Exam 1-- Quizzes!

A woman comes into the emergency department. She says that she is pregnant and that she is having contractions every 3 minutes but she is "not due yet." She is very upset. While assessing her vital signs and fetal heart tones, what is the most important question the nurse must ask the client?

"How many weeks have you been pregnant?"

The nurse determines teaching regarding the levonorgestrel-releasing intrauterine delivery system has been effective when the client makes which statement?

"I can keep this device in place for up to 5 years."

Which patient statement indicates to the nurse full patient understanding of the discharge instructions regarding alendronate?

"I will take the medication on an empty stomach and not lie down for 30 minutes."

A student nurse is caring for a male patient diagnosed with gonorrhea. The patient is receiving ceftriaxone and doxycycline. The nursing instructor asks the student why the patient is receiving two antibiotics. What is the student nurse's best response?

"Many people infected with gonorrhea are infected with chlamydia as well."

The client taking an estrogen-progesterone combination oral contraceptive calls the clinic reporting that she has forgotten her pills for the last two days. what medication directions should the nurse provide?

"Take two pills today and two pills tomorrow, then one pill daily for the rest of the pack."

A patient with menopausal symptoms is seeking hormone replacement therapy. During the assessment, the nurse finds that the patient has a history of endometrial cancer and is a smoker. Which is the most important information for this patient?

"The therapy may cause thromboembolic events."

A patient is prescribed sildenafil for erectile dysfunction. Which is the best time to take the dose?

1 hour before sexual intercourse

A nurse assesses the urine output of a patient receiving oxytocin [Pitocin]. Which finding would require immediate follow-up by the nurse?

80 mL in the past 4 hours

A 46-year-old female patient who complains of hot flashes, fatigue, and sleep disorders is unwilling to start hormonal therapy. Which is the best nursing intervention for this patient?

Ask the patient to include soy in her diet.

Which category of drugs is contraindicated in pregnancy according to the five-category system that will be phased out?

Category X

A pregnant client is being prepared for labor induction with oxytocin. The nurse concludes that the client has adequate understanding when the client verbalizes the medication will have which action? Select all that apply.

Cause the uterus to contract harder and more often; Be given through the intravenous line in small continuous amounts that can be adjusted as needed; Cause the client to be in real labor

A client is being treated for gonorrhea. Which agent would the nurse expect the physician to prescribe?

Ceftriaxone

The perinatal nurse is assigned to several clients. The nurse anticipates that which client is most likely to be a candidate for drug therapy with terbutaline?

Client at 27 weeks' gestation who has regular uterine contractions

A client with primary syphilis is allergic to penicillin. The nurse would expect the physician to order which agent?

Doxycycline

A client is diagnosed as being in the primary stage of syphilis? Which of the following would the nurse expect as a finding?

Genital chancres

After teaching a group of students about sexually transmitted infections (STIs), the instructor determines that additional teaching is necessary when the students identify which STI as curable with treatment?

Genital herpes

What primary roles does testosterone play in the male body? Select all that apply.

Helps in production of red blood cells Helps development of facial hair in men Helps develop the male sex characteristics

Before advising a 24-year-old client desiring oral contraceptives for family planning, the nurse would assess the client for signs and symptoms of which of the following?

Hypertension.

Adverse effects of terbutaline are: (Select all that apply)

Maternal tachycardia Diarrhea Hypokalemia Palpitations Tremors Anxiety

The nurse's assessment of the client receiving an intravenous (IV) infusion of oxytocin notes that uterine contractions are 4 minutes apart and 60 seconds in duration. Which of the following nursing interventions is most important based on this assessment?

Monitor the client for water intoxication.

A patient has been taking sildenafil for erectile dysfunction. The patient reports episodes of dizziness and fainting spells after using this drug. For which other drug should the nurse assess while taking the drug history of the patient?

Nitrates

Which nursing action is the priority for a patient in preterm labor who is receiving magnesium sulfate?

Obtaining deep tendon reflexes

The nurse finds that concentrated solutions of magnesium sulfate administered to prevent premature labor have caused toxicity in a patient. What is the best nursing intervention in this case?

Request a prescription to give calcium gluconate.

Which has the greatest potential to increase the risk of thromboembolism in a patient taking norethindrone and ethinyl estradiol?

Smoking heavily every day

A patient who is near term gestation is receiving oxytocin [Pitocin]. Which response should the nurse expect if the medication is having the desired therapeutic effect?

Stimulation of uterine smooth muscle

The nurse is assessing a patient who is a professional weightlifter who has been banned from practicing weightlifting because of drug doping. The patient's reports reveal excessive concentration of nandrolone in the blood. What should the nurse interpret from these findings? Select all that apply.

The patient is at a risk of developing infertility. The patient is at a risk of cardiovascular disorder. pt is at risk for increased cholesterol

The nurse is assessing a patient at a follow-up visit after starting treatment with sildenafil for erectile dysfunction. Which assessment finding would indicate that the treatment needs to be revised?

The patient's blood pressure is 90/60 mm Hg

A 26-year-old woman is considering Depo-Provera as the form of contraception that is best for her since she does not like to worry about taking a pill every day. To assist this woman with decision making concerning this method of contraception, the nurse would tell her that Depo-Provera:

Thickens and decreases cervical mucus, thereby inhibiting sperm penetration and ovulation.

The nurse at the fertility clinic is instructing a patient about the adverse effects of clomiphene. Which effects should the nurse instruct the patient to report to the health care provider? Select all that apply.

anxiety blurred vision dizziness

A 22-year-old patient has presented to her primary care provider for her scheduled Pap smear. Abnormal results of this diagnostic test may imply infection with:

human papillomavirus (HPV)