Med Surg 2: The Reproductive and Genitourinary System

A health care professional administers oxybutynin(Ditropan) to a patient to treat neuogenic bladder. Which of the following assessment findings should the health care professional recognize as an adverse effect?

1. Dilated pupils 2. Dizziness 3. Distended bladder 4. Fever

A health care professional is caring for a male patient who has hyperthyroidism that has not responded to treatment. The health care professional should recognize that this thyroid disorder is a contraindication for which of the following genitourinary-system drugs?

Bethanechol (Urecholine)

A health care professional is caring for a patient who us receiving human chorionic gonadotropin(hCG) (Pregnyl) to stimulate ovulation. The health care professional should advise the patient against which of the following herbal preparations?

Black cohosh

A health care professional should question the use of conjugated equine estrogen(Vagifem) by a patient who has a history of which of the following?

Blood clots

A health care professional is caring for a patient who is about to begin taking cabergoline to treat infertility. The health care professional should explain to the patient the need to monitor which of the following laboratory tests?

Prolactin level

When talking with a patient about taking sildenafil(Viagra) to treat erectile dysfunction, the health care professional should include which of the following instructions?

Do not take the drug with high-fat foods.

A health care professional is caring for a patient who has benign prostatic hypertrophy and is taking tamsulosin (Flomax). The health care professional should question the use of the following?

Erectile dysfunction for which he takes sildenafil (Viagra).

When talking with a patient about taking conjugated estrogen and medroxyprogesterone (Prempro), the health care professional should include which of the following instructions?

Have blood pressure checked regularly.

After administering terbutaline (Brethine) to a patient to inhibit preterm labor, the health care professional should assess which of the following?

Heart rate

A health care professional should question the use of ethinyl estradiol and drospirenone (Yasmin) by women who have renal disease for risk of which of the following?

Hyperkalemia

A health care professional is caring for a patient who is about to begin clomiphene(Clomid) therapy to treat infertility. The health care professional should monitor the patient for which of the following adverse effects?

Ovarian hyperstimulation syndrome.

Which of the following drugs should a primary care provider prescribe to induce labor in a woman who is at 42 weeks of gestation?

Oxytocin (Pitocin)

When talking with a patient about using leuprolide (Lupron) to treat endometriosis, the health care professional should include which of the following instructions?

Perform weight bearing.

A health care professional is caring for a patient who is about to begin taking finasteride (Proscar) to treat benign prostatic hyperthropy. The health care professional should explain to the patient the need to monitor which of the following laboratory tests?

Prostate-specific antigen(PSA).

A patient taking oral contraceptives calls her health care professional because she forgot to take one of her pills. Which of the following instructions should the health care professional provide?

Take the missed dose along with the next dose.

A health care professional is caring for a patient who is taking combination oral contraceptive ethinyl estradiol and drospirenone(Yasmin) and is about to begin taking rifampin (Rifadin) to treat tuberculosis. Because of a likely drug interaction, the health care professional should tell the patient to

Use additional birth control

A health care professional is caring for a patient who is about to begin taking conjugated equine estrogen(Premarin). The health care professional should tell the patient to report which of the following indications of a serious adverse reaction?

Vaginal bleeding

When talking with a patient who is receiving leuprolide(Lupron) to treat endometriosis, the health care professional should advise the patient to expect which of the following side effects?

Vaginal dryness

Prior to administering human chorionic gonadotropin (hCG) (Pregnyl) to a patient to stimulate ovulation, the health care professional should give her menotropins, or hMG (Repronex), to promote

follicular maturation.

A health care professional should question the use of the combination oral contraceptive ethinyl estradiol and drospirenone(Yasmin) by a patient who

smoke half a pack of cigarettes a day.

A health care professional is caring for a patient who is taking bethanechol(Urecholine) for urinary retention. When advising the patient about taking the drug, which of the following instructions should the health care professional include?

1. Avoid driving and activities that require alertness. 2. Increase fluid intake. 3. Stay close to a bathroom after taking the drug.

A health care professional is caring for a patient who is about to begin using transdermal testosterone gel (Androgel) to treat delayed puberty. When talking with the patient,which of the following instructions should the health care professional include?

1. Cover the area of application with clothing. 2. Wash your hands after applying the gel. 3. Do not shower for several hours after applying the gel.

A primary care provider has prescribed a dinoprostone(Cervidil) vaginal insert to promote cervical ripening in a patient who is at 40 weeks of gestation. When administering dinoprostone, which of the following actions should the health care professional take?

1. Have the patient urinate prior to insertion. 2. Remove the pouch when active labor begins. 3. Monitor for uterine hyperstimulation. 4. Monitor the patient's temperature.

A health care professional is caring for a patient who is about to begin taking transdermal conjugated estrogen and medroxyprogesterone(CombiPatch) to treat postmenopausal symptoms. The health care professional should explain to the patient that the drug combination includes which of the following therapeutic effects?

1. Reduces the risk of ovarian cancer. 2. Relieves hot flashes. 3. Prevents osteoporosis.

A health care professional is caring for a patient who is receiving IV methylergonovine(Methergine) to stop postpartum hemorrhage. The health care professional should monitor the patient for which of the following adverse effects?

1. Seizure activity. 2. Hypertension 3. Bradycardia