NUR334 Reproduction and GU, ATI Review

A nurse is reviewing a new prescription for terbutaline with a client who has a history of preterm labor. Which of the following client statements indicates understanding of the teaching? "I can increase my activity now that I've started on this medication." "I will increase my daily fluid intake to 3 quarts." "I will report increasing intensity of contractions to my doctor." "I am glad this will prevent preterm labor."

"I will report increasing intensity of contractions to my doctor."

A nurse is teaching a client about terbutaline. Which of the following statements by the client indicates understanding of the teaching? "This medication will stop my contractions." "This medication will prevent vaginal bleeding." "This medication will promote blood flow to my baby." "This medication will increase my prostaglandin production."

"This medication will stop my contractions."

A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate IV continuous infusion. Which of the following findings should the nurse report to the provider? 2+ deep tendon reflexes 2+ pedal edema 24 mL/hr urinary output Respirations 12/min

24 mL/hr urinary output UOP < 25 to 30 mL/hr is associated with magnesium sulfate toxicity

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? (Select all that apply.) Avoid driving and activities that require alertness Increase fluid intake Take the drug with food Stay close to a bathroom after taking the drug Increase weight-bearing activities

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

The primary care provider talks with the couple about clomiphene therapy. Which of the following instructions should the primary care provider include? Take it once a day until they can confirm pregnancy. Begin taking it on the first day and stop on the last day of menstruation. Begin 5 days after menstruation begins and take it every day for next 5 days. Take it once, 17 to 19 days after the onset of menstruation.

Begin 5 days after menstruation begins and take it every day for next 5 days.

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? Sildenafil (Viagra) Bethanechol (Urecholine) Tamsulosin (Flomax) Finasteride (Proscar)

Bethanechol (Urecholine)

A health care professional is caring for a patient who is 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 St. John's wort Saw palmetto Gingko biloba

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? Osteoporosis Peptic ulcer disease Rheumatoid arthritis Blood clots

Blood clots

One month later, the patient tells the primary care provider that she has developed some adverse effects. Which of the following effects does clomiphene cause? (Select all that apply.) Blurred vision Hot flashes Breast engorgement Muscle pain Nausea

Blurred vision Hot flashes Breast engorgement Nausea

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? (Select all that apply.) Apply the gel to the scrotum Cover the area of application with clothing Wash your hands after applying the gel Do not shower for several hours after applying the gel Apply the gel to the gums above an upper incisor

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

A nurse is providing teaching to a female client who is taking testosterone to treat advanced breast cancer. The nurse should tell the client that which of the following are adverse effects of this medication? (Select all that apply.) Deepening voice Weight gain Low blood pressure Dry mouth Facial hair

Deepening voice Weight gain Facial hair

Combination oral contraceptives, such as ethinyl estradiol and drospirenone (Yasmin), require cautious use with patients who have which of the following disorders? ​Diabetes mellitus Hypothyroidism ​Thrombocytopenia Osteoporosis

Diabetes mellitus

A health care professional administers oxybutynin(Ditropan) to a patient to treat neurogenic bladder. Which of the following assessment findings should the health care professional recognize as an adverse effect? Diaphoresis Dilated pupils Dizziness Distended bladder Fever

Dilated pupils Dizziness Distended bladder Fever

Match the drug in the left column with its therapeutic action in the right column​ by typing the appropriate letter in the center column. Dinoprostone (Cervidil) A. Stimulates ovulation Terbutaline (Brethine) B. Induces uterine contractions hCG (Pregnyl) C. Stops uterine contractions Medroxyprogesterone (Provera) D. Treats endometriosis

Dinoprostone, a synthetic prostaglandin, promotes cervical ripening prior to labor induction and stimulates uterine contractions after cervical ripening. Terbutaline, a beta2​-selective adrenergic agonist, inhibits uterine contractions and stops preterm labor. Human chorionic gonadotropin, a polypeptide hormone, promotes ovulation after induction of follicular maturation. Medroxyprogesterone, a progestin, treats endometriosis and palliates endometrial cancer.

