N352 Male and Female Hormone Medications

The nurse is performing medication reconciliation with an older adult patient. The patient is prescribed a phosphodiesterase type 5 inhibitor for erectile dysfunction. Which question would the nurse ask to evaluate for potential serious drug interactions? "Are you currently taking an antibiotic?" "Do you take medication to treat chest pain?" "Are you taking any herbal supplements or vitamins?" "Do you take your medication in the morning or at night."

"Do you take medication to treat chest pain?"

The school nurse is educating high school students about the menstrual cycle. The nurse asks the students to describe the effects of estrogen on the female reproductive organs during the follicular phase. Which answer given by a student is correct? Estrogen causes rupture of the follicle. "Estrogen causes the ovarian follicle to ripen." "Estrogen causes maturation of the corpus luteum." "Estrogen causes proliferation of the endometrium."

"Estrogen causes proliferation of the endometrium."

A nurse in a fertility clinic is teaching a patient about the effects of clomiphene. Which information from the patient indicates a correct understanding of the information? "I might get pregnant with twins or triplets." "My prolactin levels should lower with this medicine." "I will be less likely to get pregnant with this medicine." "I will know this medicine has been effective when I start gaining weight."

"I might get pregnant with twins or triplets."

The nurse is providing teaching about combined hormone therapy to a patient experiencing menopausal symptoms. Which statement made by the patient indicates an understanding of the teaching? "I have a decreased risk of breast cancer." "I understand that breakthrough bleeding is normal." "I will be glad to have some relief from the hot flashes." "The benefits of the treatment include decreasing my risk of cardiac disease."

"I will be glad to have some relief from the hot flashes."

The nurse is teaching a patient about the use of testosterone transdermal gel. Which statement by the patient indicates learning was effective? "I will apply the gel three times daily." "I will wash my hands after each use." "I will apply the gel to the skin that is left open to air." "I will share the gel with my brother to help his performance."

"I will wash my hands after each use."

The nurse is caring for a 60-year-old woman who has been prescribed oxybutynin for the treatment of overactive bladder. Which statement by the nurse will be most helpful to include in the teaching plan? "Oxybutynin is very effective. Most patients experience significant relief." "You may experience a slower heart rate. Call your doctor if it is below 60." "Sip on water and suck on hard candy to help with the problem of dry mouth." "Antihistamines such as Benadryl can help with some of the side effects of Ditropan."

"Sip on water and suck on hard candy to help with the problem of dry mouth."

The nurse is teaching students about progestin-only oral contraceptives. Which statement by a student indicates effective learning? "They are taken every week." "They produce anovulatory cycles." "They are taken after lunch and dinner." "They may cause breakthrough bleeding."

"They may cause breakthrough bleeding."

The nurse anticipates administering a progestin medication to which woman? A woman pregnant with triplets during her first pregnancy. A women experiencing severe nausea and vomiting during pregnancy. A women who is trying to achieve pregnancy through planned intercourse. A woman who is 8 weeks pregnant and diagnosed with corpus luteum deficiency syndrome.

A woman who is 8 weeks pregnant and diagnosed with corpus luteum deficiency syndrome.

A male is prescribed testosterone transdermal topical solution. Which site should the nurse instruct the patient to use? Back Thigh Armpit Abdomen

Armpit

The nurse determines that a postoperative patient has bladder atony. Which cholinergic drug would the nurse expect to be prescribed to the patient? Donepezil Cevimeline Bethanechol Succinylcholine

Bethanechol

Which assessment should a nurse monitor more frequently in a patient who takes both an alpha blocker for benign prostatic hyperplasia and metoprolol? Urine output Blood Pressure Hemoglobin level Blood glucose level

Blood Pressure

The nurse is assessing a patient with benign prostatic hyperplasia (BPH). Which condition is associated with BPH? Prostate cancer Sexual dysfunction Difficulty with urination Unusually small prostate gland

Difficulty with urination

A male patient is taking sildenafil. Which health problem does the nurse expect to find documented in the chart? Urinary retention Low sperm count Erectile dysfunction Benign prostatic hyperplasia

