Hormones

A nurse is caring for a client who has prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client? 1. leuprolide 2. finasteride 3. tamoxifen 4. cyclophosphamide

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A nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse about menopausal hormone therapy (HT). The nurse should inform the client that HT is not recommended due to which of the following findings in the client's medical history? 1. History of breast cancer 2. Multiple hospitalizations for COPD 3. History of dermatitis 4. Concurrent treatment for GERD

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A nurse is providing teaching to a client who has a new prescription for levothyroxine for hypothyroidism. The nurse should instruct the client to avoid which of the following herbal supplements? 1. Soy 2. Cranberry 3. Saw Palmetto 4. Garlic

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A nurse is providing teaching to a client who has a new prescription for tamoxifen to treat breast cancer. The nurse should include that which of the following is an adverse effect of this medication? 1. Hot flashes 2. Increased appetite 3. Insomnia 4. Constipation

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A nurse is teaching a client who has a new prescription for regular insulin and NPH insulin. Which of the following instructions should the nurse include in the teaching? 1. Keep the open vial of insulin at room temp 2. Administer the insulin in two separate injections 3. Aspirate the med prior to admin 4. Inject the insulin into a large muscle

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A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse effects 1. adrenocortical insufficiency 2. severe dehydration 3. rebound pulmonary congestion 4. hyperglycemia

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A nurses is preparing to administer lispro insulin to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse take? 1. inject the insulin right before the client eats a meal 2. administer with short-acting 3. monitor for polyuria 4. assess for hypoglycemia 4 hr after the insulin injection

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A nurse in a clinic is reviewing the lab values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following lab values? 1. Serum T3 2. Thyroid stimulating hormone (TSH) 3. Free T4 4. Serum T4

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A nurse is teaching about levothyroxine with a client who has primary hypothyroidism. Which of the following statements should the nurse use when teaching the client? 1. "Take this medication until your symptoms are gone and then discontinue" 2. "Tremors, nervousness, and insomnia may indicate your dose is too high" 3. "Symptoms improve immediately after starting the medication" 4. "The medication decreases the overproduction of the thyroid hormone thyroxine"

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A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following meds should the nurse plan to administer? 1. Fluoxymesterone 2. Danazol 3. Finasteride 4. Methyltestosterone

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A nurse is caring for a client who is considering several methods of contraception. Which of the following methods of contraception should the nurse identify as being most reliable? 1. An oral contraceptive 2. A diaphragm with spermicide 3. An IUD 4. A male condom

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A nurse is presenting educational materials for a group of middle-aged clients about menopausal hormone therapy following total hysterectomy. Which of the following information should the nurse include in the information? 1. take at different times of the day 2. take and extra dose if missed a day 3. prevents osteoporotic fractures 4. prevents from having a cerebral hemorrhage

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A nurse is providing education to a client who is in labor and has a prescription for a continuous IV infusion of oxytocin. Which information should the nurse include? 1. "I will remove the electronic fetal monitor once contractions are regular" 2. "You can push the button on the control device to administer more medication" 3. "Your contractions will become stronger and more frequent" 4. "This medication will help prevent nausea and vomiting"

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A nurse is providing teaching for a client who has diabetes and a new prescription for insulin glargine. Which of the following instructions should the nurse provide regarding this type of insulin? 1. Insulin glargine has a duration of 3-6 hr 2. Insulin glargine has a duration of 6-10 hr 3. Insulin glargine has a duration of 18-24 hr 4. Insulin glargine has a duration of 10-18 hr

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A nurse is talking with a client whose thyroid stimulating hormone (TSH) level will be measured. Which of the following statements by the nurse explains the purpose of this test? 1. "This test measures the amount of thyroid hormone that attaches to a protein in your blood" 2. "This test measures the absorption of iodine and how it relates to the thyroid gland" 3. "This test determines whether your thyroid gland is overactive, appropriately active, or underactive" 4. "This test detects antithyroid antibodies in your blood"

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A nurse is teaching a client who has a new prescription for prednisone to treat rheumatoid arthritis. The nurse should inform the client that which of the following is a therapeutic effect of this medication? 1. Reduces risk of infection 2. Increases bone density 3. Decreases inflammation 4. Improves peripheral blood flow

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A nurse is teaching a client who is taking metformin XR for type II diabetes mellitus. Which of the following instructions should the nurse include in the teaching? 1. "You may crush or chew the medication" 2. "This medication may turn your urine orange" 3. "Take the medication with a meal" 4. "This medication may cause an increase in perspiration"

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A nurse is teaching a client who is to begin log-term therapy with prednisone to treat COPD. The nurse sshould instruct the client to take which of the following supplements while taking this medication? 1. pantothenic acid and vitamin B6 2. folic acid and vitamin C 3 calcium and vitamin D 4 Biotin and vitamin B2

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A nurse is evaluating a client's lab results. The nurse should recognize that an increase in the client's prostate specific antigen (PSA) lab value is indicative of which of the following diagnoses? 1. Breast cancer 2. Liver cancer 3. Colon cancer 4. Prostate cancer

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A nurse is reviewing contraception options for four clients. The nurse should identify that which of the following clients has a contraindication for receiving oral contraceptives? 1. A 28 year old client who has a history of pelvic inflammatory disease 2. A 32 year old client who has benign breast disease 3. A 26 year old client who has migraine headaches at the start of each menstrual cycle 4. A 38 year old client who reports smoking one pack of cigarettes every day

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A nurse is teaching a client who has diabetes mellitus and a new prescription for prednisone for a rash. Which of the following statements by the client indicates the need for further teaching? 1. "I will gradually stop the prednisone over several days once my rash goes away" 2. "I might feel a little emotional when I am on this medicine" 3. "I might have a hard time falling asleep while taking this" 4. "I might need to decrease my regular insulin during this time"

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The nurse is planning an educational program on slidenafil to a group of older clients. Which of the following information should the nurse include in the educational program? 1. consume a high-fat meal to increase the medication absorption 2. take the medication 2 hr prior to sexual activity 3. swallow the medication with grapefruit juice to improve the action 4. ingestion of the medication with nitrates causes hypotension

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