Drugs Exam 3

A client asks the nurse about a word they heard from the health care provider. The word was "andropause". The client asks what that is. Which is the nurse's best response? "A gradual change, related to age, that occurs in the testes." "No change in the level of testosterone in the body." "A medication used to treat changes in the androgens in the body." "A change in hormone production in women."

"A gradual change, related to age, that occurs in the testes."

After teaching a client who is prescribed sildenafil about using the drug, the nurse determines that the teaching was successful when the client states: "I should take the pill after dinner if I'm planning to have sex later that night." "I should take the medication just before I start having sex." "I need to take the pill about an hour before any sexual stimulation." "I can take the pill in the morning before I engage in sex later in the day."

"I need to take the pill about an hour before any sexual stimulation."

A client prescribed terazosin asks the nurse how the medication works. Which is the nurse's <b>best</b> statement? "It works by relaxing the smooth muscle of the prostate and the bladder neck." "It stimulates the bladder to increase the urge to urinate." "It prevents the conversion of testosterone into the androgen DHT." "It decreases the desire to have sexual relations."

"It works by relaxing the smooth muscle of the prostate and the bladder neck."

By about which day in the menstrual cycle does ovulation occur? 28 5 21 14

14

A client is receiving a medroxyprogesterone contraceptive injection. The nurse would instruct the client to return for the next dose at which time? 3 years 3 months 1 year 6 months

3 months

Testosterone therapy would be recommended for all these patients except for a: 35-year-old male with erectile dysfunction due to diabetes mellitus. 52-year-old female with inoperable metastatic breast cancer. 25-year-old with low testosterone levels and loss of pubic hair. 14-year-old who is diagnosed with hypogonadism. SUBMIT ANSWER

35-year-old male with erectile dysfunction due to diabetes mellitus.

A client diagnosed with erectile dysfunction has been advised to take sildenafil. For up to how many hours does the action of the drug persist? 24 hours 12 hours 4 hours 8 hours

4 hours

A 34-year-old man received a skin laceration while playing soccer that will require a few stitches. A local anesthetic will be used. Which medication would the nurse question for the use in this procedure? A volatile liquid such as halothane or isoflurane (Fluothane) An amide such as lidocaine (Dilocaine) An ester such as benzocaine (Dermoplast) A gel such as pramoxine (PrameGel)

A volatile liquid such as halothane or isoflurane (Fluothane)

A 24-year-old female athlete is using high doses of anabolic steroids to enhance her performance. She may be at risk for which condition? Excessive sedation Hypotension Fluid deficiency Acne

Acne

After teaching a group of students about abortifacients, the instructor determines that the teaching was successful when students identify which condition as a contraindication to their use? Asthma Adrenal disease Active pelvic inflammatory disease Hypertension

Active pelvic inflammatory disease

Which would a nurse identify as increasing a client's risk for hepatic disease with dantrolene use? Male gender Infection Age over 35 years Respiratory disease

Age over 35 years

What is the most important teaching point for a client after surgery when the client had epidural anesthesia? Do not eat or drink anything for 24 hours after the epidural. Do not continue to take regularly prescribed medications. Remain supine for 24 hours after the epidural. Ambulate with assistance.

Ambulate with assistance.

What is the most important teaching point for a client after surgery when the client had epidural anesthesia? Do not eat or drink anything for 24 hours after the epidural. Remain supine for 24 hours after the epidural. Do not continue to take regularly prescribed medications. Ambulate with assistance.

Ambulate with assistance.

Which characteristic puts a male client at greatest risk for gonadal dysfunction? An older adult A cancer diagnosis A newborn An extreme athlete

An older adult

Which is analogous to female menopause in men? Infertility Castration Sterility Andropause

Andropause

The nurse instructs a client to use benzocaine to soothe the itching and pain related to an insect bite. Benzocaine is considered to be what type of dermatologic agent? Antiseptic Anesthetic Pain relief Soothing

Anesthetic

What is one of the registered nurse's primary roles in the administration of general anesthetic? Administering intravenous anesthetics as prescribed Determining the client's most appropriate medication Administering inhaled anesthetics as prescribed Assessing the client's status during recovery from anesthetic

Assessing the client's status during recovery from anesthetic

A 39-year-old client will receive a caudal block for a perineal/vaginal repair. When counseling this client, which description is optimal for where the medication will be administered? At the sacral portion of the spine At the same place an epidural would be administered At the anterior iliac spine At the level of the lumbar vertebrae

At the sacral portion of the spine

A client with spinal cord injury is experiencing muscle spasticity. Which agent would most likely be ordered? Chlorzoxazone Baclofen Carisoprodol Cyclobenzaprine

Baclofen

A patient with multiple sclerosis is admitted to the medical division for treatment of severe spasticity. What medication is used to treat spasticity and is administered intrathecally? Dantrolene (Dantrium) Carisoprodol (Soma) Diazepam (Valium) Baclofen (Lioresal)

Baclofen (Lioresal)

Which skeletal muscle relaxant is also available in intrathecal form? Cyclobenzaprine (Flexeril) Carisoprodol (Soma) Tizanidine (Zanafelx) Baclofen (Lioresal)

Baclofen (Lioresal)

A client with impaired liver function secondary to hepatitis C requires a centrally acting skeletal muscle relaxant for temporary pain relief. What medication would put the least metabolic burden on the client's liver? Baclofen Methocarbamol Orphenadrine Diazepam

Baclofen- not metabolized

The nurse is caring for a client who has cancer and who until recently took estrogen. The nurse knows that estrogen may have increased the risk of development of which types of cancer? (Select all that apply.) Breast cancer Endometrial cancer Melanoma Lung cancer Brain cancer

Breast cancer Endometrial cancer

A nurse is caring for an adolescent girl experiencing menstruation for the first time. What are the changes that occur in the body at this stage that the nurse should share with the adolescent girl? Menstrual related insomnia Breast development Loss of existing fat deposits Increased risk for bladder incontinence

Breast development

The nurse is aware that which medication will be used in the provision of local infiltrate anesthesia? Bupivacaine (Marcaine) Diazepam (Valium) Glycopyrrolate (Robinol) Secobarbital (Seconal)

Bupivacaine (Marcaine)

The nurse is aware that which medication will be used in the provision of local infiltrate anesthesia? Diazepam (Valium) Bupivacaine (Marcaine) Glycopyrrolate (Robinol) S ecobarbital (Seconal)

Bupivacaine (Marcaine)

A female client asks the nurse about the use of progestins. The nurse shares with the client that clients who take this medication are at an increased risk for what serious adverse effect? Renal failure Cardiovascular complications Respiratory difficulties Seizures

Cardiovascular complications

The nurse is reviewing the history of a client who is to receive testosterone. Which of the following would alert the nurse to the need for close monitoring of the client? Stomach cancer Asthma Cardiovascular disease Myasthenia gravis

Cardiovascular disease

Administration of which class of medications can decrease secretions of the upper respiratory tract? Antianxiolytics Opioids Antiemetics Cholinergic antagonists

Cholinergic antagonists

Immediately before starting an IV infusion of oxytocin (Pitocin), what should the nurse assess? (Select all that apply.) Client's temperature Client's respiratory rate Client's blood glucose Client's blood pressure Fetal heart rate

Client's respiratory rate Client's blood pressure Fetal heart rate

A client with a history of malignant hyperthermia is scheduled for surgery. Which agent would the nurse most likely expect to administer? Botulinum toxin type B Methocarbamol Dantrolene Baclofen

Dantrolene

A client with amyotrophic lateral sclerosis is experiencing muscle spasticity. Which drug would the nurse expect the physician to order? Dantrolene Metaxalone Methocarbamol Chlorzoxazone

Dantrolene

A client with amyotrophic lateral sclerosis is experiencing muscle spasticity. Which drug would the nurse expect the physician to order? Methocarbamol Chlorzoxazone Metaxalone Dantrolene

Dantrolene

The nurse is assisting in the care of a client during surgery. The nurse will be prepared to administer which drug if the client develops malignant hyperthermia? Diazepam Dantrolene sodium Toradol Acetaminophen

Dantrolene sodium

A clent has been admitted to the unit for treatment of a multiple sclerosis exacerbation. The admission order indicates that the client is taking baclofen (Lioresal). Which outcome would the nurse expect to be associated with use of this medication? Decreased severity and duration of exacerbations Reduction in the appearance of new lesions in magentic resonance imaging (MRI) studies Increased muscle strength Decreased muscle spasms

Decreased muscle spasms

The nurse is instructing the parents of an 11-year-old male who has testosterone deficiency. Which symptom, if found in this child, would cause the discontinuation of this medication? Enlarged penis Skeletal growth Improved school skills Increased appetite

Enlarged penis

Which hormone is released into circulation by the Graafian follicles? Estrogen Follicle stimulating hormone Luteinizing hormone Progesterone

Estrogen

A client presents to the emergency department with severe pain and receives methocarbamol by injection. As part of the nurse's safety care plan, the nurse should instruct the client that she may experience which common adverse reaction? Palpitations and chest pain Pain at the injection site Fainting, incoordination, and hypotension Shortness of breath and dizziness

Fainting, incoordination, and hypotension

A client who is taking an estrogen reports swelling and weight gain. The nurse notes some peripheral edema. Which nursing diagnosis would the nurse identify as the priority? Fluid volume excess Acute pain Ineffective peripheral tissue perfusion Imbalanced nutrition, less than body requirements

Fluid volume excess

Gonadotropin-releasing hormone (GnRH) stimulates the anterior pituitary to release which hormones? (Select all that apply.) Luteinizing hormone (LH) Testosterone Progesterone Follicle-stimulating hormone (FSH) Estrogen

Follicle-stimulating hormone (FSH) Luteinizing hormone (LH)

Which hormones are not released during childhood? Parathyroid Gonadotropin-releasing hormone (GnRH) Thyroid Growth hormone (GH)

Gonadotropin-releasing hormone (GnRH)

An 8-year-old boy is being administered testosterone injections for treatment of hypogonadism. What should be measured every 6 months? Electroencephalogram Visual acuity Electrocardiogram Hand and wrist epiphyseal growth plates

Hand and wrist epiphyseal growth plates

During recovery from general anesthesia, what would be a priority? Providing comfort measures Monitoring temperature and reflexes Have emergency equipment readily available Providing pain relief as ordered

Have emergency equipment readily available

The nurse is obtaining a history from a 23-year-old man. The nurse suspects that the client may be using DHEA if he displays which symptom? Lethargy Hirsutism Sleepiness Placidity

Hirsutism

A 9 year old child has been prescribed testosterone. What information should the nurse provide the client's parents regarding the continuation of the therapy? The medication should be discontinued by the time the child is 12 years old If signs of early puberty are identified the therapy should be stopped The medication causes few effects that would warrant stopping the therapy Testosterone therapy is usually continued over the client's lifetime

If signs of early puberty are identified the therapy should be stopped

A patient is receiving oxytocin intravenously. The nurse would expect this drug to begin acting within which time frame? Immediately 8 to 11 minutes 3 to 5 minutes 5 to 8 minutes

Immediately

Which statement correctly identifies the triggering factor associated with benign prostatic hypertrophy (BPH)? Decrease in testosterone level Development of cancer of an aging male Increase in the dihydrotestosterone (DHT) androgen Hormonal imbalance of estrogen

Increase in the dihydrotestosterone (DHT) androgen

A client with a history of benign prostatic hypertrophy (BPH) is seeking androgenic medication treatment for penile erectile dysfunction. What information should the nurse provide the client regarding this therapy? It could trigger adult onset asthma It will likely require an extensive period of therapy It increases the risk for prostate cancer It has been associated with type 2 diabetes

It increases the risk for prostate cancer

Damage to what component of the male reproductive system would result in a lack of testosterone? Prostate gland Corpora cavernosa Leydig cells Seminiferous tubules

Leydig cells

What stimulates the production of testosterone by the Leydig cells located in the testes? Follicle-stimulating hormone (FSH) Gonadotropin-releasing factor (GnRF) A negative feedback loop process Luteinizing hormone (LH)

Luteinizing hormone (LH)

A woman who has been prescribed high doses of anabolic steroids should be instructed on which effects? Obesity Masculinization Hypotension Immobility of joints

Masculinization

A group of students are reviewing information about the menstrual cycle. The students demonstrate understanding when they identify what as the onset of the menstrual cycle? Menarche Menopause Andropause Puberty

Menarche

A group of students are reviewing information about the menstrual cycle. The students demonstrate understanding when they identify what as the onset of the menstrual cycle? Puberty Andropause Menopause Menarche

Menarche

When the nurse is interviewing an adolescent, the patient states that she experienced her first menstrual cycle at age 11. The nurse documents this as: Menarche Puberty Ovulation Menstruation

Menarche

A nurse is reviewing the medication history of a client. The nurse understands that a PDE5 inhibitor would be inappropriate for a client taking: Nitroglycerin. Erythromycin. Indinavir. Ketoconazole.