When talking with a patient about taking sildenafil(Viagra) to treat erectile dysfunction, the health care professional should include which of the following instructions? Take the drug with glass of grapefruit juice Do not take the drug with high-fat foods Increase intake of foods rich in vitamin K Avoid aged cheeses and red wine

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? A seizure disorder for which he takes carbamazepine (Tegretol) Erectile dysfunction for which he takes sildenafil (Viagra) Diabetes mellitus for which he takes glyburide (DiaBeta) Angle-closure glaucoma for which he takes pilocarpine

Erectile dysfunction for which he takes sildenafil (Viagra)

When talking with a patient about beginning therapy with finasteride (Proscar) to treat benign prostatic hypertrophy, you should instruct the patient to do which of the following? Avoid high-fat foods. Expect improvement in six to 12 months. Wear protective clothing and sunscreen. Avoid activities that require alertness.

Expect improvement in six to 12 months.

Match the drug in the left column with its therapeutic use in the right column​ by typing the appropriate letter in the center column. Finasteride (Proscar) A. Urinary incontinence Oxybutynin (Ditropan) B. Erectile dysfunction Sildenafil (Viagra) C. Benign prostatic hypertrophy Testosterone (Androderm) D. Male puberty induction

Finasteride, a 5-alpha reductase inhibitor, treats benign prostatic hypertrophy and male-pattern baldness. Oxybutynin, an anticholinergic, reduces urinary incontinence and helps manage symptoms of neurogenic bladder. Sildenafil, a PDE5 inhibitor, improves sexual response for men who have erectile dysfunction. Testosterone, an androgen, treats hypogonadism and delayed puberty in males and provides palliative treatment of breast cancer in women.

When talking with a patient about taking conjugated estrogen and medroxyprogesterone (Prempro), the health care professional should include which of the following instructions? Watch for rectal bleeding Avoid drinking alcoholic beverages Have blood pressure checked regularly Sit up for 30 min after taking the drug

Have blood pressure checked regularly

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? (Select all that apply.) Have the patient urinate prior to insertion Remove the pouch when active labor begins Monitor for uterine hyperstimulation Encourage the patient to walk after insertion Montior the patient's temperature

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

After administering terbutaline (Brethine) to a patient to inhibit preterm labor, the health care professional should assess which of the following? Peripheral pulses Temperature Vision Heart rate

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 Hyponatremia Hypoglycemia Respiratory alkalosis

Hyperkalemia

A nurse is providing teaching to a client who will start alfuzosin for treatment of benign prostatic hyperplasia. The nurse should instruct the client that which of the following is an adverse effect of this medication? Bradycardia Edema Hypotension Tremor

Hypotension

A nurse is caring for a client who has angina and asks about obtaining a prescription for sildenafil to treat erectile dysfunction. Which of the following medications is contraindicated with sildenafil? Aspirin Isosorbide Clopidogrel Atorvastatin

Isosorbide

You should question the use of sildenafil (Viagra) to treat erectile dysfunction in patients who take which of the following drugs? Oxybutynin (Ditropan) for urinary incontinence Phenytoin (Dilantin) for a seizure disorder Levothyroxine (Synthroid) for hypothyroidism Nitroglycerin (Nitrostat) for chest pain

Nitroglycerin (Nitrostat) for chest pain

A nurse is caring for a client who is in labor and receiving IV opioid analgesics. Which of the following actions should the nurse take? Instruct the client to self-ambulate every 2 hr. Offer oral hygiene every 2 hr. Anticipate medication administration 2 hr prior to delivery. Monitor fetal heart rate every 2 hr.

Offer oral hygiene every 2 hr. Bc AE include dry mouth, N, V.

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? Breast cancer Deep-vein thrombosis Ovarian hyperstimulation syndrome Restless leg syndrome

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? Methylergonovine (Methergine) Oxytocin (Pitocin) Leuprolide (Lupron) Terbutaline (Brethine)

Oxytocin (Pitocin)

You are talking with a patient about beginning therapy with clomiphene (Clomid) to treat infertility. Which of the following should you instruct the patient to watch for and report? Shortness of breath Pelvic pain Diarrhea Fever

Pelvic pain

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 activities Wear sunscreen or protective clothing Take the drug with food to increase absorption Avoid drinking grapefruit juice

Perform weight-bearing activities

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? Potassium Glucose BUN and creatinine Prolactin level

