Pharm Topic 4

A nurse is teaching a client who is experiencing age-related vaginal atrophy and has a prescription for estradiol cream. Which of the following statements should the nurse include in the teaching? A."This medication should be used daily." B. "This medication should be applied externally." C. "This medication has fewer systemic effects than oral estrogen." D. "This medication can increase your risk of bone loss."

"This medication has fewer systemic effects than oral estrogen."

Herbs that affect oral contraceptives

(St John Wort for depression) decreases the effectiveness of contraceptive

When is the morning after pill most effective?

24-72 hours after intercourse

A nurse is reinforcing teaching with a client who has a prescription for a transdermal estradiol patch. In which of the following locations should the nurse instruct the client to apply the patch? A. Abdomen B. Breast C. Forearm D. Back of the thigh

A. Abdomen

A nurse is caring for a client who takes a combination oral contraceptive (OC). Which of the following findings should indicate to the nurse that the client is experiencing a deficiency of estrogen in the OC? A. Mid-cycle breakthrough bleeding or spotting B. Breast tenderness C. Migraine headaches D. Nausea

A. Mid-cycle breakthrough bleeding or spotting

A nurse is caring for a client who has a prescription for subdermal etonogestrel. The nurse should alert the provider about which of the following findings in the client's medical history? A. Takes St. John's wort B. Breastfeeds a 6-month-old infant C. Has a parent with hypertension D. Has a positive human papillomavirus (HPV) test result

A. Takes St. John's wort

A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that tamoxifen has which of the following therapeutic effects? A. Antimicrobial B. Anti-estrogenic C. Androgenic D. Anti-inflammatory

B. Anti-estrogenic

A nurse is reinforcing teaching with a client who is premenopausal and has a prescription for a combination oral contraceptive. Which of the following findings should the nurse include as an adverse effect of oral contraceptives? A. Bone fractures B. Deep-vein thrombosis C. Increased LDL cholesterol D. Increased risk of breast cancer

B. Deep-vein thrombosis

Progesterone and Estrogen contraceptives are considered

Biphasic

A nurse is teaching a client about the use of a dinoprostone vaginal insert pouch to stimulate labor. Which of the following statements should the nurse include in the teaching? A. "It is inserted using a catheter." B. "One pouch is given every 4 hours until labor occurs." C. "Lie on your back for at least 2 hours without getting up." D. "If labor doesn't occur within 6 hours, a second dose can be administered."

C. "Lie on your back for at least 2 hours without getting up."

What makes progesterone and estrogen infective?

Carbamazepine makes oral contraceptives ineffective

What do you take for cervical ripening ?

Cervadil (Dinoprostone)

A nurse is preparing to administer raloxifene to a client. Which of the following conditions is a contraindication for the administration of this medication? A. Osteoporosis B. Hyperthyroidism C. Myocardial infarction D. Deep-vein thrombosis

D. Deep-vein thrombosis

A nurse is caring for a female adult client who is experiencing menopause and has a prescription for estrogen along with progestin. The nurse should identify that the provider has prescribed these medications for which of the following reasons? A. Long-term use to reduce the risk of breast cancer B. Short-term use to stimulate the endometrium C. Long-term use to prevent osteoporosis D. Short-term use to control urogenital atrophy

D. Short-term use to control urogenital atrophy

A nurse is caring for a female client who has osteoporosis and is taking raloxifene. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect of this medication? A. Severe leg cramps B. Urinary frequency C. Jaw pain D. Sudden onset of dyspnea

D. Sudden onset of dyspnea

When you do have to give a client contraceptive education?

Need to take a good history, vitals, sexual activities, and you need to know the client's habits and dependability. You need to know if they are going to take their medications, the shot may be better. Are they able to get to the clinic for a shot? Make sure you are not hypertensive it is contraindicated for contraception Estrogen and progesterone can cause if not under control higher risk of leading to stroke, hypertension, and blood clots

What kind of patient do you not want to give Estrogen?

Someone who has cancer

A nurse in a provider's office is collecting data from a client who has been experiencing migraine headaches. Which of the following medications should the nurse expect the provider to prescribe for abortive therapy of migraine headaches? A. Propranolol B. Estrogen patch C. Sumatriptan D. Metoclopramide

Sumatriptan

How do educate clients if they miss a dose?

Take your missed pill as soon as possible, and then take your next pill when you were normally

What do androgens do?

They are also responsible for the development of secondary sexual characteristics in men, including facial and body hair growth and voice change. Androgens also affect bone and muscle development and metabolism. Androgens as cancer therapy are used to oppose the activity of estrogen, thereby slowing the growth of cancer.

Depo provera side effects

absence of periods

Depo-Provera

an Intramuscular progesterone medication

If taking an oral contraceptive, and have to be on antibiotics, why would you use a different type of birth control?

antibiotics decrease effectiveness of birth control, especially penicillin

Primary amenorrhea

has no period before the age of 16

Need to know health benefits of Oral Contraceptives

helps with menstrual cramps, bone, and acne, and can help prevent uterine cancers

What is the Tx for amenorrhea?

progesterone

Estrogen does ?

protects women from osteoporosis but increases the risk of stroke. Controls hot flashes and uterine atrophy (causes incontinence)

Signs and symptoms of blood clot

shortness of breath chest pain pain in one leg warmth (side effect of estrogen therapy)

What kind of patient do you not want to give androgens?

someone with liver failure

What do oral contraceptives do?

suppress ovulation so ovaries do not release an egg and therefore, do not get fertilized

What is progesterone?

the pregnancy hormone that keeps the lining of the uterus so that it can receive an egg to be implanted