Nitroglycerin.

A nurse is reviewing the medication history of a client. The nurse understands that a PDE5 inhibitor would be inappropriate for a client taking: Nitroglycerin. Indinavir. Erythromycin. Ketoconazole.

Nitroglycerin.

Insufficient levels of oxytocin would affect what event related to pregnancy? Formation of the placenta Implantation of the embryo Fertilization of the of the ovum Onset of labor contractions

Onset of labor contractions

A client is receiving conjugated estrogens. The nurse would anticipate administering this drug by which route? Subcutaneous Intravenous Oral Intravaginal

Oral

Estropipate is sometimes administered to postmenopausal women to prevent which condition? Dysfunctional uterine bleeding Uterine cancer Endometriosis Osteoporosis

Osteoporosis

A nurse is preparing to administer estrogen to a client with menopause. Through which routes can estrogen be administered? Select all that apply. PO Transdermally IV IM SQ

PO IV IM Transdermally

Kalie, age 18, is prescribed progesterone for the treatment of primary amenorrhea. Which adverse effect would need to be reported immediately to the health care provider? Abnormal menstrual bleeding Breast tenderness Weight gain Pain in one leg

Pain in one leg

Kalie, age 18, is prescribed progesterone for the treatment of primary amenorrhea. Which adverse effect would need to be reported immediately to the health care provider? Abnormal menstrual bleeding Weight gain Pain in one leg Breast tenderness

Pain in one leg

After teaching a group of students about the events that occur with fertilization and implantation of an ovum, the instructor determines that the teaching has been effective when the students identify what as an endocrine structure? Umbilical cord Uterus Placenta Fetus

Placenta

After teaching a group of students about the events that occur with fertilization and implantation of an ovum, the instructor determines that the teaching has been effective when the students identify what as an endocrine structure? Uterus Placenta Fetus Umbilical cord

Placenta

During pregnancy, what becomes a massive endocrine gland? Uterus Embryo Placenta Umbilical cord

Placenta

When stimulation levels off during the human sexual response, the person is said to be in which of the following phases? Plateau Resolution Stimulation Climax

Plateau

Pitocin is given to prevent what condition? Postpartum hypotension Postpartum bleeding Eclampsia Letdown

Postpartum bleeding

A teenage client who is using testosterone to treat a hormone deficiency calls the clinic to report acne-like skin eruptions on the face. How should the nurse counsel this client? Practice frequent and thorough skin cleansing. Stop taking this drug immediately. Make an immediate appointment with a dermatologist. Gradually decrease the dose of testosterone.

Practice frequent and thorough skin cleansing.

A client is started on terbutaline therapy. What would indicate that the therapy has been successful? Premature birth is avoided for at least 24 hours. The mother does not experience adverse effects. There has been less or no bleeding in the delivery. The mother did not require any labor induction.

Premature birth is avoided for at least 24 hours.

Which hormone is involved if a couple engages in the rhythm method of birth control? Estradiol Estriol Progesterone Estrone

Progesterone

After teaching a group of students about female reproductive hormones, the instructor determines that the teaching was successful when the students identify which hormone as being primarily responsible for maintaining pregnancy? Luteinizing hormone Estrogen Follicle-stimulating hormone Progesterone

Progesterone- maintains pregnancy

When describing the menstrual cycle to a group of young women, the nurse explains that estrogen levels are highest during which phase of the endometrial cycle? Proliferative Menstrual Ischemic Secretory

Proliferative

The nurse in the intensive care unit prepares to administer a medication that is used for induction and maintenance of anesthesia, but may also be used to continuously administer sedation to clients who are intubated. Which medication is it? Midazolam Isoflurane (Forane) Ketamine (Ketalar) Propofol (Diprivan)

Propofol (Diprivan)

A client requires local anesthesia to be administered. The nurse identifies that the anesthetic may be administered by which route? Select all that apply. Regional anesthesia Inhalation Topical anesthesia Local-infiltration anesthesia General anesthesia

Regional anesthesia Topical anesthesia Local-infiltration anesthesia

The post-anesthetic recovery unit nurse is caring for a client whose balanced anesthesia included midazolam. The nurse should prioritize assessments for what health problems? Nausea and vomiting Chills and hypotension Myoclonic and tonic movements Respiratory depression and CNS suppression

Respiratory depression and CNS suppression

When reviewing a client's history, which condition would the nurse identify as contraindicating the use of a centrally acting skeletal muscle relaxant? Hepatic dysfunction Rheumatic disorder Epilepsy Cardiac disease

Rheumatic disorder

A nurse is caring for a patient who has been administered menotropins by the intramuscular route for the secretion of sex hormones. The patient reports pain after the drug is injected. Which intervention should the nurse perform for the patient? Rotate sites and examine previous sites for redness. Instruct the patient about proper injection technique. Observe the skin daily for localized signs of infection. Report any sore throat, cough, or fever.

Rotate sites and examine previous sites for redness.

The male client tells the nurse that he will be having a type of anesthetic for his surgery that requires an injection into his spine. The nurse knows that the client will be having what type of anesthetic for his surgery? (Select all that apply.) Spinal anesthesia Topical anesthesia Brachial plexus anesthesia General anesthesia Epidural anesthesia

Spinal anesthesia Epidural anesthesia

The human sexual response involves the activation of which system? Urinary system Parasympathetic nervous system Endocrine system Sympathetic nervous system

Sympathetic nervous system

A nurse is preparing a class on the various drugs used to treat erectile dysfunction. Which would the nurse include? Oxandrolone Danazol Testosterone Tadalafil

Tadalafil

Castration involves the removal of what structure of the male reproductive system? Prostate gland Epidymis Vas deferens Testes

Testes

The nurse is teaching a health education class on male reproductive anatomy and asks the students to identify the site of sperm production. Which structure, if identified by the group, would indicate to the nurse that the teaching was successful? Testes Scrotum Prostate gland Seminal vesicles

Testes

When reviewing the medical record of a client who is to receive dantrolene, which condition would alert the nurse to the need for close monitoring? The client is 67 years old The client received a blood transfusion less than 24 hours ago The client has respiratory depression from opioid analgesia The client has an infected surgical wound

The client has respiratory depression from opioid analgesia

While monitoring a woman who is receiving IV oxytocin for induction of labor, what event would cause the nurse to contact the health care provider immediately? The client's pulse is 90. The fetal heart rate is between 136 and 159. The uterine contractions are occuring every 90 seconds. The client's blood pressure is 109/68.

The uterine contractions are occuring every 90 seconds.

Centrally acting skeletal muscle relaxants lyse or destroy the spasm. True False

True

After puberty, secondary male sexual characteristics can be maintained by: estrogens. luteinizing hormone. androgens. follicle-stimulating hormone.

androgens.

On the advice of his brother, a 53-year-old man has made an appointment to request a prescription for sildenafil. The nurse who works at the clinic is reviewing the man's medical history and would recognize what health problem as being prohibitive to this treatment? type 2 diabetes, treated with metformin hypercholesterolemia, treated with simvastatin hypertension, treated with metoprolol angina, treated with nitroglycerin

angina, treated with nitroglycerin

Sildenafil has been prescribed to a client in his 60s, and the nurse is providing health education about the safe and effective use of the drug. The nurse should teach the client to: take the drug every 30 minutes if necessary, to a maximum of three doses. take the drug on an empty stomach. avoid taking the drug more than once in any 24-hour period. avoid taking sildenafil if he experiences heartburn.

avoid taking the drug more than once in any 24-hour period.

A client taking hormonal contraceptives will soon turn 35 years of age. She is moderately obese and has smoked for 15 years. Which action should the nurse encourage the client to take to best minimize risk for complications associated with contraception use? beginning smoking cessation beginning daily aspirin therapy beginning taking a loop diuretic to aid weight loss beginning an exercise regime

beginning smoking cessation

When providing follow-up care for a client prescribed an oral contraceptive several months ago, the nurse must be certain to prioritize what assessment? skin integrity chest auscultation heart rate and rhythm blood pressure application

blood pressure application

The physician writes an order for Lidocaine, however does not indicate which route. The nurse knows that she must clarify the order because Lidocaine can be administered safely be the following routes except one. Which route is unsafe? Select all that apply. trachea. skin. blood vessels. mouth.

blood vessels.

A nurse should monitor a client receiving oxytocin for which adverse effects? dizziness cardiac arrhythmias hypotension headache

cardiac arrhythmias

A history of what medical condition would contraindicate the use of cyclobenzaprine for acute muscle spasms? cardiac dysrhythmias chronic obstructive pulmonary disease (COPD) diabetes mellitus transient ischemic attacks (TIA)

cardiac dysrhythmias

A 20-year-old woman has been prescribed estrogen. As with all women taking estrogen, the nurse will carefully monitor the client for: decreased libido. a decrease in secondary sexual characteristics. early epiphyseal closure. cardiovascular complications.

cardiovascular complications.

After 6 months of unsuccessfully trying to conceive, a 31-year-old woman and her husband have sought a referral to a fertility specialist in order to explore their options. A nurse at the clinic should recognize that the woman may benefit from: mifepristone. conjugated estrogen. progesterone. clomiphene.

clomiphene.

If pregnancy does not occur during the menstrual cycle, the corpus luteum involutes and becomes the: Graafian follicle corpus albicans maturing follicle menarche

corpus albicans

While most muscle relaxants drugs are central nervous system (CNS) depressants, which medication acts only on the muscle? metaxalone tizanidine carisoprodol dantrolen

dantrolen

The health care provider has ordered lidocaine with epinephrine for the client. The nurse knows that when epinephrine is added to local anesthetics, what is the anticipated result? increased systemic absorption and increased duration of action of the local anesthetic decreased systemic absorption and increased duration of action of the local anesthetic increased systemic absorption and decreased duration of action of the local anesthetic decreased systemic absorption and decreased duration of action of the local anesthetic

decreased systemic absorption and increased duration of action of the local anesthetic

What should the perinatal nurse anticipate will be the anesthetic of choice for a primiparous woman has been in the first stage of labor for 2 hours? intravenous anesthesia topical anesthesia epidural anesthesia spinal anesthesia

epidural anesthesia

Which is an example of an androgen that can be used to treat hypogonadism? fluoxymesterone nandrolone oxymetholone dutasteride

fluoxymesterone

A client prescribed dantrolene therapy requires monitoring for what serious adverse effect? hepatitis hypoglycemia anemia hypotension

hepatitis

Which adverse effect of muscle relaxants is most pronounced when a client is prescribed tizanidine therapy? hypotension dark black urine eczema excessive salivation

hypotension

After teaching a group of nursing students about testosterone, the nurse determines that additional teaching is needed when they identify that testosterone can be given by which route? Oral topical intravenous Subcutaneous

intravenous

The nurse is working in a dental clinic assisting the dentist with a tooth extraction. The dentist numbs the gum with lidocaine before removing the tooth. This type of anesthetic is: topical. general. regional. local infiltration.

local infiltration.

