ATI: The Reproductive and Genitourinary Systems

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 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 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? "I should have pancreatic function tests obtained while taking this drug." "I should have my white blood cell count checked annually." "I should take off the patch to shower." "I should apply the medication to a different site each time."

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

A nurse is caring for a client who is taking combination oral contraceptive ethinyl estradiol and drospirenone and is about to begin taking rifampin to treat tuberculosis. Which of the following instructions should the nurse give the client due to a possible drug interaction? "Increase the rifampin dose." "Increase the oral contraceptive dose." "Wait 2 hours between taking each drug." "Use additional birth control methods."

"Use additional birth control methods."

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.

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 Bethanechol Tamsulosin Finasteride

Bethanechol

A nurse is providing safety education to a client who is scheduled to begin treatment with tamsulosin for BPH. Which instruction should the nurse give to the client? Change positions slowly. Crush the medication. Take the medication on an empty stomach. Report increased urinary output immediately.

Change positions slowly.

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

Dilated pupils Dizziness Distended bladder Fever

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 received human menopausal gonadotropin (hMG). Which of the following findings should the nurse expect? Prolactin secretion Estrogen release Follicular maturation Oxytocin secretion

Follicular maturation

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 nurse should question the use of ethinyl estradiol and drospirenone by a client who has renal disease sue to the increased risk of which of the following? Hyperkalemia Hyponatremia Hypoglycemia Respiratory alkalosis

Hyperkalemia

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

A nurse is assessing a client who has a new prescription for the combination oral contraceptive ethinyl and drospirenone. Which of the following findings should the nurse identify as a contraindication to use of this medication? Drinks a glass of wine each night Smokes half a pack of cigarettes a day Runs marathons regularly Drives a school bus

Smokes half a pack of cigarettes a day

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

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 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

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 as soon as possible.

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

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 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 nurse is caring for a client who is about to begin taking finasteride to treat benign prostatic hypertrophy. The nurse should explain to the client the need to monitor which of the following laboratory values? ​Prostate-specific antigen (PSA) BUN Creatine phosphokinase (CPK) ALT

​Prostate-specific antigen (PSA)

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? Encourage the client to urinate prior to insertion. Remove the pouch when active labor begins. Monitor for uterine hyperstimulation. Encourage the client to walk after insertion. Monitor the client's temperature.

Encourage the client to urinate prior to insertion. Remove the pouch when active labor begins. Monitor for uterine hyperstimulation. Monitor the client's temperature.

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 nurse is teaching a client about conjugated estrogen and medroxyprogesterone. Which of the following instructions should the nurse include? Monitor 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 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 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

A nurse is preparing to administer finasteride to a client who has 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.