Pharmacology CH:39,40,41

What additional warnings or risks should the nurse include in the teaching plan of a client receiving estrogen?

Endometrial cancer

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

Estrogen

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?

Estrogen

A menopausal client prescribed estrogen asks what the implications of taking the medication are. Which response by the nurse best demonstrates an understanding of the associated implications?

Estrogen increases the risk of certain cancers, myocardial infarctions, and blood clots."

During anatomy class, the students learn that what structure in the body is a muscular tube with a ciliated lining that is constantly moving?

Fallopian tube

Insufficient levels of oxytocin would affect what event related to pregnancy?

Onset of labor contractions

A postmenopausal woman is administered estradiol for the purpose of preventing which condition?

Osteoporosis

What would danazol (Danocrine) be administered to women for?

Decrease symptoms of endometriosis

A client is prescribed testosterone gel. Which would the nurse include in the teaching plan? Select all that apply.

- Washing hands with soap and water after applying. - Allowing the application site to dry before getting dressed. - Applying the gel once daily in the morning.

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?

"It's important to balance the possible benefits of HRT with the fact that it might increase your risk of heart disease and stroke"

What nursing interventions are most important if the nurse has concerns that the client is developing fluid overload while receiving oxytocin? (Select all that apply.)

- Measure the client's output hourly. - Discontinue the oxytocin infusion.

Which classification of medication is used to treat overactive bladder syndrome?

Antispasmodics

A couple comes to the fertility clinic to get information about treatment for their infertility. What would be included in the information this couple receives regarding adverse effects?

Birth defects

When considering the hormonal changes that occur, the nurse should encourage which diagnostic screening for a postmenopausal woman?

Bone calcium level

An older adult client's current medication regimen includes tamsulosin and sildenafil. The combination of these two medications should prompt what action by the nurse?

assessing the client regularly for signs of orthostatic hypotension

A client with a history of benign prostatic hypertrophy (BPH) is seeking androgenic medication treatment for penile erectile dysfunction. What information should the nurse provide the client regarding this therapy?

It increases the risk for prostate cancer

A post-menopausal client has been diagnosed with breast cancer. The client is being treated with methyltestosterone (Testred). What would indicate that she is developing a complication from the medication?

Jaundice

A woman who has been prescribed high doses of anabolic steroids should be instructed on which effects?

Masculinization

The nurse is caring for a male client with cryptorchidism who is 28 years old and taking testosterone to treat his problem. What statement by this client would lead the nurse to believe that he has understood the teaching?

My body hair may increase."

A client with a recent history of benign prostatic hypertrophy (BPH) will soon begin treatment with finasteride. Before beginning this course of therapy, the nurse should caution the client to be aware of what potentially adverse effect?

Sexual disfunction

A male adolescent is prescribed testosterone. In order to help the client deal with the added social stress that the medication may cause, the nurse should discuss which possible adverse effect?

The development of acne

A client has been prescribed sildenafil citrate. What should the nurse teach the client about this medication?

The drug should be taken 1 hour prior to intercourse.

The health care provider has ordered a variety of laboratory assessments on a client who will need estrogen replacement. The follow labs are ordered: blood urea nitrogen (BUN), creatinine, and liver function tests (LFTs). What is the nurse's best statement explaining to a client the need to draw the labs?

The labs will identify your body's ability to filter and excrete medications."

The 22-year-old client tells the nurse he doesn't have trouble obtaining and maintaining an erection but wonders if taking Viagra would improve the sexual experience anyway. What is the nurse's best response?

The only thing Viagra does is improve blood flow to the penis to make it erect."

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?

The testes need to be placed in the scrotum to protect sperm-producing cells from body heat."

On the advice of his brother, a 53-year-old man has made an appointment to request a prescription for sildenafil. The nurse who works at the clinic is reviewing the man's medical history and would recognize what health problem as being prohibitive to this treatment?

angina, treated with nitroglycerin

A client taking hormonal contraceptives will soon turn 35 years of age. She is moderately obese and has smoked for 15 years. Which action should the nurse encourage the client to take to best minimize risk for complications associated with contraception use?

beginning smoking cessation

A 66-year-old man has made an appointment with his primary care provider to discuss his recent erectile dysfunction (ED) and has requested a prescription for tadalafil (Cialis) based on television commercials he has seen. What characteristic of this client would contraindicate the use of tadalafil for his ED?

has unstable angina and uses a nitroglycerin patch

A client is prescribed an alpha-adrenergic blocker for treatment of BPH. When explaining the action of the drug to the client, which information would the nurse integrate into the explanation?

relaxation of the smooth muscles

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?

venous thromboembolism