Anatomically, where is the insertion point for spinal anesthesia? nerve ganglion epidural space lumbar spine mucous membrane

lumbar spine

The client is scheduled for a colonoscopy. Which drug would the nurse expect to be given to the client prior to the procedure to promote conscious sedation? midazolam citanest ativan robinul

midazolam

A nurse in the postanesthetic recovery unit is performing an assessment of a client whose balanced anesthesia includes the use of vecuronium. The nurse should recognize an increased risk of recurarization due to the client's history of what medical condition? depression myasthenia gravis deep vein thrombosis (DVT) type 2 diabetes

myasthenia gravis

A client with multiple sclerosis asks the nurse to explain why deep tissue massages do not relieve spasticity. The nurse should explain that spasticity is caused by: stimulation of "association areas" in the brain; therefore, only nerve blocks will be effective. inflammation of the muscles; therefore, NSAIDs may be effective. skeletal muscle trauma and will improve in time. nerve damage in the brain and spinal cord, and it is a permanent condition.

nerve damage in the brain and spinal cord, and it is a permanent condition.

A client has been prescribed vardenafil. Which medication in the client's history would the nurse be <b>most</b> concerned about? tamoxifen insulin amoxicillin nitroglycerin

nitroglycerin

A nurse is reading a journal article about female hormones. Which would the nurse identify as a progestin? raloxifene bicalutamide estradiol norethindrone

norethindrone

A postmenopausal woman is administered estradiol for the purpose of preventing which condition? endometriosis uterine cancer osteoporosis amenorrhea

osteoporosis

A nurse is obtaining a history from an older adult woman. During the interview, the woman states, "When I feel like I have to urinate, the urge is really strong and I go to the bathroom really frequently, often waking up several times during the night to go." The nurse would most likely identify this as which condition? overactive bladder syndrome stress incontinence urge incontinence neurogenic bladder

overactive bladder syndrome

The production of estrogen during pregnancy would be negatively affected if which structure was not functioning effectively? uterus placenta fallopian tube amniotic sac

placenta

The release of gonadotropin releasing hormone by the hypothalamus signals the onset of: menarche. menstruation. puberty. menopause.

puberty

The release of gonadotropin releasing hormone by the hypothalamus signals the onset of: puberty. menarche. menopause. menstruation.

puberty

A client is prescribed an alpha-adrenergic blocker for treatment of BPH. When explaining the action of the drug to the client, which information would the nurse integrate into the explanation? relaxation of the smooth muscles facilitation of the enzyme to allow increased blood to the penis relaxation of the detrusor muscle interference with testosterone conversion

relaxation of the smooth muscles

A 24-year-old woman has come to the clinic with an infection and has been prescribed penicillin. The nursing assessment reveals that she is taking oral contraceptives. The nurse will instruct her to: abstain from intercourse for at least 48 hours after taking penicillin. stop using oral contraceptives and focus on the penicillin therapy. use an additional form of birth control while taking penicillin. include adequate proteins and vitamins in her diet.

use an additional form of birth control while taking penicillin.

Question 3 of 5 A 20-year-old college student has presented to the campus medical clinic seeking to begin oral contraceptive therapy. The nurse has recognized the need for adequate health education related to the client's request. The nurse should emphasize the fact that successful prevention of pregnancy depends primarily on the client's: knowledge of sexual health. current health status. vigilant adherence to the drug regimen. risk factors for adverse effects.

vigilant adherence to the drug regimen.

The anesthesia care provider visits with the client prior to surgery. The choice of type of drugs to administer to the client during surgery are based on what factors? Select all that apply. Area, organ, or system being operated on Cost of the drugs Anticipated length of the surgical procedure General physical condition of the client Client's personal preference

General physical condition of the client Area, organ, or system being operated on Anticipated length of the surgical procedure

After teaching a group of students about hormonal secretion of the reproductive system, the instructor determines that the teaching was successful when the students identify what as initiating hormone secretion from the ovaries and testes? Gonadotropin releasing hormone Luteinizing hormone Interstitial cell stimulating hormone Follicle stimulating hormone

Gonadotropin releasing hormone

Which hormone would be initially responsible for hormone secretion from the ovaries and testes? Follicle-stimulating hormone Luteinizing hormone Gonadotropin-releasing hormone Interstitial cell-stimulating hormone

Gonadotropin-releasing hormone

Which hormone would be initially responsible for hormone secretion from the ovaries and testes? Gonadotropin-releasing hormone Follicle-stimulating hormone Luteinizing hormone Interstitial cell-stimulating hormone

Gonadotropin-releasing hormone

Which would the nurse include in a teaching plan about the signs and symptoms of thrombophlebitis and thromboembolism that should be reported by a client taking estrogen? Cholestatic jaundice Amenorrhea Breast tenderness Headaches

Headaches

Which would the nurse include in a teaching plan about the signs and symptoms of thrombophlebitis and thromboembolism that should be reported by a client taking estrogen? Headaches Breast tenderness Amenorrhea Cholestatic jaundice

Headaches

In older adult men, anabolic steroids may be prescribed for a deficiency condition. If hypertensive, what might be the cause for an increase in blood pressure? Potassium retention Increased fluid and sodium retention Increased RBD production Increased bioavailability of androgens

Increased fluid and sodium retention

Which cells in the testes produce testosterone? Sertoli cells T-cells Leydig cells B-cells

Leydig cells

Damage to what component of the male reproductive system would result in a lack of testosterone? Corpora cavernosa Leydig cells Seminiferous tubules Prostate gland

Leydig cells -produce testosterone

The nursing instructor is teaching the students about anesthesia and informs them that there are two types. What are those two types of anesthesia? (Select both that apply.) Topical anesthesia General anesthesia Spinal anesthesia Local anesthesia Regional anesthesia

Local anesthesia General anesthesia

A client comes to the emergency department. The client has a small wound that requires suturing. The nurse would anticipate which type of anesthesia? General anesthesia Topical anesthesia Local infiltration anesthesia Conduction block anesthesia

Local infiltration anesthesia

An older adult is prescribed a skeletal muscle relaxant for reports of neck pain. What is the top priority of care for the nurse to teach the family? Give the medication at the same time each day. Instruct on how to assess client's pain level. Administer the medication with meals. Monitor the client before ambulating.

Monitor the client before ambulating.

The nursing student identifies which people as qualifed to administer anesthesia? (Check all that apply.) Physician assistant Operating room nurse Surgeon Nurse anesthetist Anesthesiologist

Nurse anesthetist Anesthesiologist

After teaching a patient who is prescribed estradiol vaginal cream, the nurse determines that the patient has understood the instructions when she states that she will administer the medication at which frequency? Once every other day Once a day Once a month Once a week

Once a day

Medroxyprogesterone is an effective form of birth control. Long-term use can cause what serious adverse effect? Headaches Nervousness Osteoporosis Menstrual irregularities

Osteoporosis

The human sexual response involves the activation of which system? Urinary system Sympathetic nervous system Parasympathetic nervous system Endocrine system

Parasympathetic nervous system

The nurse is preparing an outline for a class on the physiology of the male sexual response. Which event would the nurse identify as occurring first? Penile vasodilation Psychological release Sperm emission Ejaculation

Penile vasodilation

The nurse is preparing an outline for a class on the physiology of the male sexual response. Which event would the nurse identify as occurring first? Ejaculation Psychological release Sperm emission Penile vasodilation

Penile vasodilation

Prior to administering morphine sulfate to a client in the postanesthesia recover unit (PACU), what information must the nurse obtain? (Select all that apply.) Blood pressure Pulse Respirations Urinary output IV fluid rate

Pulse Respirations Blood pressure

The nurse is reviewing the functions of the ovaries, uterus, clitoris, and vagina with a group of nursing students. What would be the best response by a nursing student about the function of the uterus? Receives sperm, provides an exit for menstrual flow, and serves as the birth canal Small erectile structure that responds to sexual stimulation Produces female gametes or ova and secretes female sex hormones Receives the fertilized ovum and provides housing and nourishment for a fetus

Receives the fertilized ovum and provides housing and nourishment for a fetus

A client is receiving general anesthesia and the client's skeletal muscles have begun to relax after being tense In what stage of anesthesia is this client? Stage 2 Stage 3 Stage 1 Stage 4

Stage 1

A 29-year-old female client in labor has just received epidural anesthesia. Before the procedure her blood pressure was 120/78 and her pulse was 60 bpm. Now her blood pressure is 100/60 and her pulse is 80 bpm. She reports a metallic taste in her mouth, hears a ringing in her ears, and appears confused. What is this client most likely experiencing? A normal adverse effect of local anesthesia Signs of preeclampsia Anxiety related to administration of an epidural Systemic toxicity from local anesthesia

Systemic toxicity from local anesthesia

When a local anesthetic is administered in increasing doses, which sensation is lost first? Touch Proprioception Skeletal muscle tone Temperature

Temperature

A client is using a transdermal system for androgen administration. Which drug would the client most likely be using? Fluoxymesterone Testosterone Methyltestosterone Danazol

Testosterone

Spinal reflexes are the simplest nerve pathways that monitor movement and posture. True False

True

After reviewing information about general anesthetics, a group of students demonstrate understanding of the information when they identify which as acting like gas anesthetics? Nonbarbiturate anesthetics Volatile liquids Barbiturate anesthetics Esters

Volatile liquids

A surgical client's balanced anesthesia includes the use of vecuronium. What nursing action should the operating room nurses prioritize? protecting the client's skin integrity monitoring the client for signs of increased level of consciousness assessing and protecting the client's airway monitoring the client's deep tendon reflexes

assessing and protecting the client's airway

Dantrolene should be avoided in all patients who are 35 or older because of the increased risk of: diabetic ketoacidosis. congestive heart failure. cerebral hemorrhage. hepatocellular disease.

hepatocellular disease.

A perioperative nurse is explaining the process of general anesthesia in anticipation of the adult client's imminent bowel resection. When describing the phase of induction, the nurse should explain that this is usually achieved by what means? intramuscular (IM) injection of anesthetics and benzodiazepines intravenous administration of anesthetics subcutaneous (sub-Q) injection of a rapid-acting anesthetic intravenous (IV) administration of opioid analgesics

intravenous administration of anesthetics

In the male, interstitial cell stimulating hormone is released. The nurse identifies this as: estrogen. luteinizing hormone. follicle stimulating hormone. gonadotropin releasing hormone.

luteinizing hormone.

Clotting of the uterine lining during the menstrual cycle is prevented by high levels of progesterone. plasminogen. estrogen. prostaglandins.

plasminogen.

Medroxyprogesterone acetate is indicated for the treatment of women with: cervical cancer. ovarian cancer. fibromyalgia. uterine bleeding.

uterine bleeding.