Prolactin level

Which of the following drugs should the primary care provider have available to reverse the adverse effects of terbutaline (Brethine)? Naloxone Neostigmine (Prostigmin) Propranolol (Inderal) Atropine

Propranolol (Inderal)

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) BUN Creatine phosphokinase (CPK) ALT

Prostate-specific antigen (PSA)

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? (Select all that apply.) Reduces the risk of ovarian cancer Relieves hot flashes Prevents osteoporosis Reduces the risk of breast cancer Reduces the risk of thromboembolism

Reduces the risk of ovarian cancer Relieves hot flashes 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? (Select all that apply.) Seizure activity Hypertension Bradycardia Water intoxication Bronchospasm

Seizure activity Hypertension Bradycardia

A patient is considering taking estrogen and medroxyprogesterone acetate (Prempro) to treat postmenopausal vasomotor symptoms. You explain to the patient that she would need to watch for which of the following possible indications of a serious adverse effect of this combination drug? Ringing in the ears Insomnia Swelling or pain in the calf Difficulty swallowing

Swelling or pain in the calf

Recognizing the adverse effects of terbutaline (Brethine), the provider should monitor the patient for which of the following? Hypoglycemia Tachycardia Hyperkalemia Wheezing

Tachycardia

The primary care provider should instruct the patient to do which of the following? Take half the usual dosage. Continue the usual dosage. Take a pregnancy test. Double the previous dosage.

Take a pregnancy test.

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 a pregnancy test Avoid vaginal intercourse until after your next period Take the missed dose along with the next dose Stop the oral contraceptive and use a different contraceptive

Take the missed dose along with the next dose

For relief of urinary obstruction due to prostatic enlargement, providers should prescribe which of the following drugs? Bethanechol (Urecholine) Tamsulosin (Flomax) Leuprolide (Lupron) Oxybutynin (Ditropan)

Tamsulosin (Flomax)

A nurse is explaining the mechanism of action of combination oral contraceptives to a group of clients. The nurse should tell the clients that which of the following actions occur with the use of combination oral contraceptives? (Select all that apply.) Thickening the cervical mucus Inducing maturation of ovarian follicle Increasing development of the corpus luteum Altering the endometrial lining Inhibiting ovulation

Thickening the cervical mucus Altering the endometrial lining Inhibiting ovulation

A nurse is reviewing the health care record of a client who is asking about conjugated equine estrogens. The nurse should inform the client this medication is contraindicated in which of the following conditions? Atrophic vaginitis Dysfunctional uterine bleeding Osteoporosis Thrombophlebitis

Thrombophlebitis

You administer oxytocin (Pitocin) to a patient to induce labor. You should monitor her for which of the following potential adverse reactions to oxytocin? (Select all that apply.) Urine output Blood pressure Level of consciousness Duration of contractions Fetal heart rate

Urine output Blood pressure Duration of contractions Fetal heart rate

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 increase the rifampin dose increase the oral contraceptive dose allow 2 hr between taking each drug use additional birth control

Use additional birth control

A nurse is caring for a client who has a new prescription for oxytocin to stimulate uterine contractions. Which of the following interventions should the nurse make? (Select all that apply.) Use an infusion pump for medication administration Obtain vital signs frequently and with every dosage change Stop infusion if uterine contractions occur every 4 min and last 45 seconds Increase medication infusion rate rapidly Monitor fetal heart rate continuously

Use an infusion pump for medication administration Obtain vital signs frequently and with every dosage change Monitor fetal heart rate continuously

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? Hot flashes Urinary tract infection Vaginal bleeding Bone pain

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 Hypertension Blurred vision Orthostatic hypotension

Vaginal dryness

You are talking with a patient about beginning therapy with testosterone (Delatestryl) to treat testicular failure. Which of the following potential side effects should you tell the patient to watch for and report? Dizziness Paresthesias Weight gain Constipation

Weight gain

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 prolactin secretion estrogen release follicular maturation oxytocin secretion

follicular maturation

A health care professional should question the use of the combination oral contraceptive ethinyl estradiol and drospirenone(Yasmin) by a patient who has a glass of wine each night smokes half a pack of cigarettes a day is a marathon runner drives a school bus

smokes half a pack of cigarettes a day