1232 EAQ 3ONLY
Which statement should the nurse use to instruct a patient who takes a progestin-only oral contraception pill (POP)?
'Take 1 pill daily at the same time of day.'
The nurse is teaching students about progestin-only OCs. Which statement by a student indicates effective learning?
'They may cause breakthrough bleeding.'
Which statement should the nurse make to inform a patient about the benefit of taking norethindrone acetate and ethinyl estradiol and ferrous sulfate?
'This pill will prevent iron-deficiency anemia associated with menstruation.'
A patient receives isophan suspension, also known as neutral protamin hagedorn insulin at 8:00am. The patient eats breakfast at 8:30am, lunch at noon, and dinner at 6:00 pm. At what time is this patient at the highest risk for hypoglycemia?
5:00pm
Which site should be used for injecting insulin for the most consistent absorption?
Abdomen
Which patient assessment would assist the nurse in evaluating therapeutic effects of a calcium channel blocker?
Absence of chest pain
A patient is receiving nifedipine. Which adverse effect should the nurse monitor for in this patient?
Ankle edema
The nurse is preparing to administer diltiazem and atenolol. What is the priority nursing intervention beffore administering these two medications to the patient?
Assess the heart rate
The nurse is caring for several patients. For which patient diagnosis would a prescription for nifedipine be least appropriate
Atrial fibrillation
Calcium channel blockers work by reducing calcium influx into the cells of the heart and blood vessels. Calcium channels are coupled to which type of autonomic nervous system receptors?
Beta 1
Which drug interacts with insulin and increases the risk for unrecognized hypoglycemia in a patient?
Beta adrenergic blockers
The nurse is assessing a 38-year old patient who uses a combined hormone contraception (CHC) product. The nurse finds that the patient is a frequent smoker. Which assessment parameter is of highest priority in this case?
Blood pressure readings
A nurse obtains a health history from a patient who is schedules to take a combination OC. Which factor in the patient's history would prompt the nurse to contact the physician immediately?
Breast cancer
A staff member asks how calcium channel blockers work. Which response should the nurse provide?
CCBs relax vascular smooth muscle
Which statement made to the patient will demonstrate the nurse's knowledge of calcium channel blockers for management of hypertension
CCBs relax vascular smooth muscle
A nurse administered a medication to promote follicular maturation in an infertile female patient. Which medication did the nurse most likely administer?
Clomiphene
The nurse would expect the healthcare provider to prescribe which medication, along with human chorionic gonadotropin (hCG) to promote ovulation in some women struggling with infertility?
Clomiphene
Which medication may cause production of unfavorable cervical mucus?
Clomiphene
A patient has polycystic ovary syndrome and wants to become pregnant. Which treatments will the nurse most likely implement
Clomiphene and metformin
The patient is takin an adrenergic blocker drug. The nurse notes that the patient's weight has increased 2.5 pounds over the past 24 hours and the patient's lower extremities are swollen. Based on this information which action will the nurse take?
Contact the prescribing health care
A nurse is preparing to administer carboprost tromethamine. Which technique should the nurse use?
Deep intramuscular (IM) injection
A nurse is preparing to administer methylergonovine. Which assessment is essential before administering?
Determine passage of the placenta
The nurse is caring for several patients prescribed propranolol. In which patient condition is propranolol used with caution?
Diabetes
Which medication is most likely to cause constipation?
Diltiazem
Which instruction should the nurse provide when teaching a patient to mix regular insulin and neutral protamine Hagedorn (NPH) insulin in the same syringe?
Draw up the clear regular insulin first, followed by the cloudy NPH insulin
Which technique is most appropriate regarding mixing insulin when a patient must administer 30 units regular insulin and 70 units neutral protamine Hagedorn (NPH) insulin in the morning?
Draw up the regular insulin into the syringe first, followed by the cloudy NPH insulin
Which medication classification is associated with a risk for the development of valvular heart disease?
Ergo derivatives
A patient is found to have insufficient cervical mucus. The healthcare provider would likely prescribe which medication to facilitate conception?
Estrogen
Which type of OC delivers hormones for more than 30 days?
Extended cycle
A patient who is infertile is taking clomiphene. The nurse should expect the patient to have which therapeutic response?
Follicular maturation
Which class of medication is administered to accelerate fetal lung development when tocolytics are used to delay delivery?
Glucocorticoids
Which laboratory test would give the most accurate evidence of a diabetic patient's treatment compliance and glucose management over the past few months?
Glycosylated hemoglobin (HbA 1C)
A female patient is prescribed bromocriptine therapy. Which endocrine disorder will the nurse most likely observe written in the chart?