A nurse is educating a group of young sports persons about the adverse effects associated with the use of anabolic steroids. Which of the following would the nurse include as occurring typically only in females? jaundice mental changes virilization severe acne

virilization - female developing male characteristics

Which is an adverse effect caused by all uterine stimulants because of their antidiuretic effect? hypotension water intoxication dehydration polydipsia

water intoxication

A menopausal client prescribed estrogen asks what the implications of taking the medication are. Which response by the nurse best demonstrates an understanding of the associated implications? "If estrogen and progesterone are taken together, there are no increased health risks." "Estrogen decreases the risk of dementia, myocardial infarctions, strokes, breast cancer, and blood clot." "Estrogen increases the risk of certain cancers, myocardial infarctions, and blood clots." "Estrogen has not been proven to increase the risk of any significant medical conditions."

"Estrogen increases the risk of certain cancers, myocardial infarctions, and blood clots."

The parents of a teething infant ask about over-the-counter (OCT) solutions to help minimize the pain. What assessment question has priority when preparing to provide suggestions? "Does the pain wake your infant up?" "When did the pain start?" "How old is your infant?" "Is this your infant's first tooth?"

"How old is your infant?"

What factor is necessary for the triggering of menopause? (Select all that apply.) The increase of plasminogen levels The lose of the uterine lining A depletion of female ova A decrease in available estrogen A decrease in progesterone production

A decrease in progesterone production A depletion of female ova A decrease in available estrogen

The health care provider has prescribed testosterone for a 77-year-old client with a low testosterone level. The nurse will evaluate this client for what condition that may develop in this client in response to this medication? Benign prostatic hypertrophy Breast enlargement Fatigue Impotence

Benign prostatic hypertrophy

When considering the hormonal changes that occur, the nurse should encourage which diagnostic screening for a postmenopausal woman? Bone calcium level Red blood cell count Fasting blood sugar Serum potassium level

Bone calcium level

When fluoxymesterone is administered to a 14-year-old male, what is the expected result? Virilization Development of sexual organs Decrease in facial acne Lessening of depression

Development of sexual organs

Which hormone is released into circulation by the Graafian follicles? Follicle stimulating hormone Luteinizing hormone Progesterone Estrogen

Estrogen

Dinoprostone can be used to terminate a pregnancy after 20 weeks. False True

False

Testosterone is injected directly into the corpus spongiosum. False True

False

What represents routes in which general anesthesia is most commonly achieved? (Select all that apply.) Inhalation IV IM Oral Topical

Inhalation IV

When stimulation levels off during the human sexual response, the person is said to be in which of the following phases? Plateau Resolution Climax Stimulation

Plateau

After teaching a class on the female reproductive system, the nurse determines that the teaching was successful when the class identifies what as a primary function of the ovaries? Carrying the ovum to the endometrium Secretion of mucus that supplies lubrication for intercourse Secretion of estrogen and progesterone Location for implantation of a fertilized ovum

Secretion of estrogen and progesterone

A woman is diagnosed with pulmonary hypertension. The nurse explains the drug prescribed and the patient states, "That's a drug that used to treat erectile dysfunction." Which drug would this most likely be? Alprostadil Vardenafil Tadalafil Sildenafil

Sildenafil

The nursing instructor is teaching students about anesthesia and instructs that general surgical anesthesia is divided into four different stages. In which stage would the nurse expect to see delirium? Stage 1 Stage 2 Stage 3 Stage 4

Stage 2

Androgens may be prescribed to women to treat conditions related to the effects of the female sex hormones. Danazol is prescribed to prevent or treat fibrocystic breast disease and: toxic shock syndrome. endometriosis. alopecia. folic acid deficiencies.

endometriosis.

The layer of the uterus that is influenced by hormone changes in preparation for possible conception and pregnancy is the: fundus. perimetrium. myometrium. endometrium.

endometrium.

The increase in thickness of the endometrial layer during the first half of the menstrual cycle is controlled by the: level of FSH. increasing level of HcG. dropping level of LH. increasing level of estrogen.

increasing level of estrogen.

Ovulation is: disintegration of an ovum during the menstrual cycle. cessation of monthly cycles. tubal ligation. release of an ovum from the ovary. weakening of bone tissue.

release of an ovum from the ovary.

The nurse monitors a patient receiving oxytocin for water intoxication based on the understanding that this condition is the result of: blockage of estrogen receptor sites. release of antidiuretic hormone. effects secondary to ergotism. stimulation of the neuroreceptor sites.

release of antidiuretic hormone.

A nurse is providing care for a patient who suffered extensive burns to the extremities during a recent industrial accident. Topical lidocaine gel has been ordered to be applied to the surfaces of all the burns in order to achieve adequate pain control. When considering this order, the nurse should be aware that: lidocaine must be potentiated with another anesthetic in order to achieve pain control. intravenous lidocaine may be preferable to topical application. there is a risk of systemic absorption of the lidocaine through the patient's traumatized skin. pain relief is unlikely to be achieved due to the destruction of nerve endings in the burn site.

there is a risk of systemic absorption of the lidocaine through the patient's traumatized skin.

The nurse would be alert for signs and symptoms of which if methylergonovine is prescribed for a client who is a heavy smoker? electrolyte imbalance vasodilation diuresis vasoconstriction

vasoconstriction

A 52-year-old has made an appointment with his primary care provider and has reluctantly admitted that his primary health concern is erectile dysfunction (ED). He describes the problem as increasing in severity and consequent distress. Which of the nurse's assessment questions is most likely to address a common cause of ED? "Are you taking any medications for high blood pressure?" "How has this problem been affecting your relationship with your wife?" "How would you describe your overall level of health?" "Have you suffered any injuries of any kind in the last several months?"

"Are you taking any medications for high blood pressure?"

In an ideal 28-day menstrual cycle, the secretory phase occurs during which days? 1 to 5 5 to 11 15 to 28 12 to 14

15 to 28

The nurse is aware that a client receiving which category of medication will not be prescribed vardenafil? Antidiuretics Antidysrhythmics Antivirals Antibiotics

Antidysrhythmics

When counseling a patient about the proper use of Lidoderm (a local anesthetic patch) what instruction should the nurse include? Apply the patch and then use a heating pad for maximum effectiveness. Apply the patch to the most painful area of the skin. Do not remove the protective patch film before applying the patch. When removing the old patch, wash the area and the patch first and then keep the patch for use at a later date.

Apply the patch to the most painful area of the skin.

When considering the hormonal changes that occur, the nurse should encourage which diagnostic screening for a postmenopausal woman? Serum potassium level Fasting blood sugar Bone calcium level Red blood cell count

Bone calcium level

Which phase of the human sexual response results from massive sympathetic stimulation? Stimulation Climax Resolution Plateau

Climax

A group of students are reviewing the various fertility drugs that are available. The students demonstrate understanding when they identify which drug as being administered orally? Cetrorelix Ganirelix Clomiphene Follitropin alfa

Clomiphene

A 28-year-old patient has a history of malignant hyperthermia following anesthesia. Today, this patient is on the operating room schedule for a D&C;. Which method of anesthesia would not be acceptable for this patient? General anesthesia with an inhalation agent Epidural anesthesia Spinal anesthesia Local anesthesia

General anesthesia with an inhalation agent

Fertilization of the ovum and implantation in the uterine wall result in the production of what hormone? Human chorionic gonadotropin Estrogen Testosterone Progesterone

Human chorionic gonadotropin

A client comes to the health care provider's office. The client is to receive botulinum toxin. What, if assessed, would suggest to the nurse that the drug administration should be postponed? Reports of urinary frequency Infection at the intended site of administration Recent gastrointestinal upset Difficulty swallowing

Infection at the intended site of administration

A client with a history of benign prostatic hypertrophy (BPH) is seeking androgenic medication treatment for penile erectile dysfunction. What information should the nurse provide the client regarding this therapy? It has been associated with type 2 diabestes It could trigger adult onset asthma It increases the risk for prostate cancer It will likely require an extensive period of therapy

It increases the risk for prostate cancer

The nurse at an urgent care clinical is reviewing local anesthetics. What drug should the nurse recognize as an amide? Tetracaine Lidocaine Procaine Benzocaine

Lidocaine

Mr. Craig, age 55, is seen by his family physician today for follow-up care. He was hospitalized 2 months ago for a myocardial infarction. Mr. Craig is taking the following medications: atenolol, Zetia, and Zestril. In addition to requesting a refill of his medication for his cardiac condition, he also asks for something to help with his erectile dysfunction, which has increased in severity over the last year. What would be the most appropriate response to Mr. Craig with regard to sildenafil? Prior to being prescribed sildenafil, you will need to have a stress test. It is not recommended that you take sildenafil, because you are on atenolol. Sildenafil will not work for you because of the type of erectile dysfunction that you have. It is not recommended that you have sexual intercourse for a year after having a heart attack.

Prior to being prescribed sildenafil, you will need to have a stress test.

After teaching a group of students about female reproductive hormones, the instructor determines that the teaching was successful when the students identify which hormone as being primarily responsible for maintaining pregnancy? Estrogen Progesterone Follicle-stimulating hormone Luteinizing hormone

Progesterone

A surgical nurse is documenting the different stages of anesthesia on a patient's chart. Which stage will the nurse describe in documentation just before the surgeon makes the incision? Stage I Stage II Stage III Stage IV

Stage III

What would castration prior to puberty result in? (Select all that apply.) Failure to develop normal male characteristics Increased testosterone production Viable sperm production Sterility All the above

Sterility Failure to develop normal male characteristics

What would castration prior to puberty result in? (Select all that apply.) Failure to develop normal male characteristics Sterility Viable sperm production Increased testosterone production All the above

Sterility Failure to develop normal male characteristics

What is most important to tell the client who will be taking adrenergic blocking drugs for benign prostatic hypertrophy? Take with food. Reduce the amount of liquid that you drink to prevent nocturia. Take the medication at the same time each day. If you experience adverse effects, stop the medication for a week and then restart.

Take the medication at the same time each day.

Hormonal regulation of reproductive functions in both the male and the female are complicated processes. In the male where are the male sex hormones produced? Bulbourethral glands Testes Cowper's glands Seminal vesicles

Testes

A client is using a transdermal system for androgen administration. Which drug would the client most likely be using? Danazol Methyltestosterone Testosterone Fluoxymesterone

Testosterone

A 37-year-old client has received procaine hydrochloride (Novocain) in the mouth for a dental procedure. How would the nurse evaluate that the outcome of reduced pain related to a dental procedure has been met? The client's facial expressions are calm and relaxed. The client has not vomited or reported symptoms of nausea. The client demonstrates reduced fear and anxiety. The client reports no pain in the lower extremities.

The client's facial expressions are calm and relaxed.

When epinephrine is mixed with a local injectable anesthetic, it is done for what purpose? No effect To cause vasodilation To make the drug wear off more quickly To cause vasoconstriction

To cause vasoconstriction

The health care provider has ordered oxytocin to be administered via IV pump and titrated until a client's contractions are every 3 minutes. The nurse caring for the client is aware that oxytocin can cause dangerous effects to the CNS, musculoskeletal, and cardiovascular systems of the client. What is the cause of these adverse effects? Water intoxication Abnormal atrioventricular rhythms Tachysystole Asperger's disorder

Water intoxication

If pregnancy does not occur during the menstrual cycle, the corpus luteum involutes and becomes the: maturing follicle. corpus albicans. menarche. Graafian follicle.

corpus albicans.

A nurse is caring for a client who is receiving magnesium. The nurse would be alert for which finding? profuse sweating depressed reflexes severe vasoconstriction flaccid paralysis

depressed reflexes

A client is receiving botulinum toxin type A as treatment for frown lines. The nurse would instruct the client about: photosensitivity. abnormal hair growth. acne. drooping eyelids.

drooping eyelids.

