PrepU Quiz 8: Ch 7
A client diagnosed with erectile dysfunction has been advised to take sildenafil. For up to how many hours does the action of the drug persist? a. 4 hours b. 8 hours c. 12 hours d. 24 hours
a
After teaching a woman using an intravaginal estrogen preparation, the nurse determines that the teaching was successful when the client states that she will remain lying for at least how long after instilling the drug? a. 30 minutes b. 10 minutes c. 20 minutes d. 45 minutes
a
When the nurse is interviewing an adolescent, the patient states that she experienced her first menstrual cycle at age 11. The nurse documents this as: a. Menarche b. Puberty c. Menstruation d. Ovulation
a
A 20-year-old woman has been prescribed estrogen. As with all women taking estrogen, the nurse will carefully monitor the client for: a. a decrease in secondary sexual characteristics. b. cardiovascular complications. c. early epiphyseal closure. d. decreased libido.
b
The nurse knows that for a client who still has her ovaries intact, estrogen must be paired with what other drug when used to treat menopausal symptoms? a. Antispasmodics b. Progestins c. Androgen hormone inhibitors d. Aromatase inhibitors
b
A client asks the nurse about a word they heard from the health care provider. The word was "andropause". The client asks what that is. Which is the nurse's best response? a. "A change in hormone production in women." b. "No change in the level of testosterone in the body." c. "A gradual change, related to age, that occurs in the testes." d. "A medication used to treat changes in the androgens in the body."
c
A nurse is teaching a sex education course in a local high school. When discussing the human sexual response, the nurse will include: a. Humans require endocrine stimuli called estrous for a sexual response to occur. b. Stimulation occurs with massive increases in sensitivity. c. Sexual climax occurs from massive sympathetic stimulation. d. The period of recover is initiated with parasympathetic stimulation.
c
During anatomy class, the students learn that what structure in the body is a muscular tube with a ciliated lining that is constantly moving? a. Epididymus b. Follicles c. Fallopian tube d. Seminiferous tubules
c
Estropipate is sometimes administered to postmenopausal women to prevent which condition? a. Endometriosis b. Dysfunctional uterine bleeding c. Osteoporosis d. Uterine cancer
c
Kalie, age 18, is prescribed progesterone for the treatment of primary amenorrhea. Which adverse effect would need to be reported immediately to the health care provider? a. Abnormal menstrual bleeding b. Breast tenderness c. Pain in one leg d. Weight gain
c
Which of the following mood disorders can result from estrogen therapy? a. Seasonal affective disorder b. Bipolar disorder c. Depression d. All the above
c
The nurse is caring for a client who has cancer and who until recently took estrogen. The nurse knows that estrogen may have increased the risk of development of which types of cancer? (Select all that apply.) a. Lung cancer b. Melanoma c. Breast cancer d. Endometrial cancer
c, d
Because of the effects of estrogen during the first 14 days of a woman's menstrual cycle, a woman is at higher risk for: a. emotional outbursts. b. broken bones. c. pregnancy. d. infection.
d
Hormones from various organs regulate the menstrual cycle. Which of the following hormones does not directly influence the cycle? a. Gonadotropin-releasing hormone b. Follicle-stimulating hormone c. Luteinizing hormone d. Testosterone
d
Insufficient levels of oxytocin would affect what event related to pregnancy? a. Fertilization of the of the ovum b. Implantation of the embryo c. Formation of the placenta d. Onset of labor contractions
d
When describing the process of fertilization, the nurse would explain that it normally occurs in which structure? a. Endometrium b. Vagina c. Cervix d. Fallopian tube
d
Castration involves the removal of what structure of the male reproductive system? a. Testes b. Vas deferens c. Prostate gland d. Epidymis
a
What factor might influence the release of the hormones necessary for the human reproductive cycle? a. Stress b. Heat c. Cold d. Humidity
a
A 20-year-old woman will soon begin taking oral contraceptives for the first time. What advice should the nurse provide to this client? a. "Make sure to seek care quickly if you experience bad headaches, calf pain, or changes in vision." b. "It will take 10 to 12 weeks before the birth control pills will actually prevent pregnancy, so be vigilant with other contraceptives until then." c. "Some women get some pain in their chest or abdomen when they take oral contraceptives, but this will pass as your body gets used to them." d. "You need to carefully consider whether you might want to get pregnant later in your life."
a
A 49-year-old female client is asking the nurse about how her changing hormones relate to menopause. The nurse explains that atrophic vaginitis is a common problem during menopause. The treatment for atrophic vaginitis requires replacing: a. estrogen. b. progesterone. c. testosterone. d. human chorionic gonadotropin.