Hyperprolactinemia
A patient is receiving methylergonovine intravenously after a vaginal delivery. Which postpartum complication will the nurse consider when monitoring to prevent complications of therapy?
Hypertension
A calcium channel blocker has been ordered for a patient. Which condition in the patient's history is contraindicated with this medication?
Hypotension
The nurse provides discharge instructions to a patient prescribed verapamil sustained release 120 mg by mouth (PO) daily for essential hypertension. Which statement by the patient indicates understanding of the medication?
I must make sure i swallow the pill whole
A patient reports some adverse effects after taking beta blockers. What is the priority complaint the nurse should address?
I stopped taking my medicine yesterday because it made me feel tired
Which statement indicates to the nurse tha the patient needs additional instruction about antihypertensive treatment
I will check my blood pressure daily and take my medication when it is over 140/90
Which statement made by the patient indicates understanding of teaching related to a new prescription for atenolol?
I will not stop taking this medication abruptly
A patient is taking verapamil. Which instruction should the nurse give the patient to help prevent a common adverse effect of this drug?
Increase fluid and fiber intake
The patient has been prescribed lispro for treatment of type 1 diabetes mellitus. The nurse should give the patient which instruction?
Inject this insulin with meals because it is very fast acting
Which long acting insulin mimics natural, basal insulin with its duration of 24 hours?
Insulin glargine
A nurse is preparing to administer to hydroxyprogesterone caproate. Which technique should the nurse use?
Intramuscular (IM) injection into the upper quadrant of the gluteus maximus
Which patient problem should the nurse recognize as a side effect of a progestin-only OC?
Irregular vaginal bleeding
How does the use of hormone progestin help inhibit pregnancy?
It changes the quantity and viscosity of the cervical mucus.
A patient newly diagnosed with type 1 diabetes asks a nurse, 'how does insulin normally work in my body?' the nurse should base his or her response on which understanding of the mechanism of insulin?
It promotes the passage of glucose into cells
A patient newly diagnosed with diabetes asks, 'how does insulin normally work in my body?' which response by the nurse is correct?
It promotes the passage of glucose into cells for energy
A nurse has just administered dinoprostone gel to a pregnant patient to soften the cervix. What should the nurse do for the next 30 minutes?
Keep the patient supine
A patient has menorrhagia and wants contraception. Which drug will the nurse most likely see added to the patient's prescriptions?
Levonorgestrel releasing intrauterine system
A pregnant patient is receiving magnesium sulfate to inhibit uterine contractions. Upon assessment, the nurse observes the patient has loss of deep tendon reflexes. How should the nurse interpret this finding?
Magnesium levels are rising to dangerous levels
The patient who takes insulin has just been prescribed a beta blocker drug. The nurse recognizes that the interaction of the beta blocker and the insulin may have which result?
Masked signs of hypoglycemia
Which assessment finding indicates a therapeutic effect for a patient taking nonsteroidal antiinflammatory drugs (NSAIDs) for menorrhagia?
Menstrual bleeding decreases
A nurse reviews the medical history of a patient who is 36 weeks pregnant. which medications does the nurse expect the provider to prescribe for labor induction in the patient?
Misoprostol
The health care provider prescribes an intravenous dose of diltiazem for treatment of a patient with atrial fibrillation. What is the priority nursing intervention?
Monitor electrocardiogram
What is the priority nursing intervention for a patient who is taking combines OC pills with drospirenone?
Monitoring serum potassium levels
Which 28-day regimen is least likely to simulate ovarian production of estrogens and progestins?
Monophasic
A patient has a subarachnoid hemorrhage (SAH) from an intracranial aneurysm. Which dihydropyridine would the nurse anticipate being prescribed?
Nimodipine
The nurse is caring for a patient who is scheduled to begin treatment with carvedilol. While updating the history, the patient tells the nurse that he experiences frequent attacks of asthma. What is the nurse's highest priority action?
Notify the health care provider of this information
A patient with a new prescription for propranolol tells the nurse he has a history of asthma. Which action is the nurse's priority?
Notify the patients health care provider
The patient has been prescribed propranolol. While the nurse is updating the medical history the patient states that he or she has a history of bronchial asthma. What is the highest priority action on the part of the nurse?
Notify the prescribing physician because this is a contraindication for the patient
Which condition should the nurse monitor for in a patient who is taking lauprolide for endometriosis?
Osteoporosis
A patient is prescribed clomiphene 50 mg/day for 5 days. Which assessment finding would best indicate a need to increase dosage?
Ovulation did not occur
A patient is prescribed clomiphene 50mg/day for 5 days. Which assessment finding would best indicate a need to increase the dosage?
