Reproductive and genitourinary system ATI test
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 the missed dose as soon as possible
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)
A nurse is providing teaching to a client who is taking bethanechol for urinary retention. Which of the following instructions should the nurse include? (select all that apply)
-avoid driving and activities that require alertness -increase fluid intake -stay close to a bathroom after taking the drug
A nurse is caring for a client who has benign prostatic hypertrophy and is taking tamsulosin. The nurse should question the use of the drug if the client also has which of the following?
Erectile dysfunction for which he takes sildenafil
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 risk of ovarian cancer -Relieves hot flashes -Prevents osteoporosis
A provider has prescribed a dinoprostone vaginal insert to promote cervical ripening in a client who is at 40 weeks of gestation. When administering dinoprostone, which of the following actions should the nurse take? (select all that apply)
-Encourage the client to urinate prior to insertion -Remove the pouch when active labor begins -Monitor the uterine hyperstimulation -Monitor the client's temperature
A nurse should question the use of conjugated equine estrogen by a client who has a history of which of the following?
blood clots
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)
-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 assessing a client who has a new prescription of oxybutynin to treat neurogenic bladder. Which of the following assessment finding should the nurse identify as an adverse effect of the drug? (select all that apply)
-dilated pupils -dizziness -distended bladder -fever
A nurse is caring for a male client who has hyperthyroidism and is not responding to treatment. The nurse should identify that hyperthyroidism is a contraindication for which of the following drugs?
Bethanechol
A nurse is providing safety education to a client who is scheduled to begin treatment with tamsulosin for benign prostatic hypertrophy (BPH). Which of the following instructions should the nurse include in the teaching?
Change positions slowly
A nurse is providing teaching to a client about sildenafil to treat erectile dysfunction. Which of the following instructions should the nurse include?
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?
Follicular maturation
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
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 apply the medication to a different site each time
A nurse is caring for a client who is about to begin clomiphene therapy to treat infertility. The nurse should monitor the client for which of the following adverse effects?
Ovarian hyperstimulation syndrome
A nurse is providing teaching to a client about using leuprolide to treat endometriosis. Which of the following instructions should the nurse include?
Perform weight-bearing activities
A nurse is caring for a client who is about to begin taking cabergoline to treat infertility. The nurse should explain to the client the need to monitor which of the following laboratory values?
Prolactin level
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?
Vaginal bleeding
A nurse is teaching a client about receiving leuprolide to treat endometriosis. The nurse should instruct the client to expect which of the following side effects?
Vaginal dryness
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?
Wear gloves when handling the tablet
A nurse is teaching a client about conjugated estrogen and medroxyprogesterone. Which of the following instructions should the nurse include?
have blood pressure checked regularly
After administering terbutaline to a client to inhibit preterm labor, the nurse should assess which of the following?
heart rate
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?
smokes half a pack of cigarettes a day
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?
use additional birth control methods
