Pharm: Reproductive and Genitourinary System ATI

A nurse is caring for a client who is about to begin taking finasteride to treat benign prostatic hypertrophy. The nurse should explain to the client the need to monitor which of the following laboratory values? a. prostate-specific antigen (PSA) b. BUN c. creatine phosphokinase (CPK) d. ALT

a

A nurse is providing safety education to a client who is scheduled to begin treatment with tamsulosin for benign prostatic hypertrophy (BPH). Which of the following instructions should the nurse include in the teaching? a. Change positions slowly b. crush the med c. take the med on an empty stomach d. report increased urinary output immediately

a

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 med? a. drinks a glass of wine each night b. smokes a half a pack of cigarettes a day c. runs marathons daily d. drives a school bus

b

A nurse is caring for a male client who has hyperthyroidism and is not responding to treatment. The nurse should identify that hyperthyroidism is a contraindication for which of the following drugs? a. sildenafil b. bethanechol c. tamsulosin d. finasteride

b

A nurse is caring for a client who has a new prescription for conjugated equine estrogen. The nurse should instruct the client to report which of the following indication of a serious adverse reaction? a. hot flashes b. UTI c. vaginal bleeding d. bone pain

c

A nurse is providing teaching to a client about using leuprolide to treat endometriosis. Which of the following instructions should the nurse include? a. perform weight-bearing activites b. wear sunscreen or protective clothing c. take the drug with food to increase absorption d. avoid drinking grapefruit juice

a

A nurse is teaching a client about receiving leuprolide to treat endometriosis. The nurse should instruct the client to expect which of the following side effects? a. vaginal dryness b. hypertension c. blurred vision d. orthostatic hypotension

a

A nurse should question the use of ethinyl estradiol and drospirenone by a client who has renal disease due to the increased risk of which of the following? a. hyperkalemia b. hyponatremia c. hypoglycemia d. respiratory alkalosis

a

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) a. reduces the risk of ovarian cancer b. relieves hot flashes c. prevents osteoporosis d. reduces the risk of breast cancer e. reduces the risk of thromboembolism

a,b,c

a provider has prescribed a dinoprostone vaginal insert to promote cervical ripening to a client who is at 40 weeks of gestation. When administering dinoprostone, which of the following actions should the nurse take? (select all that apply) a. encourage the client to urinate prior to insertion b. remove the pouch when active labor begins c. monitor for uterine hyperstimulation d. encourage the client to walk after insertion e. monitor the client's temp

a,b,c,e

A nurse is providing teaching to a client who is taking bethanechol for urinary retention. Which of the following instructions should the nurse include (select all that apply) a. avoid driving and activities the require mental alertness b. increase fluid intake c. take with food d. stay close to bathroom after taking e. increase weight-bearing activities

a,b,d

A nurse is caring for a client who has benign prostatic hypertrophy and is taking tamsulosin. The nurse should question the use of the drug if the client also has which of the following? a. a seizure disorder for which he takes carbamazepine b. erectile dysfunction for which he takes sildenafil c. diabetes mellitus for which he takes glyburide d. angle-closure glaucoma for which he takes pilocarpine

b

A nurse is providing teaching to a client about sildenafil to treat erectile dysfunction. which of the following instructions should the nurse include? a. take the drug with a glass of grapefruit juice b. do not take the drug with high-fat foods c. increase intake of foods rich in vitamin K d. avoid aged cheeses and red wine

b

A nurse is teaching a client who has a new prescription for transdermal testosterone gel to treat delayed puberty. Which of the following instructions should the nurse include ? (Select all that apply .) a. "apply gel to the scrotum" b. "cover area of application with clothing" c. "wash hands after applying" d. "don't shower for several hours after applying" e. "apply gel to the gums above an upper incisor"

b,c,d

A nurse is assessing a client who has a new prescription of oxybutynin to treat neurogenic bladder. Which of the following assessment findings should the nurse identify as an adverse effect of the drug? (Select all that apply) a. diaphoresis b. dilated pupils c. dizziness d. distended bladder e. fever

b,c,d,e

A nurse is caring for a client who is about to begin clomiphene therapy to treat infertility. The nurse should monitor the client for which of the following adverse effects? a. breast cancer b. DVT c. ovarian hyperstimulation syndrome d. restless leg syndrome

c

A nurse is caring for a client who missed a dose of her oral contraceptive. Which of the following instructions should the nurse give the client? a. take a pregnancy test b. double up on pills for remainder of the pack c. take the missed dose asap d. stop the oral contraceptive and use a different one

c

A nurse is caring for a client who received human menopausal gonadotropin (hMG) Which of the following findings should the nurse expect ? a. prolactin secretion b. estrogen release c. follicular maturation d. oxytocin secretion

c

A nurse is preparing to administer finasteride to a client who has benign prostatic hypertrophy (BPH). Which of the following precautions should the nurse plan to take when administering this drug? a. administer med while client is sitting or reclining b. withhold the med if the client doesn't eat c. wear gloves when handling the tablet d. monitor HR prior to administration

c

A nurse is teaching a client about conjugated estrogen and medroxyprogesterone. Which of the following instructions should the nurse include? a. monitor for rectal bleeding b. avoid drinking alcoholic beverages c. have BP checked regularly d. sit up for 30 min after taking the drug

c

A nurse is caring for a client who is about to begin taking cabergoline to treat infertility. The nurse should explain to the client the need to monitor which of the following laboratory values? a. potassium b. glucose c. BUN and creatinine d. prolactin level

d

A nurse is teaching a client who has a new prescription for a testosterone transdermal patch. Which of the following statements made by the client indicates an understanding of the teaching? a. "I should have pancreatic function tests obtained while taking the drug" b. "I should have white blood cell checked annually" c. "I should take off the patch to shower" d. "I should apply the med to a different site each time"

d

A nurse should questions the use of conjugated equine estrogen by a client who has a history of which of the following? a. osteoporosis b. peptic ulcer disease c. rheumatoid arthritis d. blood clots

d

After administration of Terbutaline to a client to inhibit preterm labor, the nurse should assess which of the following? a. peripheral pulses b. temp c. vision d. HR

d

a client who is taking combination oral contraceptive ethinyl estradiol and drospirenone and is about to begin taking rifampin to treat tuberculosis Which of the following instructions should the nurse give the client due to a possible drug interaction? a. "increase the rifampin dose" b. "increase oral contraceptive dose" c. "wait 2 hrs between taking each drug" d. "use additional birth control methods"

d