Ovulation did not occur
Which statement made by a patient about type 1 diabetes mellitus indicates effective learning?
Patients with type 1 diabetes mellitus require exogenous insulin
A patient develops hypotension after administration of verapamil. Which intervention is appropriate?
Place in modified trendelenburg position
A patient who take an angiotensin-converting enzyme (ACE) medication is scheduled to be taking the drospirenone/ethinyl estradiol OC. Which laboratory results should the nurse monitor during the first cycle of use?
Potassium level
A nurse is teaching a group of pregnant women to have early screening and treatment of asymptomatic bacterial vaginosis with antibiotics. What is the nurse trying to prevent?
Preterm labor
Which mechanism of action is accurate for clomiphene?
Promotion of follicle stimulating hormone (FSH) and lutenizing hormone (LH) release
The patient is being treated for persistent migraines. The nurse anticipates that the patient will be treated with which adrenergic blocking drug?
Propranolol
Which drug is classified as an adrenergic antagonist?
Propranolol
Why does the nurse anticipate administering metoprolol rather than propranolol for diabetic patients who need a beta blocking agent?
Propranolol causes both beta 1 and beta 2 blockade
The nurse is reviewing the lab results and nursing care plan of a patient with type 2 diabetes mellitus. The nurse notes the patient's glycosylated hemoglobin A1C (HbA1c) is 10%. The nurse should make which addition to nursing care plan?
Refer the patient to a diabetes educator because the result reflects poor glycemic control
Which medication is most likely to decrease the effectiveness of norethindrone and ethinyl estradiol?
Rifampin
Diltiazem is ordered for a patient. Which condition in the patient's history would cause the nurse to notify the provider?
Second degree atrioventricular block
How will the nurse monitor drug effects in the female patient receiving climophene?
Serial ultrasound examinations
Which factor should a nurse recognize as one that would increase the risk of thromboembolic phenomena arising from oral contraceptive use?
Smoking
A patient who is near term gestation is receiving oxytocin. Which response should the nurse expect if the medication is having the desired therapeutic effect?
Stimulation of uterine contractions
A patient is taking glipizide and a proparanolol. A nurse is teaching hypoglycemia awareness and should warn the patient about the absence of which symptom caused by the propranolol?
Tachycardia
Which behavior by a patient indicates more teaching is needed about taking diltiazem?
Takes with grapefruit juice
The nurse teaches the patient about his essential hypertension. Which statement would be included in the teaching plan?
The cause of your hypertension is unknown but treatable
In an assessment session, a patient tells the nurse that she became pregnant after using the contraceptive pills regularly. The nurse finds that the patient uses a Sunday start method for using contraception. Which other assessment finding could be a likely cause of the patient's pregnancy?
The patient did not use a backup contraception method.
A patient reports that the use of combine OC products has not been effective in preventing pregnancy, Which assessment finding is the most probable cause of the ineffectiveness of the combined OC products?
The patient has been ingesting St. John's wort
Which patient finding would cause the nurse to hold the 8am dose of verapamil?
The patient has hypotension
The clinical report of a patient who is undergoing estrogen therapy indicates thrombosis. Which event may the nurse suspect as the cause of thrombosis?
The patient smokes cigarettes
The nurse is caring for several patients. Which patient will need teaching about treatment of hypertension?
The patient with a systolic pressure consistently above 140 mmhg
A patient newly diagnosed with type 2 diabetes mellites has been ordered insulin glargine. Which information is essential for the nurse to teach this patient?
This medication has a duration of action of 24 hours
A patient is scheduled to start taking insulin glargine. Which information should the nurse give the patient regarding this medication?
This medication provides blood glucose control for 24 hours
Which statement will be included in the teaching about calcium channel blockers?
This medication will enable vasodilation of your blood vessels to lower your blood pressure
The nurse is teaching a patient about the reason for the administration of calcium channel blackers. Which information should be included in the teaching plan?
This medication will enlarge the blood vessels to lower your blood pressure
Which type of medication will the nurse expect to administer to a patient in preterm labor?
Tocolytics
The nurse should include which statement when teaching a patient about insulin glargine?
You cannot mix this insulin with any other insulin in the same syringe
How should the nurse instruct a patient who take a neutral protamine hagedorn (NPH) insulin?
You must agitate the suspension before administration
Which patient instructions should the nurse provide for a pregnant woman with gestational diabetes?
You must take insulin injections as prescribed
What should the nurse instruct a patient who is prescribed repaglinide for type 2 diabetes?
You need to eat a meal after each dose
Which information should the nurse include in the teaching plan for a patient who has been prescribed repaglinide?
You will need to be sure you eat as soon as you take this medication
