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Arcangelo & Peterson
MALE AND FEMALE HORMONES
| Question | Answer |
|---|---|
| A 51-year-old female patient has been receiving doxorubicin (Adriamycin) for metastatic breast cancer. Her medical record indicates she has cardiomyopathy and a cumulative dose of 300 mg/m2 of doxorubicin. | The use of dexrazoxane in conjunction with doxorubicin |
| The nurse practitioner has recommended that a breast-feeding woman take her prescribed medications just before her infant takes his longest nap of the day. | reduce neonatal drug exposure. |
| A nurse is working with a 16-year-old pregnant teen and assessing for behavior that may put the baby at risk. The most important assessment the nurse can make is | whether the pregnant woman uses illegal substances. |
| Which of the following will the nurse inform the patient is the primary physical cause of erectile dysfunction of men in this age group? | Atherosclerosis of the penile artery |
| A nurse is instructing a 19-year-old female patient on the use of fluconazole for candida vaginitis. A teaching priority will be to | use an alternative form of birth control, if taking an oral contraceptive |
| A patient is taking etoposide for a testicular tumor refractory to treatment. The nursing assessment reveals that he is also taking warfarin. The nurse must carefully monitor for which of the following? | Elevated prothrombin time |
| terbutaline (Brethine) IV for 24 hours to control preterm labor. Which of the following nursing actions will the nurse take to decrease the risk of hypotension and promote circulation to the fetus? | Instruct the patient to lie on her left side during the infusion |
| A 38-year-old pregnant patient admits to the nurse that she is an alcoholic and has been consuming alcohol during her pregnancy. The nurse knows that using alcohol during pregnancy may result in a child who presents with | Microcephaly |
| A 36-year-old woman with a history of dysmenorrhea has begun treatment with progesterone, The nurse participating in the woman's care should prioritize which of the following potential nursing diagnoses? | Risk for Injury related to loss of vision or thrombotic events |
| A patient is taking flavoxate hydrochloride (Urispas) to help control an overactive bladder. On a follow-up visit to the clinic, the nurse will question the patient about which of the following? | Dental hygiene |
| A man has a demonstrated history of androgen deficiency and the consequences of this health problem include an inability to maintain an erection. Which of the following medications would best address this patient's erectile dysfunction (ED) | Exogenous testosterone |
| A 20-year-old woman will soon begin taking oral contraceptives for the first time. What advice should the nurse provide to this patient? | Make sure to seek care quickly if you experience bad headaches, calf pain, or changes in vision.” |
| Since the patient has diabetes, the physician has decided to use oxytocin (Pitocin) to initiate labor contractions. When talking to the patient about medication the nurse should understand that the most common adverse effects of the drug | uterine tachysystole. |
| A male patient is taking finasteride for BPH. Which of the following will the nurse evaluate at each clinic visit? | Urinary elimination pattern |
| A woman who is in the second trimester of her first pregnancy has been experiencing frequent headaches and has sought advice from her nurse practitioner about safe treatment options. What analgesic can the nurse most safely recommend? | Acetaminophen |
| Which of the following assessment findings most likely prompted the patient's physician to order magnesium sulfate for this patient? | Systolic blood pressure readings in excess of 190 mmHg |
| 73-year-old woman has osteoporosis and is prescribed alendronate. She takes calcium and vitamin D supplements, drinks lots of water, and has just quit smoking. The nurse should advise the patient to also | perform light-weight exercises and go for walks. |
| A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will instruct the patient to | complete the entire course of drug therapy |
| A nurse is caring for a 46-year-old female patient who is taking paclitaxel for ovarian cancer. Two or three days after the infusion of the drug, the nurse must closely monitor for which of the following? | Neurotoxicity |
| A patient has acquired primary hypogonadism and has been prescribed testosterone transdermal (Androderm) patches. When educating the patient on how to administer the drug, the nurse will instruct him to | place the patch on the back, abdomen, upper arms, or thighs. |
| A nurse is caring for a patient who is at 28 weeks' gestation and is receiving terbutaline (Brethine) to control preterm labor. Which of the following assessment parameters should the nurse prioritize? | Fetal heart rate (FHR) |
| A nurse is explaining to a pregnant 21-year-old college student why she cannot continue to take ibuprofen (Advil) for her headaches. The nurse draws drug molecules crossing the placental membrane and entering into the fetal circulation. | drugs compete with the hormones of pregnancy for albumin-binding |
| patient with a medical background tells the nurse that he is not satisfied with the oral synthetic testosterone and he would like to try a natural form of oral testosterone. Which of the following would be an appropriate response by the nurse? | “Natural testosterone undergoes a high first-pass effect and is not used orally.” |
| A woman is receiving magnesium sulfate for intrapartum eclampsia. The patient is perspiring and her blood pressure is 88/50. The serum magnesium level is 10 mg/dL. The nurse will interpret these manifestations as | magnesium sulfate toxicity. |