a
A client has returned to the health care provider's office for follow up after receiving estrogen for symptoms of menopause. Which question should be included in the follow up? a. "Can you describe in detail the difference in how you are feeling today and the last visit?" b. "Tell me about your sexual interactions with your partner." c. "Do you feel that the medication is working?" d. "Do you think you are better than before?"
a
A client is receiving a medroxyprogesterone contraceptive injection. The nurse would instruct the client to return for the next dose at which time? a. 3 months b. 6 months c. 1 year d. 3 years
a
A client prescribed terazosin asks the nurse how the medication works. Which is the nurse's best statement? a. "It works by relaxing the smooth muscle of the prostate and the bladder neck." b. "It prevents the conversion of testosterone into the androgen DHT." c. "It stimulates the bladder to increase the urge to urinate." d. "It decreases the desire to have sexual relations."
a
A nurse is obtaining a history from an older adult woman. During the interview, the woman states, "When I feel like I have to urinate, the urge is really strong and I go to the bathroom really frequently, often waking up several times during the night to go." The nurse would most likely identify this as which condition? a. overactive bladder syndrome b. stress incontinence c. urge incontinence d. neurogenic bladder
a
A nurse teaching a 57-year-old client about the factors that must be considered around the use of hormone replacement therapy (HRT) should discuss what increased risk associated with the therapy? a. venous thromboembolism b. bronchiectasis c. malignant hyperthermia d. Crohn's disease
a
A postmenopausal woman is receiving raloxifene as part of a treatment plan for osteoporosis. The nurse would instruct the patient that this drug is administered by which route? a. Oral b. Transdermal c. Intravaginal d. Intramuscular
a
A school nurse who is teaching a health course at the local high school is presenting information on human development and sexuality. In the class about the role of hormones in sexual development, which hormone does the nurse teach the students is the most important for developing and maintaining the female reproductive organs? a. Estrogen b. Progesterone c. Androgens d. Follicle-stimulating hormone
a
After teaching a patient who is prescribed estradiol vaginal cream, the nurse determines that the patient has understood the instructions when she states that she will administer the medication at which frequency? a. Once a day b. Once every other day c. Once a week d. Once a month
a
Patient education is necessary to ensure proper use of exogenous estrogen and to enable the patient to recognize adverse effects. Which of the following should a nurse teach the patient? a. Self-breast examination b. Basal body temperature evaluation c. Maintenance of proper records d. Proper use of barriers to prevent STDs
a
The nurse is caring for a woman who is receiving estrogen for treatment of amenorrhea. What evidence will the nurse use to indicate that the medication is working properly? a. Lack of menstruation b. Appearance of secondary sexual characteristics c. Occurrence of menstruation d. Decrease in hot flashes
a
The parents of an infant boy have been told surgery is needed because their son's testes have not descended into the scrotal sac. They ask the nurse, "What would happen if the testes remained in his lower abdomen?" What is the nurse's best response? a. "The testes need to be placed in the scrotum to protect sperm-producing cells from body heat." b. "If the testes remain in the abdomen, it would help to protect them from accidental trauma." c. "Leaving the testes in the abdomen would damage their ability to produce testosterone." d. "The risks associated with surgery are greater than the risks associated with leaving the testes in the abdomen."
a
What statement by the client prescribed a combination contraceptive several months ago indicates a need for health education? a. "It's good to know that the pill protects against some sexually transmitted infections (STIs)." b. "I've learned that the pill is almost 100% effective if you take it on schedule." c. "I've been checking my blood pressure at the drug store from time to time since I started on the pill." d. "I didn't know that some people take the pill for problems with their period, not to avoid getting pregnant."
a
What would a nurse attribute to estrogen? a. Breast growth b. Thickened cervical mucus c. Increased body temperature d. Increased appetite
a
What external factors have been found to have a negative impact on the reproductive cycle related to the controls of the hypothalamus? (Mark all that apply.) a. Starvation b. Extreme temperatures c. Social/cultural expectations d. Emotional problems e. Extreme exercise
a, d, e
A 21-year-old woman is prescribed an oral contraceptive pill to prevent pregnancy. The nurse should inform the client of which adverse effects of this medication? a. Cessation of bleeding and/or spotting b. Nausea c. Weight loss d. Reduction of breast tissue
b
A nurse is providing patient education to a patient at a fertility clinic. The nurse explains possible reasons for infertility. In explaining how the ovaries are involved in conception, what will the nurse stress? a. Ova quickly degenerate and most are absorbed in the body before the age of 12. b. At birth, the ovaries contain all of the ova that a woman will have. c. Ova aggregate, causing millions to be contained in a storage site call a follicle. d. Follicles produce only estrogen; the uterus produces progesterone.
