Pharm II Exam 3 Questions
A patient has been prescribed dinoprostone for cervical ripening. Which statement about dinoprostone does the nurse identify as being true? A. Dinoprostone is the most widely used agent for cervical ripening. B. The drug is a synthetic estrogen. C. Dinoprostone is administered subcutaneously. D. The drug increases the duration of labor.
A
A patient is taking finasteride [Proscar] for benign prostatic hyperplasia (BPH). The nurse should explain that this medication has what effect? A. Decreases the size of the prostate gland B. Relaxes smooth muscle of the prostate gland C. Reduces the risk of prostate cancer D. Improves sexual performance during intercourse
A
A patient with which condition would most likely be prescribed a glucocorticoid in low doses for replacement therapy? A. Addison's disease B. Rheumatoid arthritis C. Systemic lupus erythematosus D. Cushing's syndrome
A
A patient with which condition would most likely be prescribed hydrocortisone therapy? A. Addisons disease B. Rheumatoid arthritis C. Systemic lupus erythmatosus D. Cushing's syndrome
A
The nurse instructs a patient about the therapeutic effect of clomiphene [Clomid]. Which statement, made by the patient, indicates that teaching was effective? A. "The drug causes the follicle to mature." B. "The drug prevents premature ovulation." C. "The drug increases estrogen in the blood." D. "The drug acts directly on the ovary."
A
The nurse should instruct a patient prescribed sildenafil [Viagra] to avoid taking this medication with what? A. Grapefruit juice B. Milk C. Crackers D. Eggs
A
A patient is taking Tamsulosin (Flomax) for benign prostatic hyperplasia (BPH). The nurse should explain that this medication has what effect? A. Decreases the size of the prostate gland B. Relaxes smooth muscle of the prostate gland C. Reduces the risk of prostate cancer D. Improves sexual performance during intercourse
B
A patient takes levothyroxine [Synthroid] 0.75 mcg every day. It is most appropriate for the nurse to monitor which laboratory test to determine whether a dose adjustment is needed? A. Thyrotropin-releasing hormone (TRH) B. Thyroid-stimulating hormone (TSH) C. Serum free T4 test D. Serum iodine level
B
Prednisone is prescribed for a client with diabetes mellitus who uses insulin. Which of the following prescription changes does the nurse expect during the therapy with prednisone? A. Increased dosage of prednisone B. Increased dosage of insulin C. Decreased dosage of insulin D. None of the above
B
This drug associated with polycystic ovarian syndrome blocks the estrogen receptor and stimulates release of FSH and LH, resulting in maturation of an increased number of ovarian follicles and increases chance of getting pregnant. A. Metformin B. Clomiphene (Clomid) C. Oral contraceptives D. Spironolactone
B
This is a natural hormone secreted by posterior pituitary and can induce labor by increasing frequency and force of uterine contractions. A. Vasopressin B. Oxytocin C. Terbutaline D. Magnesium sulfate
B
Desmopressin acetate (works like vasopressin) is given to a patient with diabetes insipidus. Which of the following therapeutic responses should you expect? A. Decreased blood pressure B. Decreased attention span C. Decreased urinary output D. Decreased blood sugar
C
A nurse is performing an assessment on a newly admitted patient who is taking propylthiouracil (PTU) daily. The nurse suspects the patient has a history of? A. Addison's disease B. Cushing's syndrome C. Grave's disease D. Myxedema
C
A patient has been prescribed sildenafil [Viagra] for erectile dysfunction. Which instruction should the nurse include in the teaching plan? A. Take the medication on an empty stomach. B. Drink plenty of fluids to prevent priapism. C. Avoid taking nitroglycerin with this drug. D. Constipation is a common adverse effect.
C
Which patient would be at greatest risk of developing a venous thromboembolism (VTE) if a combination oral contraceptive were prescribed? A. A 25-year-old patient who drinks 3 to 4 alcoholic drinks a day B. A 45-year-old patient who has a family history of stroke C. A 22-year-old patient who smokes 2 packs of cigarettes a day D. A 29-year-old patient who has used birth control pills for 9 years
C
A 25 year old female client is taking an estrogen progesterone combo oral contraceptive. A nurse should teach a client that which type of medication listed below may decrease the effectiveness of her oral contraceptive? A. Antibiotics B. Antiepileptics C. Antineoplastics D. A and B E. A and C F. B and C
D
Beta blockers are used to treat the symptoms of which condition? A. Hypothyroidism B. Addison's disease C. Diabetes insipidus D. Hyperthyroidism
D
Most estrogen-progestin combinations of oral contraceptives work by which mechanism of action? A. Produces thick, viscous mucus at entrance to uterus to prevent sperm penetration B. Prevents the implantation of a fertilized ovum to prevent pregnancy C. Stimulates release of gonadotropin-releasing hormone (GnRH) D. Inhibits release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) to prevent ovulation
D
Which of the following is true of sildenafil (Viagra) A. Used to treat erectile dysfunction B. May cause hypotension C. May be used to treat pulmonary arterial hypertension D. Acts as a phosphodiesterase type 5 inhibitors E. All of the above are true of sildenafil
E
Which of the following is true of tamoxifen? A. Antiestrogenic in breast B. Estrogenic in endometrial tissue C. Antiestrogenic in bone D. A, B, and C E. A and B F. A and C
E
True or False Methimazole can cause severe liver injury
False
True or False Progestin only contraceptives are less effective than estrogen-progestin combination pills.
True
True or False Elevated levels of TSH are indicative of hypothyroidism
True
True or False Overproduction of cortisol would result in reduced production of ACTH
True
True or False Finasteride treats benign prostatic hyperplasia by blocking the conversion of testosterone to dihydrotestosterone by inhibiting 5-alpha reductase.
True?