Reproductive & Genitourinary - ATI PHARM

A health care professional is caring for a patient who is receiving human chorionic gonadotropin (hCG) (Pregnyl) to stimulate ovulation. The health care professional should advise the patient against taking which of the following herbal preparations? A.) Black cohosh B.) St. John's wort C.) Saw palmetto D.) Gingko biloba

A.) Black cohosh

A health care professional is caring for a male patient who has hyperthyroidism that has not responded to treatment. The health care professional should recognize that this thyroid disorder to a contraindication for which of the following genitourinary-system drugs? A.) Sildenafil (Viagra) B.) Bethanechol (Urecholine) C.) Tamsulosin (Flomax) D.) Finasteride (Proscar)

B.) Bethanechol (Urecholine)

When talking with a patient about taking conjugated estrogen and medroxyprogesterone (Prempro), the health care professional should include which of the following instructions? A.) Watch for rectal bleeding B.) Avoid drinking alcoholic beverages C.) Have blood pressure checked regularly D.) Sit up for 30 min after taking the drug

C.) Have blood pressure checked regularly

A health care professional is caring for a patient who is about to begin clomiphene (Clomid) therapy to treat infertility. The health care professional should monitor the patient for which of the following adverse effects? A.) Breast cancer B.) Deep-vein thrombosis C.) Ovarian hyperstimulation syndrome D.) Restless leg syndrome

C.) Ovarian hyperstimulation syndrome

A patient taking oral contraceptives calls her health care professional because she forgot to take one of her pills. Which of the following instructions should the health care professional provide? A.) Take a pregnancy test B.) Avoid vaginal intercourse until after your next period C.) Take the missed dose along with the next dose D.) Stop the oral contraceptive and use a different contraceptive

C.) Take the missed dose along with the next dose

A health care professional is caring for a patient who is about to begin taking conjugated equine estrogen (Premarin). The health care professional should tell the patient to report which of the following indications of a serious adverse reaction? A.) Hot flashes B.) Urinary tract infection C.) Vaginal bleeding D.) Bone pain

C.) Vaginal Bleeding

Prior to administering human chorionic gonadotropin (hCG) (Pregnyl) to a patient to stiumulate ovulation, the health care professional should give her menotropins, or hMG (Repronex), to promote A.) prolactin secretion B.) estrogen release C.) follicular maturation D.) oxytocin secretion

C.) follicular maturation

A health care professional should question the use of conjugated equine estrogen (Vagifem) by a patient who has a history of which of the following? A.) Osteoprosis B.) Peptic ulcer disease C.) Rheumatoid arthritis D.) Blood clots

D.) Blood clots

After administering terbutaline (Brethine) to a patient to inhibit preterm labor, the health care professional should assess which of the following? A.) Peripheral pulses B.) Temperature C.) Vision D.) Heart rate

D.) Heart rate

A health care professional is caring for a patient who is about to begin taking cabergoline to treat infertility. The health care professional should explain to the patient the need to monitor which of the following laboratory tests? A.) Potassium B.) Glucose C.) BUN and creatinine D.) Prolactin level

D.) Prolactin level

A health care professional is caring for a patient who is taking bethanechol (Urecholine) for urinary retention when advising the patient about taking the drug, which of the following instructions should the health care professional include? (select all that apply) A.) Avoid driving and activities that require alertness B.) Increase fluid intake C.) Take the drug with food D.) Stay close to a bathroom after taking the drug E.) Increase weight-bearing activities

A.) Avoid driving and activities that require alertness B.) Increase fluid intake D.) Stay close to a bathroom after taking the drug

A primary care provider has prescribed a dinoprostone (Cervidil) vaginal insert to promote cervical ripening in a patient who is at 40 weeks of gestation. When administer dinoprostone, which of the following actions should the health care professional take? (select all that apply) A.) Have the patient urinate prior to insertion B.) Remove the pouch when active labor begins C.) Monitor for uterine hyperstimulation D.) Encourage the patient to walk after insertion E.) Monitor the patient's temperature

A.) Have the patient urinate prior to insertion B.) Remove the pouch when active labor begins C.) Monitor for uterine hyperstimulation E.) Monitor the patient's temperature

A health care professional should question the use of ethinyl estradiol and drospirenone (Yasmin) by women who have renal disease for risk of which of the following? A.) Hyperkalemia B.) Hypnoatremia C.) Hypoglycemia D.) Respiratory alkalosis

