Pharm Made Easy: Reproductive & Genitourinary System

A nurse is providing safety education to a client who is scheduled to begin treatment w/ tamsulosin for benign prostatic hypertrophy (BPH). Which of the following instructions should the nurse include in the teaching? Change positions slowly. Crush the medication. Take the medication on an empty stomach. Report increased urinary output immediately.

Change positions slowly

A nurse is providing teaching to a client about sildenafil to treat erectile dysfunction. Which of the following instructions should the nurse include? Take the drug with a 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 nurse is caring for a client who has a new prescription for transdermal conjugated estrogen and medroxyprogesterone to treat postmenopausal symptoms. The nurse should explain to the client that this drug combination includes which of the following therapeutic effects? (select all...) 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 nurse is caring for a client who missed a dose of her oral contraceptive. Which of the following instructions should the nurse give the client? Take a pregnancy test. Double up on pills for remainder of the pack. Take the missed dose as soon as possible. Stop the oral contraceptive and use a different contraceptive.

Take the missed dose ASAP

A nurse is providing teaching to a client who is taking bethanechol for urinary retention. Which of the following instructions should the nurse include? (select all...) a. Avoid driving and activities that require alertness. b. Increase fluid intake. c. Take the drug with food. d. Stay close to a bathroom after taking the drug. e. Increase weight-bearing activities.

a, b, d

A nurse is preparing to administer cyclophosphamide IV to a pt who has Hodgkin's disease. Which of the following meds should the nurse expect to administer concurrently w/ the chemotherapy to prevent an adverse effect of cyclophosphamide? a. protectant agent, such as mesna b. opioid, such as morphine c. loop diuretic, such as furosemide d. h1 receptor antagonist, such as diphenhydramine

a. mesna

A nurse is caring for a pt who is being treated w/ interferon alfa-2b for malignant melanoma. For which of the following adverse effects should the nurse monitor? (select all...) a. tinnitus b. muscle aches c. peripheral neuropathy d. bone loss e. depression

b c e 353

A nurse is preparing to administer leucovorin to a pt who has cancer & is receiving chemo w/ methotrexate. Which of the following responses should the nurse use when the pt asks why leucovorin is being given? a. Leucovorin reduces the risk of transfusion reaction from methotrexate. b. leucovorin increases platelet production and prevents bleeding c. leucovorin potentiates the cytotoxic effects of methotrexate d. leucovorin protects healthy cells from methotrexate's toxic effect

d

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

Erectile dysfunction for which he takes sildenafil (drugs that lower BP, such as sildenafil, can exacerbate hypotension)

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

d. "I should apply the medication to a different site each time."

A nurse is caring for a client who has a new prescription for conjugated equine estrogen. The nurse should instruct the client to report which of the following indications of a serious adverse reaction? Hot flashes Urinary tract infection ​Vaginal bleeding Bone pain

vaginal bleeding

A nurse is teaching a client about receiving leuprolide to treat endometriosis. The nurse should instruct the client to expect which of the following side effects? Vaginal dryness Hypertension Blurred vision Orthostatic hypotension

vaginal dryness

A nurse is caring for a male client who has hyperthyroidism and is not responding to treatment. The nurse should identify that hyperthyroidism is a contraindication for which of the following drugs? Sildenafil Bethanechol Tamsulosin Finasteride

Bethanechol

A nurse is teaching a client who has a new prescription for transdermal testosterone gel to treat delayed puberty. Which of the following instructions should the nurse include? (select all...) a. "Apply the gel to the scrotum." b. "Cover the area of application with clothing." c. "Wash your hands after applying the gel." d. "Do not shower for several hours after applying the gel." e. "Apply the gel to the gums above an upper incisor."

b, c, d

A nurse is teaching a pt who has breast cancer about tamoxifen. Which of the following adverse effects of tamoxifen should the nurse discuss w/ the pt? a. irregular HR b. abnormal uterine bleeding c. yellow sclera/dark-colored urine d. difficulty swallowing

b. abnormal uterine bleeding

A nurse is assessing a client who has a new prescription of oxybutynin to treat neurogenic bladder. Which of the following assessment findings should the nurse identify as an adverse effect of this drug? (select all...) Diaphoresis Dilated pupils Dizziness Distended bladder Fever

Dilated pupils dizziness distended bladder fever

A nurse is preparing to administer finasteride to a client who has a benign prostatic hypertrophy (BPH). Which of the following precautions should the nurse plan to take when administering this drug? Administer medication while client is sitting or reclining. Withhold the medication if the client doesn't eat. Wear gloves when handling the tablet. Monitor heart rate prior to administration.

Wear gloves when handling the tablet

A nurse should question the use of conjugated equine estrogen by a client who has a history of which of the following? a. Osteoporosis b. Peptic ulcer disease c. Rheumatoid arthritis d. Blood clots

d