| woman is receiving prolonged drug therapy during her complicated pregnancy, and may pose a risk to both the mother and the fetus. The primary care physician has made dosage adjustments to minimize adverse effects and prevent toxicity. The nurse should | that serum levels of the drug are being monitored. |
| A 20-year-old woman has been prescribed estrogen. As with all women taking estrogen, the nurse will carefully monitor the patient for which of the following? | Cardiovascular complications |
| A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The nurse will instruct the patient to take the drug | 1st thing in the AM |
| 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 | clomiphene |
| A male patient is trying to decide if he should use finasteride (Proscar) to treat benign prostatic hypertrophy (BPH). When providing information about the drug, include which of the following as a risk associated with finasteride therapy? | Prostatic neoplasia |
| A nurse practitioner is reviewing the prepregnancy medication regimen of a patient who has just had a positive pregnancy test. The nurse should be aware of which of the following changes in pharmacokinetics that accompanies pregnancy? | increase drug distribution resulting from hemodynamic changes |
| A female patient has been prescribed estrogen therapy. Which of the following will the nurse advise the patient is a common adverse effect of estrogen therapy? | breakthrough bleeding |
| A nurse is working with a patient in the clinic who has erectile dysfunction. The patient has been prescribed sildenafil (Viagra). The patient wants to do everything he can to promote effectiveness of the drug. The nurse will instruct him to | avoid taking the drug with a high-fat meal. |
| A nurse is performing patient education for a woman who has just been prescribed a bisphosphonate. Which of the following diagnostic and history findings would have prompted the woman's care provider to prescribe a bisphosphonate? | Low bone density and a family history of osteoporosis |
| Which of the following would the nurse include in a teaching plan about the signs and symptoms of thrombophlebitis and thromboembolism that should be reported by a patient taking estrogen? | headaches and chest pain |
| A 29-year-old pregnant patient is extremely upset about having to take medication for a pre-existing medical condition. She is consumed with fear that her baby will be born with a physical deformity or a congenital anomaly | Anxiety related to perceived danger of drug therapy to fetus or infant |
| A nurse is providing patient education to a 50-year-old woman who is taking methotrexate (MTX) for breast cancer. The nurse will instruct the patient to avoid which of the following drugs? | Salicylates |
| A 71-year-old man has just been prescribed finasteride (Proscar). Which of the following complaints by this patient most likely indicated a need for this drug? | “Lately, I have to get up three or four times a night to go to the bathroom.” |
| a 52-year-old woman has visited her nurse practitioner to discuss the potential benefits of hormone replacement therapy in controlling the symptoms of menopause. Which of the following responses by the nurse is most appropriate? | “It's important to balance the possible benefits of HRT with the fact that it might increase your risk of heart disease and stroke” |
| A pregnant patient asks the nurse what over-the-counter medication she can take for recurring headaches. The nurse should recommend | tylenol (acetaminophen) |
| A nurse is working in a women's hospital where she is caring for a new mother who is experiencing postpartum urinary retention. Bethanechol (Urecholine) has been ordered. The nurse will observe for which of the following? | Hypertension (elevated blood pressure) |
| Male is experiencing climacteric symptoms 2nd to androgen deficiency. Physician Rx testosterone. Assessment reveals that he has had a MI. Combination of testosterone and a history of myocardial infarction place that patient at a significantly higher risk | hypercholesterolemia. |
| Which of the following would the nurse include in a teaching plan about the signs and symptoms of thrombophlebitis and thromboembolism that should be reported by a patient taking estrogen? | Headache and chest pain |
| A pregnant patient who has diabetes has been admitted to the hospital to begin labor. Since the patient has diabetes, the physician has decided to use oxytocin (Pitocin) to initiate labor contractions. When talking to the patient about the adverse effects | tachysystole |
| A patient is pregnant and is at 7 weeks' gestation. She has type 1 diabetes and has been taking insulin since she was 13 years old. She asks the nurse if the insulin will be harmful to her baby. The best response to the patient by the nurse would be | “Insulin is usually the drug of choice for controlling blood glucose levels during pregnancy because it does not cross into the placenta.” |
| A nurse is assigned to a patient who is at 32 weeks' gestation and is receiving terbutaline (Brethine) IV for 24 hours to control preterm labor. Which of the following nursing actions will the nurse take to decrease the risk of hypotension and promote cir | Instruct the patient to lie on her left side during the infusion |
| Alendronate (Fosamax) is prescribed for a 67-year-old postmenopausal woman. In order to help prevent gastrointestinal distress, the nurse will advise the patient to | stand or sit upright for at least 30 minutes after taking alendronate |
| A nurse is working with a patient in the clinic who has erectile dysfunction. The patient has been prescribed sildenafil (Viagra). The patient wants to do everything he can to promote effectiveness of the drug. The nurse will instruct him to | avoid taking the drug with a high-fat meal |
| A nurse is caring for a 46-year-old female patient who is taking paclitaxel for ovarian cancer. Two or three days after the infusion of the drug, the nurse must closely monitor for which of the following? | Neurotoxicity |