Erectile dysfunction

A patient who is infertile is taking clomiphene. The nurse should expect the patient to have which therapeutic response? Follicular maturation Lower androgen levels Ovarian hyperstimulation Regression of endometriosis

Follicular maturation

The nurse at the fertility clinic is instructing a patient about adverse effects of clomiphene. Which effects will the nurse include in the teaching session? Select all that apply. Hot flashes Hirsutism Altered vision Increased diuresis Breast engorgement Abdominal discomfort

Hot flashes Altered vision Breast engorgement Abdominal discomfort

Which condition may be treated with daily application of testosterone gel? Breast cancer Hypogonadism Prostate cancer Enhancement of athletic performance

Hypogonadism

Which patient problem should the nurse recognize as a side effect of a progestin-only oral contraceptive (OC)? Back pain Elevated blood pressure Purulent cervical mucus Irregular vaginal bleeding

Irregular vaginal bleeding

A patient who has recently begun hormone replacement therapy with estrogen asks the nurse how the hormone will affect her non-reporductive tissues. Which response(s) by the nurse are appropriate? Select all that apply. It suppresses bone resorption. It reduces fat deposits in the liver. It improves glomerular filtration rates. It promotes and suppresses coagulation. It reduces low-density lipoproteins (LDLs).

It suppresses bone resorption. It promotes and suppresses coagulation. It reduces low-density lipoproteins (LDLs).

A patient has postpartum hemorrhage due to uterine atony. The nurse will most likely administer which medication? Oxytocin Misoprostol Carboprost Methylergonovine

Oxytocin

The nurse is explaining the effects of estrogen therapy to a patient. Which effect mentioned by the patient indicates a need for additional teaching? Prevention of breast cancer Treatment of prostate cancer Improvement of atrophic vaginitis Decrease in vasomotor symptoms

Prevention of breast cancer

A patient is prescribed finasteride. Which result indicates a therapeutic effect? Retention of urine Reduction of a growing prostate Correction of erectile dysfunction Enhancement of penile blood flow

Reduction of a growing prostate

Which factor should a nurse recognize as one that would increase the risk of thromboembolic phenomena arising from oral contraceptive use? Asthma Smoking Noncompliance Alcohol consumption

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? Promotion of cervical ripening Inhibition of milk ejection reflex Stimulation of uterine contractions Decreased force of uterine contractions

Stimulation of uterine contractions

A male patient is diagnosed with mild prostate enlargement. What will the nurse expect to administer to control this condition? Vardenafil Tamsulosin Dutasteride Finasteride

Tamsulosin

Which problem in a patient's history would contraindicate the administration of estrogen? Weight gain Hypertension Dysmenorrhea Thrombophlebitis

Thrombophlebitis

Which goal does the nurse add to the care plan for a patient receiving tocolytic therapy? Select all that apply. To induce labor To postpone delivery To promote cervical ripening To inhibit uterine contractions To control postpartum hemorrhage

To postpone delivery To inhibit uterine contractions

A patient has been prescribed a progestin medication as part of menopausal hormone therapy. The nurse is aware this medication is intended to have which desired therapeutic effect? To reduce urogeniotal atrophy To relieve vasomotor symptoms To prevent adverse cardiac events To suppress endometrial proliferation

To suppress endometrial proliferation

Which type of medication will the nurse expect to administer to a patient in preterm labor? Oxytocics Tocolytics Uterotonics Teratogens

Tocolytics

What information should the nurse include when teaching about cancer risks in postmenopausal women? Estrogen monotherapy increases the risk of breast cancer. Monotherapy with a progestin increases breast cancer risk. Unopposed estrogen increases the risk of endometrial cancer. Estradiol with progestin increases the risk of endometrial cancer.

Unopposed estrogen increases the risk of endometrial cancer.

The nurse is caring for a patient receiving atropine. Which is a therapeutic indication for giving this drug? Treatment of tachycardias Prevention of urinary retention Use as a preanesthesia medication Reduction of intraoccular pressure in glaucoma

Use as a preanesthesia medication