Nursing Application: Women's Health Medications
Which of the following potential nursing actions are appropriate for Amber prior to being prescribed an oral contraceptive?
*Administer ordered pregnancy test *Educate about not smoking *Instruct that patient take medication at the same time daily
Alyssa is receiving Oxytocin to induce labor. Which of the following actions should the nurse take in administering this medication? Select all that apply.
*Assess fluid status *Monitor fetal heart rate *Monitor contractions
A nurse is monitoring his patient whose labor is being augmented with oxytocin infusion. The nurse observes that patient's pain has significantly increased, her contractions are more frequent, and the uterine tone is increasing and no longer palpates soft between contractions. What should be the nurse's first action?
Discontinue the oxytocin infusion
A patient who was receiving oxytocin for labor induction just gave birth. She notices that the oxytocin infusion is still running and asks the nurse why it has not been stopped yet. Which of the following is a correct response by the nurse knowing the therapeutic effect of oxytocin?
oxytocin reduces bleeding by contracting the uterus
Using the nursing process, applying principles of health promotion, as well as illness and injury prevention, and in your role as the care manager, educator, and advocate, drag the things that a nurse should address from the listed potential cues knowing that an oral contraceptive was prescribed for Amber.
*Heavy and irregular periods *Urinary tract infections *Smoking cigarettes *Sexually active *Taking herbal supplements
A nurse is counseling a 32-year-old patient at a clinic about oral contraceptives. Which of the following findings would need further investigation by the nurse? (Select all that apply.)
*Hypertension *Amenorrhea *Depression
Which of the following instructions are appropriate? (Select all that apply.)
*Remain upright for 30 minutes after taking the medication. *Take this medication in the morning.
The nurse is providing instructions to Donna for her new prescription. Which of the following are appropriate instructions to give? (Select all that apply.)
*Use protection in the sun *Monitor your weight
A patient is receiving oxytocin for induction of labor. The nurse should monitor the patient for 1._____________ adverse effect.
1. Water intoxication
A nurse is reviewing a postmenopausal patient's history which reveals that she previously received hormonal replacement therapy for treatment of osteoporosis. Based on the history, nurse knows that the patient is at increased risk for which of the following conditions?
Breast cancer
A patient who was recently diagnosed with osteoporosis tells the nurse that she is worried about having to take medication as she prefers natural supplements and herbs. Nurse knows which of the following medications to treat osteoporosis is derived from natural sources?
Calcitonin
From the listed findings select which finding indicate that the medication has been effective and which are potential adverse effects or unrelated findings.
Effective -Regular period -Negative pregnancy test -Reduction of acne -Reduced menstrual flow Adverse Affect -Weight gain -Headaches Unrelated -Leg cramps -Sweating
Select the indicated use for the following medications. The medication may be indicated for more than one use.
Menopausal symptoms -Estradiol Osteoporosis -Alendronate Cervical ripening -Dinoprostone Postpartum bleeding -Oxytocin
Amber comes to the clinic after 3 months of taking the oral contraceptive. She tells the nurse about bleeding between her periods. Which of the following is the most likely cause?
Skipping doses
A patient is asking about oral contraceptives, what should the nurse tell the woman if she is a smoker?
Smoking increases the risk of thrombosis
A nurse is teaching patient about oral contraceptives. Which of the following symptoms is a reason to notify her primary care provider immediately and stop taking the medication?
Sudden shortness of breath