A client is prescribed oxybutynin in a transdermal form. The nurse would instruct the client to apply the patch to which area? Select all that apply. hip buttocks abdomen thigh upper arm

hip abdomen buttocks

A 63-year-old woman taking estrogen and progestin for several years has recently changed to estrogen alone. What medical event would prompt such a change in treatment? persistent nausea hysterectomy weight gain development of hypertension

hysterectomy

A 63-year-old woman taking estrogen and progestin for several years has recently changed to estrogen alone. What medical event would prompt such a change in treatment? weight gain persistent nausea hysterectomy development of hypertension

hysterectomy

A nurse is preparing to administer a drug in the antepartal period to induce a pregnant woman's labor contractions. Which medication would the nurse most likely administer? indomethacin terbutaline ritodrine oxytocin

oxytocin

Clotting of the uterine lining during the menstrual cycle is prevented by high levels of plasminogen. progesterone. estrogen. prostaglandins.

plasminogen.

An 8-year-old boy has been diagnosed with a sex hormone deficiency and has begun a course of treatment with testosterone. What change in the boy's health status would necessitate a stop to the course of treatment? increased blood pressure signs of puberty excessive growth in height recurrent urinary tract infections

signs of puberty

A patient who has suffered a crushing injury to his thumb and two fingers in an accident at a factory is relieved to be administered a local anesthetic prior to treatment. The drugs that were administered decrease the permeability of the nerve cell membrane to: glucose. phosphorus. bicarbonate. sodium.

sodium.

What question should the nurse ask when assessing for therapeutic effects of vardenafil? "Have you found that you're better able to get and maintain erections?" "Do you feel like you're beginning to show more masculine characteristics?" "Have you been having less urinary frequency than before you started on vardenafil?" "Has vardenafil helped increase and stabilize your libido?"

"Have you found that you're better able to get and maintain erections?"

A nurse is caring for a 28-year-old patient who is taking exogenous testosterone for treatment of cryptorchidism. What statement by this patient would lead the nurse to believe that patient teaching has been ineffective? "My sperm count should increase." "My sexual desire may increase." "My voice may become deeper." "I may grow more body hair."

"My sperm count should increase."

The nurse is counseling a woman who is concerned about fertility. The woman asks how to chart her ovulation. The nurse should explain that, on average, ovulation occurs on which day of a 28-day cycle? 12 1 14 10

14

The nurse is describing changes in the male that occur with aging and parallel the changes that occur in women. The nurse is describing: Andropause Menarche Androgen Menopause

Andropause

What happens with the hormones associated with pregnancy once the fetus and the placenta have been expelled from the uterus? Hormone levels decrease significantly. Hormone levels decrease slightly. Hormone levels remain constant. Hormone levels increase slightly.

Hormone levels decrease significantly.

A new client telephones the clinic requesting a renewal prescription for contraceptives she has been taking for 4 years. It has been more than a year since her last health care visit, but she is unable to come into the clinic until next month. She insists she is "doing fine" on this medication and must have her prescription now. Considering the circumstances and related safety issues, how should the clinic nurse respond? "If you have a physical within 2 years, I can get your medication refilled." "Before estrogen based drugs are prescribed, you must see the health care provider to get an order for a mammogram." "Since you are doing well on this regimen, I'll arrange to get the prescription filled for a month to last until your clinic appointment." "Before the drugs are prescribed, a complete medical history, physical examination, Pap test, urinalysis, and weight and blood pressure measurements are recommended."

"Before the drugs are prescribed, a complete medical history, physical examination, Pap test, urinalysis, and weight and blood pressure measurements are recommended."

Which statements indicate that a client understands the need for a follow-up after the initial injection of medroxyprogesterone? "I know that this injection lasts for 3 months." "I know that I do not need to worry about STDs after getting this injection." "I know that I will need to return in 6 months for another injection." "I know that this injection is good for 1 year."

"I know that this injection lasts for 3 months."

A client sustained a severe laceration to the right thumb and index finger that will require local anesthetic to facilitate suturing. Which statement should prompt the nurse to provide further client health education? "If I understand correctly, I won't be able to move my hand normally for a while after getting the anesthesia." "They told me that it will take a few hours before I can feel my hand again." "I have to admit I'm relieved that they'll be freezing my hand before they stitch it up." "I'm feeling pretty queasy about getting stitches, so I'm glad they'll be knocking me out."

"I'm feeling pretty queasy about getting stitches, so I'm glad they'll be knocking me out."

A male clent has been diagnosed with impotence and is started on a regimen of androgens. Which statement by the client indicates that he has understood the teaching? "My blood count will drop, but if I have bruising, I will contact my health care provider." "I know headaches are common, so I won't get alarmed if it is severe." "If my skin appears yellow or my urine turns dark, I will contact my health care provider." "If I experience increasing baldness, I will contact my health care provider immediately."

"If my skin appears yellow or my urine turns dark, I will contact my health care provider."

On the advice of her sister, a 52-year-old woman has visited her nurse practitioner to discuss the potential benefits of hormone replacement therapy in controlling the symptoms of menopause. Which response by the nurse is most appropriate? "It's important to balance the possible benefits of HRT with the fact that it might increase your risk of heart disease and stroke" "HRT might be quite beneficial to you, and it carries the additional benefit of modest protection against breast cancer." "We'll have to check your bone density first, because if it's too low then it's not safe to start HRT." "Actually, most of the current research is suggesting that HRT may not be all that effective in treating the symptoms of menopause."

"It's important to balance the possible benefits of HRT with the fact that it might increase your risk of heart disease and stroke"

A 20-year-old woman will soon begin taking oral contraceptives for the first time. What advice should the nurse provide to this client? "You need to carefully consider whether you might want to get pregnant later in your life." "Some women get some pain in their chest or abdomen when they take oral contraceptives, but this will pass as your body gets used to them." "It will take 10 to 12 weeks before the birth control pills will actually prevent pregnancy, so be vigilant with other contraceptives until then." "Make sure to seek care quickly if you experience bad headaches, calf pain, or changes in vision."

"Make sure to seek care quickly if you experience bad headaches, calf pain, or changes in vision."

A patient has been prescribed methocarbamol (Robaxin) for fibromyalgia. The nurse has spent an hour educating the patient on the use of methocarbamol for muscle pain. Which statement by the patient indicates that the patient has an understanding of at least one of the significant side effects of methocarbamol? "My urine could be discolored while I take this drug." "I will probably have diarrhea while taking this drug." "This drug will help my tension headaches." "I should have lots of energy while taking this drug."

"My urine could be discolored while I take this drug."

A 72-year-old client has been diagnosed with benign prostatic hypertrophy (BPH) and will begin treatment with tamsulosin. The client admits that he is skeptical about the drug's ability to relieve his distressing symptoms. The nurse should respond in what way? "Tamsulosin can relax your prostate and your bladder neck, making it easier to pass urine." "Tamsulosin makes your urine less alkaline, reducing the irritation that makes your prostate enlarge." "Tamsulosin increases the strength of your bladder muscle and results in a stronger flow of urine." "Tamsulosin can increase the amount of urine your kidneys produce, resulting in better urine flow."

"Tamsulosin can relax your prostate and your bladder neck, making it easier to pass urine."

A 72-year-old client has been diagnosed with benign prostatic hypertrophy (BPH) and will begin treatment with tamsulosin. The client admits that he is skeptical about the drug's ability to relieve his distressing symptoms. The nurse should respond in what way? "Tamsulosin makes your urine less alkaline, reducing the irritation that makes your prostate enlarge." "Tamsulosin can increase the amount of urine your kidneys produce, resulting in better urine flow." "Tamsulosin increases the strength of your bladder muscle and results in a stronger flow of urine." "Tamsulosin can relax your prostate and your bladder neck, making it easier to pass urine."

"Tamsulosin can relax your prostate and your bladder neck, making it easier to pass urine."

The nurse is educating a young adult client diagnosed with androgen deficiency about the prescribed testosterone transdermal system, apply two systems (dose of 5 mg) nightly. Which statement made by the client establishes the need for further clarification? "One transdermal patch is applied to my back, upper arm, or abdomen to dry, clean skin, and the other to my groin." "I will keep all appointments with my prescriber and have my lab tests completed as ordered for proper follow-up." "The drug will cause acne, headache, bitter taste or mouth irritation, hair loss, and a change in sex drive." "I will weigh myself once or twice a week and record weights and report if there is an increase in my weight."

"Tamsulosin can relax your prostate and your bladder neck, making it easier to pass urine."

A client has been prescribed baclofen and will be taking the drug on an outpatient basis. The client asks the nurse if it is still okay to drink wine with meals or end the day with a "nightcap." What is the nurse's best response? "You're not permitted to drink alcohol while you're taking baclofen." "The combination of baclofen and alcohol could depress your nervous system to a dangerous level." "It's best to keep your alcohol intake to a low level when you're taking muscle relaxants." "If you combine baclofen and alcohol you could suffer a severe allergic-type reaction."

"The combination of baclofen and alcohol could depress your nervous system to a dangerous level."

A client with a lower back injury was recently prescribed chlorzoxazone 250 mg PO t.i.d. The client has phoned the clinic, telling the nurse, "My pain's better, but I'm worried that my bladder is bleeding because there's been blood in my urine." What is the nurse's best response" "There's a risk of that with this particular medication, so you should come be assessed promptly." "Please check in again if it doesn't clear up within the next 24 hours." "It's likely that your chlorzoxazone is reacting with one of your other medications." "This drug causes your urine to change color, so it's not likely blood that you're seeing."

"This drug causes your urine to change color, so it's not likely blood that you're seeing."

A 59-year-old man with a recent history of erectile dysfunction has been assessed and prescribed sildenafil (Viagra). When providing patient education to this man, the nurse should tell him: "Make sure that you don't take any other prescription medications while you're using Viagra." "You should take your Viagra at the same time each morning, ideally on an empty stomach." "If you get some heart palpitations or dizziness after you take Viagra, know that this is normal and will pass with time." "You might find that your face becomes flushed or you get a headache after you take Viagra."

"You might find that your face becomes flushed or you get a headache after you take Viagra."

The nurse is on the phone with a woman who is taking an antispasmodic for overactive bladder syndrome. The woman states that her mouth is very dry, but she is afraid to drink because she does not want the urge to urinate to increase. What is the nurse's best response to this client? "You shouldn't restrict your fluid intake because it will only make your bladder problems worse." "You will just have to put up with the dry mouth if you want to take this medication." "When your mouth is dry, rinse it with strong mouthwash." "To ensure that you don't have to go to the bathroom all the time, you should chew gum."

"You shouldn't restrict your fluid intake because it will only make your bladder problems worse."

