pharm exam chap 45
The client takes Ortho-Novum for 3 months and calls the clinic to report she is having vaginal bleeding. What is the best plan by the nurse at this time
Ask the client if she is bleeding between cycles or if this is her regular period
A client has been prescribed NuvaRing. What medication education should the nurse provide to this client
Contraceptive protection is provided for 3 weeks. The ring uses estrogen and progestin to provide contraception
The client is premenopausal and asks the nurse if she should be taking hormone replacement therapy. What will the best plan by the nurse include?
Discuss alternative methods of dealing with premenopausal symptoms
A client comes to the women4s center and tells the nurse she has had unprotected sex. She asks for emergency contraception. What is the best assessment question for the nurse to ask?
How long ago did you have unprotected sex?
A nurse uses the mnemonic ACHES to remember the possible adverse effects of oral contraceptives. Which statements follow this mnemonic
If you experience chest pain call the clinic immediately Any blurry vision or loss of vision should be reported immediately If you notice swelling in your feet hands or face notify the clinic.
The nurse teaches the postpartum client about oxytocin. The nurse evaluates that learning has occurred when the client makes which statement?
It will increase my uterine contractions.
The client receives estrogen for prostate cancer. He asks the nurse why he is receiving a female hormone. What is the best response by the nurse?
It suppresses secretion of the androgens that make your cancer grow
A female client has been unable to conceive a child for five years. She asks the nurse about medications to treat her infertility. What is the best response by the nurse?
Medications will only help if your infertility is related to an endocrine problem.
The nurse teaches a class on pregnancy to clients in their first trimester. The nurse evaluates that learning has occurred when the clients make which statements?
Ovulation is caused by a surge of luteinizing hormone. Follicle stimulating hormone causes ovarian follicles to develop.
The nurse manages care for several clients receiving hormone replacement therapy. 5hat will the priority assessment by the nurse include as related to side effects?
Pain in the calf
A client has been taking low dose oral contraceptives. She calls the clinic and reports that she is mid cycle and has noticed some slight spotting. 5hat information should the nurse provide?
Slight spotting may occur especially with low dose oral contraceptives. Monitor the bleeding and contact us again if it becomes continuous or heavy
A client calls the clinic and tells the nurse she has nausea and breast tenderness and is afraid she might be pregnant. She is taking oral contraceptives and has taken them exactly as prescribed. 5hat is the best response by the nurse?
Tell the client that these symptoms are side effects of oral contraceptives
The client plans to use oral contraceptives for birth control. Which client behavior would the nurse be most concerned about?
The client smokes one half pack of cigarettes per day.
The client is receiving oxytocin for induction of labor. Which assessment finding will most likely result in the nurse stopping the infusion?
The client tells the nurse she has a serious headache
The client is considered infertile. The physician orders clomiphene (Clomid). The nurse teaches the client about the medication and evaluates that learning has occurred when the client makes which statement
This medication stimulates LH (luteinizing hormone)
A client has been prescribed an estrogen progestin combination oral contraceptive. How should the nurse explain the mechanism of action of this pill?
This pill will prevent you from ovulating This pill makes it less likely that an embryo will implant.
An adolescent client will receive Depo-Provera as a method of birth control. She asks the nurse how long the drug will be effective. 5hat is the best response by the nurse
Three months
A college student calls the family planning clinic and states "I had unprotected sex and now I am afraid I will get pregnant." The nurse would provide which information about Plan B?
You can purchase plan B without a prescription You will need to request Plan B from the pharmacist You will take two separate doses of Plan B Plan B will prevent ovulation and implantation
A client has been prescribed Premarin. What medication information should the nurse provide
You may notice a decrease in your libido while on this medication.H If you notice pain in your abdomen that goes through to your back be certain to notify the clinic.H Do not become pregnancy while on this drug
A client calls the clinic and tells the nurse that she has missed taking several of her contraceptive pills during the current cycle. What is the best instruction for the nurse to give the client?
You should use an alternative form of birth control for the rest of this cycle.
Progestins are secreted by the
corpus luteum
Progestins are primarily used in the treatment of
dysfunctional uterine bleeding
Ostrogens are secreted by the
ovarian follicles
Oxytocics are different from tocolytics in that oxytocics
stimulate uterine contractions
The nurse explains to a client who is taking oral contraceptives that these drugs can cause
thrombophlebitis
