3​ weeks." C. ​"After I have taken pills for 84​ days, I will not take pills for 7​ days." D. ​"After I have taken 21​ pills, I will not take pills for 7​ days."

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

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. ​"Breast cancer." B. ​"Uterine cancer." C. ​"Cervical cancer." D. ​"Ovarian cancer."

​"Breast cancer."

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. ​"Would you like to speak with your healthcare​ provider?" B. ​"Are you aware that these changes are only​ temporary?" C. ​"Can we talk about your​ concerns?" D. ​"Can you tell me specifically what changes you are talking​ about?"

​"Can we talk about your​ concerns?"

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."

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

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

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

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 a stomach​ ulcer?" C. ​"Do you have male pattern​ baldness?" D. ​"Do you have erectile​ dysfunction?"

​"Do you have male pattern​ baldness?"

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 take blood pressure​ medication?" C. ​"Do you have any sexually transmitted​ diseases?" D. ​"Do you use​ nitroglycerine?"

​"Do you use​ nitroglycerine?"

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

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

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 male androgen​ production." B. ​"Follicle-stimulating hormone​ (FSH) regulates sperm​ production." C. ​"Follicle-stimulating hormone​ (FSH) regulates production of​ testosterone." D. ​"Follicle-stimulating hormone​ (FSH) regulates male​ progesterone."

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

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

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

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. ​"Where are you in your monthly​ cycle?" C. ​"Did you use a condom during​ intercourse?" D. ​"How long ago did you have unprotected​ sex?"

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

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 should take my medication after I have​ eaten." C. ​"I can take the medication at any time as long as I​ don't forget​ it." D. ​"I will monitor my blood sugar on a regular​ basis."

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

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? A. ​"I have been taking extra vitamin C because so many people have​ colds." B. ​"I have been taking a garlic supplement to prevent​ colds." C. ​"I have been taking vitamin D to help build up my​ bones." D. ​"I have been taking St.​ John's wort to help with my​ memory."

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

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

​"I have experienced moments of​ confusion."

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."

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

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."

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

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

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

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 3 weeks and be patch free week​ 4." B. ​"I will change the patch every 7 days for the first 3​ weeks." C. ​"I will change the patch every 4​ weeks." D. ​"I will change the patch every 7 days for the 4​ weeks."

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

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."​

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

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."

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

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 eliminates the testosterone that encourages the growth of the cancer​ cells" B. ​"It keeps the cancer cells from receiving​ nutrients." 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."

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

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

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

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

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

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

​"Occasionally you may feel your heart beating​ fast."

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."

​"Ovulation is caused by a surge of luteinizing​ hormone." ​"Ovulation is caused by a surge of luteinizing​ hormone."

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 promote fluid​ loss." B. ​"Oxytocin will stimulate milk​ production." C. ​"Oxytocin will increase the amount of milk I​ produce." D. ​"Oxytocin will increase my uterine​ contractions."

​"Oxytocin will increase my uterine​ contractions."

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."

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

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

​"Pregnant women should not touch this​ medication."

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."

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

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 contains estradiol​ valerate, a synthetic​ estrogen, and​ dienogest, a​ progestin." B. ​"The amounts of both estrogen and progestin in each pill vary in 3 distinct phases during the treatment​ cycle." C. ​"The oral contraceptive delivers a constant dose of estrogen and progestin throughout the​ 21-day 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."

​"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."

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 glands around the urethra are​ enlarged." B. ​"The ureteral openings are​ swollen." C. ​"The obstruction is around the glans​ penis." D. ​"The urethra is​ enlarged."

​"The glands around the urethra are​ enlarged."

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? A. ​"The insulin could not be properly​ absorbed." B. ​"The action of insulin would be​ unpredictable." C. ​"The stomach acid would destroy the​ insulin." D. ​"The cells cannot recognize insulin in that​ form."

​"The stomach acid would destroy the​ insulin."

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 increases water reabsorption in my​ kidneys." B. ​"This medication suppresses hormone secretion from my posterior pituitary​ gland." C. ​"This medication is a potent​ vasodilator." D. ​"This medication promotes diuresis in my​ body."

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

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 increases my estrogen levels so I can​ ovulate." B. ​"This medication stimulates FSH​ (follicle-stimulating hormone)." C. ​"This medication stimulates LH​ (luteinizing hormone)." D. ​"This medication stimulates​ gonadotropin-releasing hormone."

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

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."

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

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. ​ "If you have missed fewer than three of your​ pills, you do not need to​ worry." B. ​"You might consider another form of birth control if you keep missing your​ pills." C. ​"You should use an alternative form of birth control for the rest of this​ cycle." D. ​"Please come into the clinic immediately to have a pregnancy test​ done."

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

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

​"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? A. ​"Your pancreas cannot secrete​ insulin." B. ​"The exocrine function of the pancreas is not​ working." C. ​"Your alpha cells should be able to secrete​ insulin, but they​ cannot." D. ​"The target cells are resistant to​ insulin."

​"Your pancreas cannot secrete​ insulin."

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

​Gonadotropin-releasing hormone​ (GnRH) is secreted

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.

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

​Patient's sperm count is 22​ million/mL.

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)

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? Hot flashes Urinary tract infection ​Vaginal bleeding Bone pain

​Vaginal bleeding


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