A.) Hyperkalemia

When talking with a patient about using leuprolide (Lupron) to treat endometriosis, the health care professional should include which of the following instructions? A.) Perform weight-bearing activities B.) Wear sunscreens or protective clothing C.) Take the drug with food to increase absorption D.) Avoid drinking grapefruit juice

A.) Perform weight-bearing activities

A health care professional is caring for a patient who is about to begin taking finasteride (Proscar) to treat benign prostatic hypertrophy. The health care professional should explain to the patient the need to monitor which of the following laboratory tests? A.) Prostate-specific antigen (PSA) B.) BUN C.) Creatine phosphokinase (CPK) D.) ALT

A.) Prostate-specific antigen (PSA)

A health care professional is caring for a patient who is about to begin taking transdermal conjugative estrogen and medroxyprogesterone (CombiPatch) to treat postmenopausal symptoms. The health care professional should explain to the patient that the drug combination includes which of the following therapeutic effects? (Select all that apply) A.) Reduces the risk of ovarian cancer B.) Relives hot flashes C.) Prevents osteoporosis D.) Reduces the risk of breast cancer E.) Reduces the risk of thromboembolism

A.) Reduces the risk of ovarian cancer B.) Relives hot flashes C.) Prevents osteoporosis

A health care professional is caring for a patient who is receiving IV methylergonovine (Methergine) to stop postpartum hemorrhage. The health care professional should monitor the patient for which of the following adverse effects? (Select all that apply) A.) Seizure activity B.) Hypertension C.) Bradycardia D.) Water intoxication E.) Bronchospasm

A.) Seizure activity B.) Hypertension C.) Bradycardia

When talking with a patient who is receiving leuprolide (Lupron) to treat endometriosis, the health care professional should advise the patient to expect which of the following side effects? A.) Vaginal dryness B.) Hypertension C.) Blurred vision D.) Orthostatic hypotension

A.) Vaginal dryness

A health care professional is caring for a patient who is about to begin using transdermal testosterone gel (AndroGel) to treat delayed puberty. When talking with the patient which of the following instructions should the health care profession include? (select all that apply) A.) Apply the gel to the scrotum B.) Cover the area of application with clothing C.) Wash your hands after applying the gel D.) Do not shower for several hours after applying the gel E.) Apply the gel to the gums above an upper incisior

B.) Cover the area of application with clothing C.) Wash your hands after applying the gel D.) Do not shower for several hours after applying the gel

A health care professional administers oxybutynin (Ditropan) to a patient to treat neurogenic bladder. Which of the following assessment findings should the health care profession recognize as an adverse effect? (select all that apply) A.) Diaphoresis B.) Dilated pupils C.) Dizziness D.) Distended bladder E.) Fever

B.) Dilated pupils C.) Dizziness D.) Distended bladder E.) Fever

When talking with a patient about taking sildenafil (Viagra) to treat erectile dysfunction, the health professional should include which of the following instructions? A.) Take the drug with a glass of grapefruit juice B.) Do not take the drug with high-fat foods. C.) Increase intake of foods rich in vitamin K D.) Avoid aged cheeses and red wine

B.) Do not take the drug with high-fat foods.

A health care professional is caring for a patient who has benign prostatic hypertrophy and is taking tamsulosin (Flomax). The health care professional should question the use of the drug if the patient also has which of the following? A.) A seizure disorder for which he takes carbamazepine (Tegretol) B.) Erectile dysfunction for which he takes sildenafil (Viagra) C.) Diabetes mellitus for which he takes glyburide (DiaBeta) D.) Angle-closure glaucoma for which he takes pilocarpine

B.) Erectile dysfunction for which he takes sildenafil (Viagra)

Which of the following drugs should a primary care provider prescribe to induce labor in a woman who is at 42 weeks of gestation? A.) Methylergonovine (Methergine) B.) Oxytocine (Pitocin) C.) Leuprolide (Lupron) D.) Terbutaline (Brethine)

B.) Oxytocine (Pitocin)

A health care professional should question the use of the combination oral contraceptive ethinyl estradiol and drospirenon (Yasmin) by a patient who A.) has a glass of wine each night B.) smokes half a pack of cigarettes a day C.) is a marathon runner D.) drives a school bus

B.) smokes half a pack of cigarettes a day

A health care professional is caring for a patient who is taking combination of oral contraceptive ethinyl estradiol and drospirenone (Yasmin) and is about to begin taking rifampin (Rifadin) to treat tuberculosis. Because of a likely drug interaction, the health care professional should tell the patient to: A.) increase the rifampin dose B.) increase the oral contraceptive dose C.) allow 2 hr between taking each drug D.) use additional birth control

D.) use additional birth control