Drugs Exam 3
A client alerts the nurse she has been in menopause for a couple of months. The nurse teaches the client how menopause occurs. Which statement reflects the teaching has been effective?
Estrogen and Progesterone diminish
A woman experiencing menopausal symptoms asks the nurse about herbal products that might help. Which would the nurse include in the response?
black cohash
Dysfunction of which structure in the male reproductive system would result in ineffective sperm production?
seminiferous vesicles
The nurse is educating an adult male client diagnosed with erectile dysfunction about the prescribed sildenafil. Which statement made by the client establishes the need for further clarification?
"If I eat a fatty meal I will need to take two pills instead of one, so the drug will take effect faster."
A client with myasthenia gravis has been prescribed dantrolene for the treatment of muscle spasticity. What education should the nurse provide to the client?
"You might experience some urinary frequency and urgency. Tell me promptly if it becomes problematic."
A client is prescribed testosterone gel. Which would the nurse include in the teaching plan? Select all that apply.
-Allowing the application site to dry before getting dressed. -Applying the gel once daily in the morning. - Washing hands with soap and water after applying.
A client is to have an intravenous line inserted, and the nurse prepares to apply a dermal patch to provide local anesthesia to the area. The nurse would apply the patch at which time before initiating intravenous access?
30 minutes
A nurse is instructing a client about vardenafil. The nurse would instruct the client to take the drug how many minutes before sexual stimulation?
60 min
The nurse who is a case manager is overseeing the care of several clients, both inpatient and community-dwelling. Which client is most likely to benefit from the administration of baclofen?
A client who is undergoing rehabilitation following a spinal cord injury at C7
Immediately before starting an IV infusion of oxytocin (Pitocin), what should the nurse assess? (Select all that apply.)
Client's blood pressure Fetal heart rate Client's respiratory rate
The nurse instructs a client to use benzocaine to soothe the itching and pain related to an insect bite. Benzocaine is considered to be what type of dermatologic agent?
Anesthetic
The health care provider has prescribed testosterone for a 77-year-old client with a low testosterone level. The nurse will evaluate this client for what condition that may develop in this client in response to this medication?
Benign prostatic hypertrophy
The nursing instructor is teaching students about local anesthetics. The students demonstrate understanding when they identify which local anesthetics that can be given via epidural? Select all that apply.
Bupivacaine (Marcaine, Sensorcaine) Lidocaine (Dilocaine) Lidocaine (Xylocaine)
A patient is receiving treatment for infertility and is receiving a drug that stimulates ovulation. Which drug would this most likely be?
Chorionic gonadotropin
A client is taking androgens and warfarin (Coumadin). What effect will these two medications have on the client's coagulation?
Coagulation will be decreased
A client sustained a musculoskeletal injury to his left leg that has resulted in occasional spasticity. What should the nurse expect the health care provider to prescribe
Cyclobenzaprine
Which results with the administration of testosterone?
Decreased protein catabolism
After describing the process of spermatogenesis to a group of students, the instructor determines that the teaching was successful when the students identify what as being responsible?
Follicle stimulating hormone
After teaching a group of students about hormonal secretion of the reproductive system, the instructor determines that the teaching was successful when the students identify what as initiating hormone secretion from the ovaries and testes?
Gonadotropin releasing hormone
The nurse is obtaining a history from a 23-year-old man. The nurse suspects that the client may be using DHEA if he displays which symptom?
Hirtuism (hair growth)
A female client is prescribed estradiol cypionate for treatment of severe vasomotor symptoms associated with menopause. The nurse would expect to administer this drug by which route?
IM
Which is associated with an increase in gonadotropin-releasing hormone secretion?
Increased light exposure
What represents routes in which general anesthesia is most commonly achieved? (Select all that apply.)
Inhalation, IV
When teaching an adolescent about ovulation, the nurse would include that ovulation is initiated by a surge in:
LH
The nurse at an urgent care clinical is reviewing local anesthetics. What drug should the nurse recognize as an amide?
Lidocaine
A client comes to the emergency department. The client has a small wound that requires suturing. The nurse would anticipate which type of anesthesia?
Local infiltration anesthesia
An otherwise healthy surgical client has developed sharply increased muscle tone and rapid increase in heart rate and core body temperature. The operating room (OR) team should proceed with assessments and interventions that address what health problem?
Malignant hyperthermia
A nurse may be asked to administer which drug prior to a colonoscopy in order to help the client relax?
Midazolam
Insufficient levels of oxytocin would affect what event related to pregnancy?
Onset of labor contractions
After teaching a group of students about the events that occur with fertilization and implantation of an ovum, the instructor determines that the teaching has been effective when the students identify what as an endocrine structure?
Placenta
If an ovum is fertilized and implants into the uterine wall, which would occur next?
Production of human chorionic gonadotropin
The client in the intensive care unit (ICU) is intubated and on a respirator. What drug would the nurse be told to give so that the client receives continuous sedation while intubated
Propofol
The nurse in the intensive care unit prepares to administer a medication that is used for induction and maintenance of anesthesia, but may also be used to continuously administer sedation to clients who are intubated. Which medication is it?