In an ideal 28-day menstrual cycle, the secretory phase occurs during which days? 12 to 14 15 to 28 5 to 11 1 to 5

15 to 28

A client with postpartum bleeding has been prescribed 0.6 mg of methyl-ergonovine IM. The available drug is in the form of a 0.2 mg/mL. To meet the recommended dose, what volume of the solution should the nurse administer to the client? 4 mL 5 mL 2 mL 3 mL

3 mL

After teaching a woman using an intravaginal estrogen preparation, the nurse determines that the teaching was successful when the client states that she will remain lying for at least how long after instilling the drug? 45 minutes 10 minutes 30 minutes 20 minutes

30 minutes

A client diagnosed with erectile dysfunction has been advised to take sildenafil. For up to how many hours does the action of the drug persist? 8 hours 4 hours 24 hours 12 hours

4 hours

A nurse is instructing a client about vardenafil. The nurse would instruct the client to take the drug how many minutes before sexual stimulation? 30 minutes 15 minutes 60 minutes 45 minutes

60 minutes

The nursing instructor has taught the nursing students about different types of anesthesia. The students have learned about uses and contraindications. For which client would epidural anesthesia be contraindicated? A 23-year-old woman with a platelet count of 50,000/micro L A 68-year-old man with a blood pressure of 155/90 A 35-year-old man with a temperature of 37 deg C A 45-year-old woman with a hematocrit of 23%

A 23-year-old woman with a platelet count of 50,000/micro L

Conjugated estrogen therapy would be most appropriate for which one of these clients? A 65-year-old with a history of abnormal vaginal bleeding A 72-year-old with newly diagnosed breast cancer A 35-year-old with a history of thrombophlebitis, to prevent pregnancy A 25-year-old female with primary ovarian failure

A 25-year-old female with primary ovarian failure

What client is most likely to benefit from Botox (incobotulinumtoxin A) injections? A 68 year-old client who has chronic lumbar and thoracic pain following a workplace accident A 16 year-old client with cerebral palsy whose upper body spasticity has worsened in recent months A 54 year-old client who suffers debilitating migraines two to three days per week A 60 year-old client who was diagnosed with myasthenia gravis 18 months ago

A 54 year-old client who suffers debilitating migraines two to three days per week

Which patient would likely have the highest risk for hepatotoxicity from dantrolene (Dantrium)? A 57-year-old female who is on hormone replacement therapy A 45-year-old female who is taking an antihypertensive agent A 70-year-old male who is taking a cardiac glycoside A 32-year-old male who is taking an antipsychotic drug

A 57-year-old female who is on hormone replacement therapy

The nurse is working in the postanesthesia care unit, and several patients are having surgery today. Which patient would be at greatest risk for complications after surgery? A 64-year-old male who had bilateral femoral bypass grafting using spinal anesthesia A 35-year-old female who had a hysterectomy using general anesthesia A 26-year-old female who had a tubal ligation using general anesthesia A 72-year-old female who had general anesthesia for lung removal

A 72-year-old female who had general anesthesia for lung removal

What client is using his or her pyramidal tract to the largest extent? A client who is filling out the dietary preferences card for the next day A client who is walking to the dining room A client who is reaching to flush the toilet A client who is rising from a sitting to a standing position

A client who is filling out the dietary preferences card for the next day

The client is to have a spinal anethesisa for surgery. While educating the client, which statement by the nurse is correct regarding the insertion of the needle? There will be no needles because spinal anesthesia is given via inhaled gasses. A large bore needled will be inserted into the antecubital area and medication will be administered into the vein. A needle is placed under the skin at the cervical vertebrae and the medication is administered via infiltration of the tissues. A small gauge needle will be inserted into the subarachnoid space and medication will be administered into the cerebrospinal fluid.

A small gauge needle will be inserted into the subarachnoid space and medication will be administered into the cerebrospinal fluid.

A client is prescribed testosterone gel. Which would the nurse include in the teaching plan? Select all that apply. Applying the gel once daily in the morning. Allowing the application site to dry before getting dressed. Washing hands with soap and water after applying. Rubbing the gel vigorously on the scrotum. Waiting 5 minutes after opening the gel packet to apply the gel.

Allowing the application site to dry before getting dressed. Applying the gel once daily in the morning. Washing hands with soap and water after applying.

A nurse should advise a female client beginning therapy with methyltestosterone (Testred) for the treatment of inoperable advanced breast carcinoma of which of the following adverse reactions? Select all that apply: Mania Amenorrhea Facial hair growth Acne Somnolence

Amenorrhea Acne Facial hair growth

A patient with delayed puberty has been advised to take testosterone (Androderm) transdermal therapy. Which instruction should the nurse provide the patient to help promote an optimal response to this therapy? Moisten the skin before the application. Repeat the application to the scrotum after three days. Apply Androderm to the underside of the scrotum. Apply immediately after removing the cover.

Apply immediately after removing the cover.

A client has received tetracaine (Pontocaine) for a minor skin procedure. Place the steps in the order the nurse should carry them out after the tetracaine (Pontocaine) has been administered. Diagnose the client with acute pain (risk for). Implement the pain scale by periodically asking the clent to rate pain on a scale of 1 to 10. Evaluate the process for effectiveness of managed pain. Plan how to educate the client about the pain scale. Assess the clent's sensitivity and responsiveness to pain, touch, and pressure.

Assess the clent's sensitivity and responsiveness to pain, touch, and pressure. Diagnose the client with acute pain (risk for). Plan how to educate the client about the pain scale. Implement the pain scale by periodically asking the clent to rate pain on a scale of 1 to 10. Evaluate the process for effectiveness of managed pain.

A new client calls on the phone requesting a prescription for contraceptives, which she has been taking for 2 years. She has not been seen in more than a year and is unable to come into the clinic until next month. She insists she is doing fine on this medication and must have her prescription now. The nurse's best response would be: Before the drugs are prescribed, she must see the health care provider to get an order for a mammogram. As long as she had a physical within 2 years, she can get her medication refilled. Before the drugs are prescribed, a complete medical history, physical examination, pap test, urinalysis, and weight and blood pressure measurements are recommended. As long as she is doing well on this regimen, you will get the prescription filled until she can come into the clinic.

Before the drugs are prescribed, a complete medical history, physical examination, pap test, urinalysis, and weight and blood pressure measurements are recommended.

The health care provider has prescribed testosterone for a 77-year-old client with a low testosterone level. The nurse will evaluate this client for what condition that may develop in this client in response to this medication? Impotence Benign prostatic hypertrophy Breast enlargement Fatigue

Benign prostatic hypertrophy

A client has begun treatment for penile erectile dysfunction. What explanation should the nurse provide regarding the primary effect a prescribed phosphodiesterase type 5 inhibitor will have on this condition? Blood flow to the penis will be improved The emotional distress associated with this dysfunction is eliminated This classification of medication can be administered orally This classification of medications have virtually no adverse reactions

Blood flow to the penis will be improved

From puberty onward, androgens continue to aid in the development and maintenance of secondary sex characteristics that include what characteristics? (Select all that apply.) Epiphyseal growth Muscle development Body fat distribution Glucose metabolism Body hair

Body fat distribution Muscle development Body hair

A young male patient, age 14, has been prescribed testosterone for delayed onset of puberty. Follow-up care includes a visit to the clinic at least every 6 months for ongoing assessment. It will be most important for the nurse to monitor: Fluid intake and output Sodium and potassium levels Hemoglobin levels Bone growth

Bone growth

A client is taking androgens and warfarin (Coumadin). What effect will these two medications have on the client's coagulation? Coagulation will not be affected. The RBC will be decreased. Coagulation will be decreased. Coagulation will be increased.

Coagulation will be decreased.

The nurse administered morphine 30 minutes ago to a client in the postanesthesia recovery unit (PACU), and now notes that the client vital signs are: Temp: 97.9 F, Pulse: 98 bpm, Respirations: 9 breaths/min, and BP: 107/69. What is the nurse's next best action? Contact the health care provider. Place a warm blanket on the client. Document the findings. Recheck vital signs in 5 minutes.

Contact the health care provider.

A patient is having surgery to repair a ruptured Achilles tendon. The patient develops severe muscle contractions and hyperthermia. Which medications will be administered? Cyclobenzaprine (Flexeril) Carisoprodol (Soma) Baclofen (Lioresal) Dantrolene sodium (Dantrium)

Dantrolene sodium (Dantrium)

A female patient receiving fluoxymesterone, an androgenic drug, for metastatic breast cancer is disturbed by the physical changes seen in her body. Which feature of virilization may be seen in the patient receiving this therapy? Deepening of the voice Hypopigmentation of the skin Decrease in clitoris size Increase in body weight

Deepening of the voice

A 44-year-old woman has been admitted to the hospital for lower abdominal surgery. She appears anxious and expresses concerns about the epidural procedure. What would be a therapeutic way to manage this client's anxiety? Keep the client's mind off the procedure by talking about current events. Reassure the client that nothing bad is going to happen and everything will go smoothly. Ask the client why she is so nervous. Demonstrate active listening through eye contact and posture and then ask open-ended questions.

Demonstrate active listening through eye contact and posture and then ask open-ended questions.

The nurse receives a call from a male client who takes finasteride (Proscar) for treatment of BPH, and tells the nurse that his wife may be pregnant. What does the nurse expect the health care provider to do? Discontinue the medication. Change the finasteride to dutasteride. Decrease the dose of medication. Increase the dose of medication.

Discontinue the medication.

The nurse receives a call from a male client who takes finasteride (Proscar) for treatment of BPH, and tells the nurse that his wife may be pregnant. What does the nurse expect the health care provider to do? Increase the dose of medication. Decrease the dose of medication. Discontinue the medication. Change the finasteride to dutasteride.

Discontinue the medication.

What nursing interventions are most important if the nurse has concerns that the client is developing fluid overload while receiving oxytocin? (Select all that apply.) Increase the client's maintenance IV. Administer oxytocin intranasally. Discontinue the oxytocin infusion. Measure the client's output hourly. Encourage the client to force fluids.

Discontinue the oxytocin infusion. Measure the client's output hourly.

The client is taking baclofen (Lioresal). What would be the most important safety instruction for the nurse to give to this client? Take a laxative when needed. Do not walk or drive after taking the drug. Learn to self-administer the drug. Discontinue the use of alcohol.

Discontinue the use of alcohol.

A nurse administers carisoprodol to a client for the treatment of an acute musculoskeletal condition. The nurse would be alert for which adverse effect after administering the drug? Drowsiness Insomnia Constipation Anxiety

Drowsiness

The nurse is caring for a woman who received epidural anesthesia during the labor and delivery of her baby. The client is anxious to get up and take a shower. What is the nurse's best action in this situation? Give the woman a bed bath. Place the woman in a wheelchair and wheel her to the bathroom. Inform the woman that she will not be allowed out of bed for the next 24 hours. Ensure the woman has return of normal feelings and movement in the lower extremities.

Ensure the woman has return of normal feelings and movement in the lower extremities.

The nurse is caring for a woman who received epidural anesthesia during the labor and delivery of her baby. The client is anxious to get up and take a shower. What is the nurse's best action in this situation? Inform the woman that she will not be allowed out of bed for the next 24 hours. Ensure the woman has return of normal feelings and movement in the lower extremities. Give the woman a bed bath. Place the woman in a wheelchair and wheel her to the bathroom.

Ensure the woman has return of normal feelings and movement in the lower extremities.

What is true regarding the difference between ester-type local anesthetics and amide-type local anesthetics? The amide local anesthetics are metabolized quickly by the liver and are unable to lead to systemic toxicity. Ester anesthetics are a new class of medications and metabolize slowly in the bloodstream. Amides are broken down quickly and are metabolized by plasma esterases. Esters break down quickly; they have a lower risk of systemic toxicity than amides.

Esters break down quickly; they have a lower risk of systemic toxicity than amides.

A client is menopausal and has been given a prescription for estrogen. She asks the nurse what some of the risks are in taking this medication. The nurse's best response is: Estrogen increases the risk of certain cancers, myocardial infarctions, and blood clots. Estrogen decreases the risk of dementia, myocardial infarctions, strokes, breast cancer, and blood clot. As long as estrogen and progesterone are taken together, there are no increased health risks. Estrogen has not been proven to increase any medical conditions.

