Chap 40,41,51,52 Quiz

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The use of nicotine with estrogens increases the woman's risk for thromboembolic disorders.

a) True
b) False
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Terms in this set (25)
A client calls the women's health clinic and tells the nurse that she went to the dentist for an abscessed tooth. The dentist put her on an antibiotic, and the client wants to know if it will cause problems with her prescribed oral contraceptives. What is the nurse's best response?

a) "Take a pill every other day to prevent severe adverse effects."
b) "Use alternate means of birth control until you are finished with the antibiotic."
c) "There is no interaction; you have nothing to worry about."
d) "Take two pills each day. The physician will call if the additional medication is needed."
Your client is menopausal and has been given a prescription for estrogen. She asks you what some of the risks in taking the medication are. Your best response is:

a) As long as estrogen and progesterone are taken together, there are no increased health risks.
b) Estrogen decreases the risk of dementia, myocardial infarctions, strokes, breast cancer, and blood clot.
c) Estrogen increases the risk of certain cancers, myocardial infarctions, and blood clots.
d) Estrogen has not been proven to increase any medical conditions.
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 patient would most likely contraindicate the use of tadalafil for his ED?

a) The patient has a family history of osteoporosis and has undergone bone density testing
b) The patient often takes ginseng when he gets a common cold
c) The patient takes allopurinol for the treatment of gout
d) The patient has unstable angina and uses a nitroglycerin patch
An 8-year-old boy is being administered testosterone injections for treatment of hypogonadism. Which of the following should be measured every 6 months? a) Hand and wrist epiphyseal growth plates b) Electrocardiogram c) Electroencephalogram d) Visual acuityHand and wrist epiphyseal growth platesA 16-year-old is diagnosed with delayed male puberty, and the physician has ordered testosterone, IM, once every 2 weeks. What nursing intervention would be important to the patient? a) Have patient fast before injection. b) Discuss changes that will occur in his body. c) Have patient fast after injection. d) Decrease exercise while on this hormonal treatment.Discuss changes that will occur in his bodyWhich of the following statements by your 62-year-old patient indicates that they understand your teaching about diuretics? a) "I will weigh myself daily and report significant changes." b) "I will have to limit my high sugar foods." c) "If my leg gets swollen again, I'll take an additional pill." d) "I will take my medication before bedtime on an empty stomach."I will weigh myself daily and report significant changesWhich of the following is an example of a loop diuretic? (Choose one) a) Hydrochlorothiazide (Microzide) b) Furosemide (Lasix) c) Acetazolamide (Diamox) d) Spironolactone (Aldactone)Furosemide (Lasix)You are caring for a patient with a severe head injury. An osmotic diuretic is ordered. Which drug is an osmotic diuretic? a) Spironolactone (Aldactone) b) Bumetanide (Bumex) c) Mannitol (Osmitrol) d) Ethacrynic (Edecrin)Mannitol (Osmitrol)After teaching a patient about the action of spironolactone, the nurse determines that the teaching was successful when the patient states which of the following? a) "I can still use my salt substitute if I want to." b) "I need to take the drug on an empty stomach." c) "I need to make sure I don't eat too many high potassium foods." d) "I should take the medicine around dinnertime for the best effect."I need to make sure I don't eat too many high potassium foodsA nurse is caring for a patient with acute renal failure. The physician has prescribed a diuretic therapy for the patient to promote dieresis. What intervention should the nurse perform to prevent the inconvenience caused by increased urination? a) Encourage the patient to exercise. b) Ask the patient to decrease fluid intake. c) Administer the drug early in the day. d) Gradually increase the drug dosage.Administer the drug early in the dayA physician has prescribed a loop diuretic for a patient with hypertension. The patient also has diabetes mellitus. What condition should the nurse monitor for in this patient after administering the prescribed drug? a) Sudden pain in the joints b) Increased blood glucose levels c) Sudden increase in weight d) Occurrence of gout attacksIncreased blood glucose levelsA nurse has educated a patient about the drug phenazopyridine (Pyridium). Which patient statement indicates clear understanding? a) "My urine could be reddish orange." b) "Pain relief should occur in a few days." c) "I will limit my fluid intake to meal times." d) "This drug has anti-infective results."My urine could be reddish orangeWhich of the following would be most important prior to beginning therapy with a urinary anti-infective agent? a) Assessing the usual urinary pattern b) Assessing patient's level of orientation c) Inspecting the skin for rashes d) Obtaining a urine culture and sensitivity testObtaining a urine culture and sensitivity testA patient with a urinary tract infection is encouraged to increase fluids. Which liquid will help acidify the urine? a) Coffee b) Orange juice c) Red wine d) Cranberry juiceCranberry juiceA nurse is educating a patient undergoing treatment for genitourinary tract bacterial infections on an outpatient basis. What instructions should the nurse offer the patient as part of the patient teaching plan? a) Decrease fluid intake if symptoms subside. b) Discontinue the therapy if symptoms vanish. c) Increase fluid intake to at least 2000 ml/d. d) Notify the PHCP if abdominal pain occurs.Increase fluid intake to at least 2000ml/dWhat is the nurse's best response when the client asks why the nurse is obtaining a urine sample for culture and sensitivity, after the health care provider had diagnosed the client with a urinary tract infection? a) "This test lets the health care provider know what medication will best treat the infection." b) "This test is done to make sure that you are not pregnant." c) "This test tells the health care provider if the infection has traveled to your kidneys." d) "The test is needed to know that you are adequately hydrated."This test lets the health care provider know what med will best treat the infectionThe pharmacology students are learning about medications used to treat urinary tract problems. What symptoms does phenazopyridine treat? a) Urinary retention b) Hesitancy c) Hematuria d) Pain and urgencyPain and urgencyYou are an ED nurse caring for a patient who is receiving furosemide for treatment of pulmonary edema. Which of the following will you monitor to observe for adverse effects of the drug? a) Temperature b) Potassium levels c) Bone marrow function d) Blood oxygen saturationPotassium levels