Propofol
The nurse is aware that progestins will be prescribed with extreme caution in a client with which condition? (Select all that apply.)
Renal disease Epilepsy Asthma
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?
Secretion of estrogen and progesterone
Dantrolene is being considered for the treatment of a client's spasticity. Which aspect of the client's current health status is most likely to contraindicate the use of this medication
The client's spasticity is due to rheumatoid arthritis
A 74-year-old woman states that many of her peers underwent hormone replacement therapy (HRT) in years past. The woman asks the nurse why her primary care provider has not yet proposed this treatment for her. What fact should underlie the nurse's response to the woman?
The risks of stroke and breast cancer are unacceptably high in women taking HRT
The nurse is discussing infertility issues with a couple. What information should the nurse provide the couple concerning the effect of Sertoli cells of male sperm?
They produce inhibin a substance that in turn affects sperm production
Which patient would likely have the highest risk for hepatotoxicity from dantrolene (Dantrium)?
a women on HRT
The nurse is closely following a client who began treatment with testosterone several months earlier. When assessing the client for potential adverse effects of treatment, the nurse should prioritize which assessment?
assessment of calcium levels
A client with impaired liver function secondary to hepatitis C requires a centrally acting skeletal muscle relaxant for temporary pain relief. What medication would put the least metabolic burden on the client's liver?
baclofen (not metabolized)
A nurse should monitor a client receiving oxytocin for which adverse effects?
cardiac arrhythmias
The extra pyramidal tract is made up of cells from which areas?
cerebral cortex
After 6 months of unsuccessfully trying to conceive, a 31-year-old woman and her husband have sought a referral to a fertility specialist in order to explore their options. A nurse at the clinic should recognize that the woman may benefit from:
chlophiene
If pregnancy does not occur during the menstrual cycle, the corpus luteum involutes and becomes the:
corpus albicans
The nurse determines that teaching about testosterone therapy via a transdermal patch is effective when the male client states that he will change the patch in which time frame?
daily
While most muscle relaxants drugs are central nervous system (CNS) depressants, which medication acts only on the muscle?
dantrolen
What is the most plausible rationale for a female client being prescribed danazol?
endometriosis
What is the preferred treatment for the diagnosis of atrophic vaginitis?
estrogen preparations
Which is an example of an androgen that can be used to treat hypogonadism?
fluoxymesterone
A client prescribed dantrolene therapy requires monitoring for what serious adverse effect?
hepatitis
A 76-year-old woman has a complex medical history that includes emphysema, osteoporosis, malnutrition, and hypothyroidism. Recently, the woman fell outside her home as a result of weakness and suffered a fracture to her femoral head. The woman's subsequent hip-replacement surgery has been scheduled and the care team recognizes that the use of isoflurane will be most significantly influenced by
history of emphysema
A 30-year-old pregnant woman has been prescribed administration of oxytocin. When assessing the patient's drug regimen, the nurse understands that the patient is taking vasopressors. Which risk is the patient most susceptible to if oxytocin is administered along with vasopressors?
hypertension
Which is NOT a common adverse effect of spinal anesthesia?
hypertension
Which adverse effect of muscle relaxants is most pronounced when a client is prescribed tizanidine therapy?
hypotension
A 63-year-old woman taking estrogen and progestin for several years has recently changed to estrogen alone. What medical event would prompt such a change in treatment?
hysterectomy
In describing the effects of progesterone, which would be appropriate to include?
increased body temp
In the male, interstitial cell stimulating hormone is released. The nurse identifies this as:
lh
When teaching an adolescent about ovulation, the nurse would include that ovulation is initiated by a surge in:
lh
A 22-year-old woman is in the clinic to end an early pregnancy. She takes three tablets of mifepristone (Mifeprex). Two days after she takes the medication, she returns to the clinic to see if she is still pregnant or if the medical abortion is complete. It is determined that she is still pregnant. The nurse will administer which drug?
mistoprolol
A client with multiple sclerosis asks the nurse to explain why deep tissue massages do not relieve spasticity. The nurse should explain that spasticity is caused by:
nerve damage in the brain and spinal cord, and it is a permanent condition.
A nurse is reading a journal article about female hormones. Which would the nurse identify as a progestin?
norethindrone
When describing the menstrual cycle to a group of young women, the nurse explains that estrogen levels are highest during which phase of the endometrial cycle?
proliferative
A patient reports menstrual cramps. The nurse understands that this is due to:
prostaglandins
The release of gonadotropin releasing hormone by the hypothalamus signals the onset of:
puberty
A patient who has suffered a crushing injury to his thumb and two fingers in an accident at a factory is relieved to be administered a local anesthetic prior to treatment. The drugs that were administered decrease the permeability of the nerve cell membrane to:
sodium
When caring for a patient receiving estrogen replacement therapy for postmenopausal symptoms, the nurse documents a diagnosis related to impaired tissue perfusion. Which condition is the nurse referring to in the diagnosis?
thromboembolism
When epinephrine is mixed with a local injectable anesthetic, it is done for what purpose?
to cause vasoconstriction
Centrally acting skeletal muscle relaxants lyse or destroy the spasm
true