Estrogen increases the risk of certain cancers, myocardial infarctions, and blood clots.

An older adult resident of a long-term care facility is experiencing muscle spasticity and has just been prescribed a centrally acting skeletal muscle relaxant. The client has comorbidities of early stage Alzheimer's disease and chronic obstructive pulmonary disease (COPD). What nursing action should the nurse prioritize for adding to the client's care plan? Continuous pulse oximetry Falls prevention measures Deep breathing and coughing exercises Seizure precautions

Falls prevention measures

The nurse is aware that intranasal oxytocin is used for what reason? Firm and boggy fundus in the postpartum period Help with milk letdown in breastfeeding Decreasing the intensity of postpartum contractions Control of postpartum bleeding

Help with milk letdown in breastfeeding

Question 3 of 5 What happens with the hormones associated with pregnancy once the fetus and the placenta have been expelled from the uterus? Hormone levels increase slightly. Hormone levels remain constant. Hormone levels decrease significantly. Hormone levels decrease slightly.

Hormone levels decrease significantly.

Which is NOT a common adverse effect of spinal anesthesia? Positional headache Hypertension Shivering Nausea and vomiting

Hypertension

A client comes to the health care provider's office. The client is to receive botulinum toxin. What, if assessed, would suggest to the nurse that the drug administration should be postponed? Infection at the intended site of administration Reports of urinary frequency Difficulty swallowing Recent gastrointestinal upset

Infection at the intended site of administration

A male client informs his physician that sildenafil therapy is not working for him. What is most likely to be the reason for this and needs to be carefully assessed for by the nurse? Prescribed dosage is less than normal Urethral blockage Nonadherence to the prescribed dosage Ingestion of high-fat meal along with the drug

Ingestion of high-fat meal along with the drug

The nurse is caring for a client whose current medication regimen includes baclofen 60 mg PO daily. What assessment should the nurse nurse prioritize when assessing for therapeutic effects? Inspection for muscle spasticity and range of motion assessment Assessment for seizure activity Comparison of fine motor and gross motor skills Bilateral assessment of muscle strength

Inspection for muscle spasticity and range of motion assessment

When caring for a patient receiving estrogen therapy, which action would be an appropriate part of the evaluation process? Directing the patient to weigh herself weekly and to report sudden weight gain Teaching the patient that combined estrogen-progestin therapy may increase blood sugar levels in women with diabetes Teaching the patient to take estrogens and progestins with food or at bedtime to decrease nausea Interviewing the patient and observing for therapeutic and adverse effects

Interviewing the patient and observing for therapeutic and adverse effects

The client is menopausal but refuses to take estrogen because she fears having a stroke. She is currently on HydroDIURIL for hypertension. She asks if taking a natural herb, such as cohosh, would be safe. In addition to referring her to her medical care provider for further information, the nurse's best response would be: She should take estrogen instead, as the herb may lead to strokes. It must be used cautiously as the herb may increase the hypotensive effects of antihypertensive drugs. Blood pressure is not affected by herbal supplements. There is no difference between taking the herbal supplement or estrogen.

It must be used cautiously as the herb may increase the hypotensive effects of antihypertensive drugs.

A client has received a prescription for baclofen. The home care nurse would schedule which laboratory tests to monitor this client? Liver function tests Cardiac function tests CBC and electrolytes Hemoglobin and hematocrit

Liver function tests

The client has had a swimming accident and lacerated his foot on a broken bottle in the water approximately 3 cm. The nurse is prepared to assist the healthcare provider with what type of anesthesia? Topical Conduction block General Local

Local

A 30-year-old client is to receive tetracaine (Pontocaine) via spinal anesthesia for an abdominal procedure. What should the nurse do to prevent side effects of this type of anesthesia? Insert a Foley catheter. Maintain the client in a supine position following the procedure. Monitor the vital signs every 2 hours. Attach Venodyne boots.

Maintain the client in a supine position following the procedure.

hich is the drug of choice in children who need to be treated with tetanus? Baclofen (Lioresal) Methocarbamol (Robaxin) Dantrolene (Dantrium) Carisoprodol (Soma)

Methocarbamol (Robaxin)

The nurse assists the health care provider during a diagnostic procedure as the health care provider administers by infiltration 2% chloroprocaine with preservatives to an adult client. Which measures would the nurse provide for safe and effective drug administration? Select all that apply. Shake the solution of chloroprocaine to mix the crystals well before the health care provider uses it. Monitor vital signs and report the development of tachycardia and hypertension to the health care provider. Examine current medications for interactions, such as sulfonamides, which can lead to hypertension. Assess the respiratory status, including lung sounds, and report any development of bronchospasms. Ask if the client feels any pain, pressure, or discomfort before or during the procedure.

Monitor vital signs and report the development of tachycardia and hypertension to the health care provider. Assess the respiratory status, including lung sounds, and report any development of bronchospasms. Ask if the client feels any pain, pressure, or discomfort before or during the procedure.

A teenage client who is using testosterone to treat a hormone deficiency calls the clinic to report acne-like skin eruptions on the face. How should the nurse counsel this client? Gradually decrease the dose of testosterone. Practice frequent and thorough skin cleansing. Make an immediate appointment with a dermatologist. Stop taking this drug immediately.

Practice frequent and thorough skin cleansing.

During pregnancy, what complication is related to insufficient progesterone production? Oxygen supply to the fetus is disrupted Fetal development is halted Premature uterine contractions occur Poor nutritional support for the fetus

Premature uterine contractions occur

During pregnancy, what complication is related to insufficient progesterone production? Oxygen supply to the fetus is disrupted Premature uterine contractions occur Poor nutritional support for the fetus Fetal development is halted

Premature uterine contractions occur

Prior to administering morphine sulfate to a client in the postanesthesia recover unit (PACU), what information must the nurse obtain? (Select all that apply.) Pulse Urinary output Respirations IV fluid rate Blood pressure

Pulse Respirations Blood pressure

After teaching a class on the female reproductive system, the nurse determines that the teaching was successful when the class identifies what as a primary function of the ovaries? Secretion of mucus that supplies lubrication for intercourse Carrying the ovum to the endometrium Secretion of estrogen and progesterone Location for implantation of a fertilized ovum

Secretion of estrogen and progesterone

The nurse will provide a client, prescribed alprostadil, with information regarding which method of administration? Orally Self-injection Rectal suppository Sublingually

Self-injection

Dysfunction of which structure in the male reproductive system would result in ineffective sperm production? Seminiferous tubules Corpus spongiosum Leydig cells Vas defernce

Seminiferous tubules

A patient is receiving estrogen therapy. What would the nurse instruct the patient to report immediately? Dizziness Weight gain Shortness of breath Abdominal bloating

Shortness of breath

The client is undergoing surgery for a small bowel resection. At this time the client is experiencing complete respiratory paralysis and is in the most dangerous stage of general anesthesia. Which stage is this? Stage 4 Stage 2 Stage 1 Stage 3

Stage 4

When caring for a postpartum patient who is receiving oxytocin intranasally, the nurse understands what is the action of oxytocin? Controls antepartum bleeding Has a diuretic effect Anti-stimulating properties on the uterus Stimulates the milk ejection reflex

Stimulates the milk ejection reflex

The nurse is discussing the human response to sexual stimulation with a client experiencing an arousal problem. In which phase of sexual response should the client begin to feel the effects of the sympathetic nervous system? Climax Plateau Stimulation Recovery

Stimulation

What is most important to tell the client who will be taking adrenergic blocking drugs for benign prostatic hypertrophy? Take the medication at the same time each day. Reduce the amount of liquid that you drink to prevent nocturia. If you experience adverse effects, stop the medication for a week and then restart. Take with food.

Take the medication at the same time each day.

A female client expresses the desire to suppress her female sex characteristics to facilitate a transition to being male. Which androgen does the nurse anticipate the provider will prescribe? Dihydrotestosterone (DHT) Estrogen Testosterone Progesterone

Testosterone

How will the addition of nitrous oxide or IV anesthetics affect the minimum alveolar concentration (MAC) of isoflurane? The MAC will decrease. The MAC of isoflurane will not be relevant. The MAC will be more difficult to calculate. The MAC will remain the same.

The MAC will decrease.

What aspect of a client's current health status may contraindicate the use of a PDE5 inhibitor? The client takes phenytoin for the prevention of seizures. The client has type 2 diabetes and takes glyburide daily. The client has a history of unstable angina pectoris. The client is morbidly obese.

The client has a history of unstable angina pectoris.

What is the most plausible rationale for a female client being prescribed danazol? The client has recently had a hysterectomy surgery performed. The client has endometriosis. The client has ductal carcinoma in situ (DCIS). The client is being treated for symptoms of menopause.

The client has endometriosis.

A client with a spinal cord injury is experiencing increasing muscle spasticity and the care team is considering the use of dantrolene. The nurse should identify what possible contraindication to the safe and effective use of this medication? The client is receiving a selective serotonin reuptake inhibitor for depression The client has a sacral pressure ulcer The client's injury took place less than three months ago The client has hepatitis C

The client has hepatitis C

A 60 year-old female client has multiple sclerosis accompanied by muscle spasticity. The client has responded well to dantrolene 200 mg PO daily in divided doses. What assessment finding should the nurse prioritize for communication to the client's provider? The client is reluctant to participate in physical therapy this morning, when she is normally highly motivated The client tells the nurse, "I'm struggling to come to grips with the fact that I'm never going to recover." The client's most recent laboratory results show an upward trend in AST and ALT levels The client has gained 1.5 lbs. over the past 48 hours

The client's most recent laboratory results show an upward trend in AST and ALT levels

Dantrolene is being considered for the treatment of a client's spasticity. Which aspect of the client's current health status is most likely to contraindicate the use of this medication? The client's spasticity is due to rheumatoid arthritis The client takes opioid analgesics on a regular basis The client's adherence to drug therapy has been irregular The client has type 1 diabetes and takes insulin regularly

The client's spasticity is due to rheumatoid arthritis

A male adolescent is prescribed testosterone. In order to help the client deal with the added social stress that the medication may cause, the nurse should discuss which possible adverse effect? Weight loss The development of acne Deepening of the voice Dry skin

The development of acne

The nurse is caring for a patient who is beginning hormone replacement therapy. Which goal is appropriate to include in the patient's plan of care? The nurse will assist the patient in obtaining follow-up health care when indicated. The patient will take drugs accurately and for the length of time prescribed. The nurse will schedule appointments to monitor drug effects. The nurse will provide patient teaching for drug therapy.

The patient will take drugs accurately and for the length of time prescribed.

Which statement should the nurse share with a client to best describe the rationale for using a 28-day oral contraceptive pack? This will allow for a longer period of time between menstrual periods. This cycle allows the medication regimen to mimic normal variations of hormone secretions and allows for a rest of breast function between periods. This reduces cancer risk while still providing protection against pregnancy. This will assist clients to comply with their medication regimen, making it less likely to forget taking their pill every day.

This will assist clients to comply with their medication regimen, making it less likely to forget taking their pill every day.