| A 66-year-old man has made an appointment with his primary care provider to discuss his recent erectile dysfunction (ED) and has requested a prescription for tadalafil (Cialis) based on television commercials he has seen. What characteristic of this patie | The patient has unstable angina and uses a nitroglycerin patch |
| A patient is taking etoposide for a testicular tumor refractory to treatment. The nursing assessment reveals that he is also taking warfarin. The nurse must carefully monitor for which of the following? | Elevated prothrombin time |
| Alprostadil (Caverject), a drug used to treat erectile dysfunction, has been prescribed to a 42-year-old patient. When providing education to the patient and his wife, the nurse should inform the wife about which of the following adverse effects? | Vaginal burning |
| 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 | clomiphene |
| On the advice of her sister, a 52-year-old woman has visited her nurse practitioner to discuss the potential benefits of hormone replacement therapy in controlling the symptoms of menopause. Which of the following responses by the nurse is most appropriat | “It's important to balance the possible benefits of HRT with the fact that it might increase your risk of heart disease and stroke” |
| A patient is taking flavoxate hydrochloride (Urispas) to help control an overactive bladder. On a follow-up visit to the clinic, the nurse will question the patient about which of the following? | Dental hygiene practices |
| A 68-year-old man is being treated for benign prostatic hypertrophy (BPH) and began treatment with finasteride (Proscar) 3 months ago. When planning the care of this patient, what desired outcome should the nurse prioritize? | The patient will experience complete bladder emptying |
| A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The nurse will instruct the patient to take the drug | first thing in the morning. |
| A 56-year-old woman will soon begin treatment of her overactive bladder with tolterodine (Detrol). What patient teaching should the nurse provide to this woman? | “You might find that you get a dry mouth or a headache from this drug, but this does not mean it has to be discontinued.” |
| A male patient is trying to decide if he should use finasteride (Proscar) to treat benign prostatic hypertrophy (BPH). When providing information about the drug, the nurse will include which of the following as a risk associated with finasteride therapy? | Prostatic neoplasia |
| A nurse is instructing a 19-year-old female patient on the use of fluconazole for candida vaginitis. A teaching priority will be to | use an alternative form of birth control, if taking an oral contraceptive |
| A 38-year-old pregnant patient admits to the nurse that she is an alcoholic and has been consuming alcohol during her pregnancy. The nurse knows that using alcohol during pregnancy may result in a child who presents with | Microcephaly |
| A 51-year-old female patient has been receiving doxorubicin (Adriamycin) for metastatic breast cancer. Her medical record indicates she has cardiomyopathy and a cumulative dose of 300 mg/m2 of doxorubicin. Which of the following measures would help limit | The use of dexrazoxane in conjunction with doxorubicin |
| A woman is receiving magnesium sulfate for intrapartum eclampsia. The patient is perspiring and her blood pressure is 88/50. The serum magnesium level is 10 mg/dL. The nurse will interpret these manifestations as | magnesium sulfate toxicity. |
| A 20-year-old woman has been prescribed estrogen. As with all women taking estrogen, the nurse will carefully monitor the patient for which of the following? | Cardiovascular complications |
| A 20-year-old woman will soon begin taking oral contraceptives for the first time. What advice should the nurse provide to this patient? | “Make sure to seek care quickly if you experience bad headaches, calf pain, or changes in vision.” |
| The nurse recognizes that the potential for teratogenic drug effects is not static throughout the prenatal and postnatal periods. The potential for teratogenic effects is highest during | the first 2 months of pregnancy |
| A male patient is taking finasteride for BPH. Which of the following will the nurse evaluate at each clinic visit? | Urinary elimination patterns |
| A nurse is caring for a 46-year-old female patient who is taking paclitaxel for ovarian cancer. Two or three days after the infusion of the drug, the nurse must closely monitor for which of the following? | Neurotoxicity |
| A nurse is providing patient education to a 50-year-old woman who is taking methotrexate (MTX) for breast cancer. The nurse will instruct the patient to avoid which of the following drugs? | Salicylates |
| A nurse is providing patient education to a 23-year-old woman who is starting the norelgestromin/ethinyl estradiol transdermal system (Ortho Evra). Because this is the patient's first time to use the birth control patch, the nurse will instruct her to app | on the day her menstrual period begins |
| A nurse is working with a 16-year-old pregnant teen and assessing for behavior that may put the baby at risk. The most important assessment the nurse can make is | whether the pregnant woman uses illegal substances |
| A patient is taking etoposide for a testicular tumor refractory to treatment. The nursing assessment reveals that he is also taking warfarin. The nurse must carefully monitor for which of the following? | Elevated prothrombin time |
| A 73-year-old woman has osteoporosis and is prescribed alendronate. She takes calcium and vitamin D supplements, drinks lots of water, and has just quit smoking. The nurse should advise the patient to also | perform light-weight exercises and go for walks |
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