b
After teaching a class on the female reproductive system, the nurse determines that the teaching was successful when the class identifies what as a primary function of the ovaries? a. Carrying the ovum to the endometrium b. Secretion of estrogen and progesterone c. Secretion of mucus that supplies lubrication for intercourse d. Location for implantation of a fertilized ovum
b
Research has found that females who live near the equator mature sexually at an earlier age than females who do not live near the equator. What is thought to be the cause of this? a. Socio-cultural expectations b. Light c. Heat d. Ethnic characteristics
b
The nurse is aware that older men are more prone to urinary tract infections because of what physiologic change related to aging? a. Involuntary contractions of the bladder muscle b. Enlargement of the prostate c. Reduction in renal function d. Loss of muscle tone in the pelvic structures
b
The nurse is discussing the use of vaginal estrogen for a woman with vaginal atrophy. The nurse knows that vaginal estrogen has what advantage over other forms of estrogen? a. It takes away all symptoms of menopause. b. It treats the vaginal tissue with little systemic effects. c. It causes no adverse effects. d. It can be used in women of all ages.
b
The nurse is on the phone with a woman who is taking an antispasmodic for overactive bladder syndrome. The woman states that her mouth is very dry, but she is afraid to drink because she does not want the urge to urinate to increase. What is the nurse's best response to this client? a. "You will just have to put up with the dry mouth if you want to take this medication." b. "You shouldn't restrict your fluid intake because it will only make your bladder problems worse." c. "When your mouth is dry, rinse it with strong mouthwash." d. "To ensure that you don't have to go to the bathroom all the time, you should chew gum."
b
The nurse is reviewing the functions of the ovaries, uterus, clitoris, and vagina with a group of nursing students. What would be the best response by a nursing student about the function of the uterus? a. Produces female gametes or ova and secretes female sex hormones b. Receives the fertilized ovum and provides housing and nourishment for a fetus c. Receives sperm, provides an exit for menstrual flow, and serves as the birth canal d. Small erectile structure that responds to sexual stimulation
b
What assessment question is most appropriate when assessing a 58-year-old woman for therapeutic effects of prescribed estrogen therapy? a. "Have you stopped having menstrual bleeding since you started taking estrogen?" b. "Have you been having as many hot flashes and night sweats lately?" c. "How would you describe your energy levels since starting treatment?" d. "How long do you think you would like to continue with this drug?"
b
Which statement indicates that the client understands the follow-up needed after an injection of Depo-Provera? a. "I know that I will need to return in 6 months for another injection." b. "I know that this injection lasts for 3 months." c. "I know that this injection is good for 1 year." d. "I know that I do not need to worry about STDs after getting this injection."
b
A client has been prescribed a transdermal patch of estrogen. Which adverse effect should be included in the teaching plan about the medication? a. pain at the injection site b. irritation of the oral pharynx c. redness at the application site d. edema and rhinitis of the nose
c
A client with an extensive history of using herbal remedies asks the nurse if there is an herbal supplement for the diagnosis of BPH. Which supplement does the nurse provide information on for the treatment of BPH? a. ginger b. tea tree c. saw palmetto d. St. John's wort
c
On the advice of her sister, a 52-year-old woman has visited her nurse practitioner to discuss the potential benefits of hormone replacement therapy in controlling the symptoms of menopause. Which response by the nurse is most appropriate? a. "We'll have to check your bone density first, because if it's too low then it's not safe to start HRT." b. "Actually, most of the current research is suggesting that HRT may not be all that effective in treating the symptoms of menopause." c. "It's important to balance the possible benefits of HRT with the fact that it might increase your risk of heart disease and stroke" d. "HRT might be quite beneficial to you, and it carries the additional benefit of modest protection against breast cancer."
c
The nurse is caring for a woman who went through menopause 5 years earlier. The nursing plan of care for this client includes teaching related to the importance of what dietary change? a. Increased intake of fatty foods to maintain lipid levels b. Reduced caloric intake because of lower activity levels c. Increased calcium intake to reduce calcium loss in bones d. Increased fluid intake to prevent dehydration from increased urination
c
The nurse is discussing the effects of menopause with a group of women. The nurse explains that the decreasing estrogen will cause what effect on the skin? a. Cause deposition of fat in subcutaneous tissues, especially the breasts b. Increases vascularity in the skin c. Decrease in subcutaneous fat in the arms and the thighs d. Increase in skin warmth
c
Which would the nurse include in a teaching plan about the signs and symptoms of thrombophlebitis and thromboembolism that should be reported by a client taking estrogen? a. Cholestatic jaundice b. Amenorrhea c. Headaches d. Breast tenderness
c