When epinephrine is mixed with a local injectable anesthetic, it is done for what purpose? To make the drug wear off more quickly To cause vasoconstriction To cause vasodilation No effect

To cause vasoconstriction

A 7 months' pregnant woman is experiencing contractions. She is admitted to the hospital in preterm labor. What will be prescribed to stop the labor? Prostaglandins Oxytocics Tocolytics Estrogen

Tocolytics

The nurse sprays the area with a medication to desensitize it. The nurse is administering which type of anesthesia? Conduction block anesthesia General anesthesia Topical anesthesia Local infiltration anesthesia

Topical anesthesia

A nurse suspects a client might be abusing anabolic steroids. Which signs might a client exhibit that would indicate abuse of anabolic steroids? (Select all that apply.) Acne Severe depression Uncontrolled rage Inability to concentrate Jaundice

Uncontrolled rage Jaundice Inability to concentrate Acne Severe depression

A patient who is taking oral contraceptives develops an upper respiratory infection for which a tetracycline is ordered. Which instruction would be most important for the nurse to include? Using an alternative means of contraception while taking the tetracycline Reducing the oral contraceptive to every other day Monitoring for increased adverse effects of the oral contraceptive Taking the tetracycline 2 hours after taking the oral contraceptive

Using an alternative means of contraception while taking the tetracycline

The nurse anticipates that the health care provider will order carboprost to treat which condition related to labor and delivery? Uterine atony Labor induction Postpartum infection Ripening of the cervix

Uterine atony

What would a nurse attribute to the effect of testosterone? (Select all that apply.) Vocal cord thickening Increased skin elasticity Increased high-density lipoprotein levels Facial hair growth Increased hematocrit

Vocal cord thickening Facial hair growth Increased hematocrit

What would a nurse attribute to the effect of testosterone? (Select all that apply.) Increased skin elasticity Increased hematocrit Increased high-density lipoprotein levels Vocal cord thickening Facial hair growth

Vocal cord thickening Increased hematocrit Facial hair growth

A client has received lidocaine (Xylocaine) 2% for a skin laceration repair. Before the repair begins, how would the nurse assess this client for adequate pain relief? Wait 30 to 60 minutes and assess the client for the presence of sensitivity to touch and pressure. Wait 10 to 15 minutes and ask the client if he or she is feeling pain once the repair begins. Wait 2 to 5 minutes and assess the area for pain and sensitivity to touch or pressure. Wait 20 to 30 minutes and assess the client for the presence of pain and pressure.

Wait 2 to 5 minutes and assess the area for pain and sensitivity to touch or pressure.

The health care provider orders short-term skeletal muscle relaxants for an 11-year-old client. The nurse is responsible for the family education plan and teaches the parents that the medications should be used only under which condition? When close supervision is available for monitoring drug effects During school hours to increase alertness and management of spasms When the client needs to be alert during pain management When the spasms cause uncontrolled pain

When close supervision is available for monitoring drug effects

The pubescent girl exhibits many changes as a result of estrogen production. Her mother asks the nurse what secondary sexual characteristics to look for in her daughter. What is the best information for the nurse to provide to the mother about secondary sexual characteristics? (Select all that apply.) Breast development Pubic and axillary hair Lower percentage of body fat tissue Spinal curvature Wider hip structure

Wider hip structure Pubic and axillary hair Breast development

Prior to elective hip replacement surgery, the nurse is explaining the basic characteristics of general anesthesia to the client. The nurse should perform this education in the understanding that general anesthesia is best understood as what result? a state of reversible unconsciousness a stage N3 non-rapid eye movement sleep a nonreversible, temporary state of unresponsiveness a stage N2 non-rapid eye movement sleep

a state of reversible unconsciousness

An older adult client's current medication regimen includes tamsulosin and sildenafil. The combination of these two medications should prompt what action by the nurse? arranging for the client to have blood clotting diagnostic samples drawn assessing the need to insert an indwelling urinary catheter arranging for the client to have a screening cystoscopy assessing the client regularly for signs of orthostatic hypotension

assessing the client regularly for signs of orthostatic hypotension

An older adult client's current medication regimen includes tamsulosin and sildenafil. The combination of these two medications should prompt what action by the nurse? assessing the client regularly for signs of orthostatic hypotension arranging for the client to have blood clotting diagnostic samples drawn assessing the need to insert an indwelling urinary catheter arranging for the client to have a screening cystoscopy

assessing the client regularly for signs of orthostatic hypotension

A client with muscle spasticity has been prescribed baclofen. In order to promote the safe use of this medication, the nurse should encourage the client to: increase intake of foods that are high in potassium. avoid eating grapefruit or drinking grapefruit juice until treatment is discontinued. avoid drinking alcohol for the duration of treatment. increase fluid intake and self-monitor for decreased urine output.

avoid drinking alcohol for the duration of treatment.

A history of what medical condition would contraindicate the use of cyclobenzaprine for acute muscle spasms? diabetes mellitus transient ischemic attacks (TIA) chronic obstructive pulmonary disease (COPD) cardiac dysrhythmias

cardiac dysrhythmias

A 76-year-old woman has a complex medical history that includes emphysema, osteoporosis, malnutrition, and hypothyroidism. Recently, the woman fell outside her home as a result of weakness and suffered a fracture to her femoral head. The woman's subsequent hip-replacement surgery has been scheduled and the care team recognizes that the use of isoflurane will be most significantly influenced by her compromised nutritional status. her impaired thyroid function. her history of emphysema. her advanced age.

her history of emphysema.

A 32-year-old female client is taking tizanidine (Zanaflex) for spasticity related to her multiple sclerosis. The nurse will inform the client and her husband that the adverse effect that poses the greatest safety risk to the client is: fatigue. hypotension. dry mouth. constipation.

hypotension

The increase in thickness of the endometrial layer during the first half of the menstrual cycle is controlled by the: level of FSH. increasing level of estrogen. increasing level of HcG. dropping level of LH.

increasing level of estrogen.

A female client is prescribed estradiol cypionate for treatment of severe vasomotor symptoms associated with menopause. The nurse would expect to administer this drug by which route? transdermally orally intravenously intramuscularly

intramuscularly

An otherwise healthy surgical client has developed sharply increased muscle tone and rapid increase in heart rate and core body temperature. The operating room (OR) team should proceed with assessments and interventions that address what health problem? rhabdomyolysis orthostatic hypotension anaphylaxis malignant hyperthermia

malignant hyperthermia

If a released egg is not fertilized, the lining of the uterus breaks down in the process called: hemolysis. parturition. menopause. menstruation.

menstruation.

A female client tells the nurse that she has been experiencing a strong and sudden desire to urinate and often cannot make it to the bathroom. The client also tells the nurse that she has to urinate all day and "many times" at night. The nurse suspects: overactive bladder. vaginal prolapse. enlarged prostate. cystitis.

overactive bladder.

A nurse is explaining the drug oxytocin to a client. When describing this drug, the nurse notes that oxytocin is an endogenous hormone produced by which? uterus adrenal gland corpus luteum posterior pituitary gland

posterior pituitary gland

Which hormone is associated with menopause? Select all that apply. luteinizing hormone progesterone oxytocin follicle stimulating hormone estrogen

progesterone estrogen

A patient reports menstrual cramps. The nurse understands that this is due to: follicle-stimulating hormone. prostaglandins. high levels of plasminogen. lowered estrogen levels.

prostaglandins.

The nurse monitors a patient receiving oxytocin for water intoxication based on the understanding that this condition is the result of: stimulation of the neuroreceptor sites. effects secondary to ergotism. release of antidiuretic hormone. blockage of estrogen receptor sites

release of antidiuretic hormone.

A client with a recent history of benign prostatic hypertrophy (BPH) will soon begin treatment with finasteride. Before beginning this course of therapy, the nurse should caution the client to be aware of what potentially adverse effect? tinnitus urinary retention photosensitivity sexual dysfunction

sexual dysfunction

A 70-year-old man has enjoyed good overall health for all of his adult life, but he has been experiencing urinary frequency and dribbling that has culminated in a diagnosis of benign prostatic hypertrophy (BPH). As a result, the client has been prescribed finasteride. When teaching the client about the potential adverse effects of the drug, the nurse should ensure that he knows about the possibility of: kidney stones. visual disturbances. urethral burning. sexual dysfunction.

sexual dysfunction.

A 70-year-old man has enjoyed good overall health for all of his adult life, but he has been experiencing urinary frequency and dribbling that has culminated in a diagnosis of benign prostatic hypertrophy (BPH). As a result, the client has been prescribed finasteride. When teaching the client about the potential adverse effects of the drug, the nurse should ensure that he knows about the possibility of: urethral burning. kidney stones. visual disturbances. sexual dysfunction.

sexual dysfunction.

A middle-aged client with erectile dysfunction has sought care and is receiving health education from the nurses. The client has expressed a desire to understand the physiology of the sex hormone production and the sexual response. The nurse should describe the fact that testosterone is normally secreted in response to: sexual arousal stimulation by luteinizing hormone. ACTH release by the adrenal cortex. decreased cortisol levels.

stimulation by luteinizing hormone.

A client alerts the nurse that they have been in menopause for a couple of months. The nurse teaches the client how menopause occurs. Which statement reflects the teaching has been effective? "There is an increase in the gonadotropins." "The menstrual cycle becomes irregular." "Estrogen and progesterone diminish." "Hot flashes and night sweats are prominent."

"Estrogen and progesterone diminish."

The health care provider has ordered a variety of laboratory assessments on a client who will need estrogen replacement. The follow labs are ordered: blood urea nitrogen (BUN), creatinine, and liver function tests (LFTs). What is the nurse's best statement explaining to a client the need to draw the labs? "Additional labs will be ordered if these values indicate problems with your body." "I will get the prescriber to talk to you about the laboratory assessments ordered." "Medication adjustments are based on baseline laboratory values." "The labs will identify your body's ability to filter and excrete medications."

"The labs will identify your body's ability to filter and excrete medications."

Benzocaine (Dermoplast) is a topical anesthetic that is short acting and has a quick onset. The duration is 30 to 60 minutes. How long is the onset of action of this medication? 30 to 60 minutes 60 to 90 minutes 1 minute 15 to 30 minutes

1 minute

A client is receiving a medroxyprogesterone contraceptive injection. The nurse would instruct the client to return for the next dose at which time? 6 months 3 months 1 year 3 years

3 months

A group of students are reviewing material in preparation for a test on the male and female breasts. The students demonstrate understanding of the material when they state: Progesterone is primarily responsible for the growth of breast tissue. A primary function of the female breast is to produce milk. Striated muscle in the nipples contract causing them to become erect. The breasts contain a limited supply of blood vessels.

A primary function of the female breast is to produce milk.

Which statements about the female reproductive system structures is most accurate? A female produces ova continuously, starting from the time of birth. An ovum contains one-half of the genetic material to produce a whole cell. The uterus is responsible for producing estrogen and progesterone. The fallopian tube is a muscular tube connected directly to the ovary.

An ovum contains one-half of the genetic material to produce a whole cell.

The nurse is caring for a client in the emergency department who will need sutures. The health care provider plans to use lidocaine. The nurse prepares the suture tray and places lidocaine and what other drug on the tray that helps prolong the local anesthetic effects? Prednisone Morphine Theophylline Epinephrine

Epinephrine

When describing the process of fertilization, the nurse would explain that it normally occurs in which structure? Fallopian tube Endometrium Vagina Cervix

Fallopian tube

Androgens are used as replacement therapy for hypergonadism. True False

False

Gonadotropin-releasing hormone (GnRH) stimulates the anterior pituitary to release which hormones? (Select all that apply.) Progesterone Luteinizing hormone (LH) Estrogen Testosterone Follicle-stimulating hormone (FSH)

Follicle-stimulating hormone (FSH) Luteinizing hormone (LH)

A 28-year-old patient has a history of malignant hyperthermia following anesthesia. Today, this patient is on the operating room schedule for a D&C;. Which method of anesthesia would not be acceptable for this patient? Local anesthesia Epidural anesthesia Spinal anesthesia General anesthesia with an inhalation agent

General anesthesia with an inhalation agent