Pharm Chapter 34 & 35 In-Class Review

When reviewing the health history of a patient who wants to begin taking oral contraceptives, the nurse recalls that which conditions are contraindications to this drug therapy? (Select all that apply.)

a. Multiple sclerosis
b. Pregnancy
c. Thrombophlebitic disorders
d. Hypothyroidism
e. Estrogen-dependent cancers
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When reviewing the health history of a patient who wants to begin taking oral contraceptives, the nurse recalls that which conditions are contraindications to this drug therapy? (Select all that apply.)

a. Multiple sclerosis
b. Pregnancy
c. Thrombophlebitic disorders
d. Hypothyroidism
e. Estrogen-dependent cancers
b. Pregnancy
c. Thrombophlebitic disorders
e. Estrogen-dependent cancers
2. When the nurse is teaching patients about postmenopausal estrogen replacement therapy, which statement is correct?

a. "It is not recommended in patients with a history of endometrial cancer."
b. "Use is recommended and beneficial in older women."
c. "Estrogen therapy should be long term to prevent menopausal symptoms."
d. "If estrogen is taken, supplemental calcium will not be needed."
a. "It is not recommended in patients with a history of endometrial cancer."
3. The most serious side effects of progestins include which of the following?

a. Menopause
b. Liver dysfunction
c. Myocardial infarction
d. Pancreatic insufficiency
b. Liver dysfunction
4. When combination oral contraceptives are given to provide postcoital emergency contraception, the nurse must remember which fact?

a. They are not effective if the woman is already pregnant.
b. They should be taken within 12 hours of unprotected intercourse.
c. They are given in one dose.
d. They are intended to terminate pregnancy.
a. They are not effective if the woman is already pregnant.
5. When reviewing an order for dinoprostone cervical gel, the nurse recalls that this drug is used for which purpose?

a. To induce abortion during the third trimester
b. To improve cervical ripening near term for labor induction
c. To soften the cervix in women who are experiencing infertility problems
d. To reduce postpartum uterine atony and hemorrhage
b. To improve cervical ripening near term for labor induction
6. A pregnant woman is experiencing contractions. The nurse remembers that pharmacologic measures to stop contractions are used during which time frame?

a. Before the 20th week of gestation
b. Between the 20th and 37th weeks
c. After the 37th week
d. At any time during the pregnancy if delivery is not desired
b. Between the 20th and 37th weeks
7. What patient teaching is appropriate for a patient taking alendronate? (Select all that apply.)

a. Take with food.
b. Take at night just before going to bed.
c. Take with an 8-oz glass of water.
d. Take with a sip of water.
e. Take first thing in the morning upon arising.
f. Do not lie down for at least 30 minutes after taking.
c. Take with an 8-oz glass of water.
e. Take first thing in the morning upon arising.
f. Do not lie down for at least 30 minutes after taking.
8. A patient is beginning a new prescription of raloxifene. The nurse will teach the patient to expect which potential adverse effects? (Select all that apply.)

a. Leg cramps
b. Loss of appetite
c. Diarrhea
d. Hot flashes
e. Drowsiness
a. Leg cramps
d. Hot flashes
9. The nurse at the clinic is taking a health history when the patient tells the nurse intercourse has been painful for the past 3 months. The nurse would anticipate the provider would order which medication?

a. Ospemifene
b. Flibanserin
c. Estrogen
d. Progesterone
a. Ospemifene
10. The patient is to receive medroxyprogesterone 500 mg weekly on Mondays for 4 weeks. The medication is available in vials of400 mg/mL. How many milliliters will the nurse administer with each injection?Record you answer using one decimal place.)
1.3 mL
11. A patient is to receive megestrol 400 mg each morning as an appetite stimulant. The medication is available in an oral suspension with a concentration of 40 mg/mL. How many milliliters for this dose?10 mL1. A 19-year-old college football player asks a nurse about taking steroids to help him "beef up" his muscles. Which statement is true? a. There should be no problems as long as he does not exceed the recommended dosage. b. Long-term use may cause a life-threatening liver condition. c. He would need to be careful to watch for excessive weight loss. d. These drugs also tend to increase the male's sperm count.b. Long-term use may cause a life-threatening liver condition.2. In which situations would androgens be prescribed for a woman? (Select all that apply.) a. Development of secondary sex characteristics b. Fibrocystic breast disease c. Ovarian cancer d. Treatment of endometriosis e. Postmenopausal osteoporosis prevention f. Inoperable breast cancerb. Fibrocystic breast disease d. Treatment of endometriosis f. Inoperable breast cancer3. A patient will be receiving testosterone therapy for male hypogonadism and has a new prescription for transdermal testosterone. The nurse needs to include which teaching point about the use of this medication? a. Apply the patch only to the scrotum. b. Apply the patch to the chest, back, or shoulders. c. Apply the patch and then tape it in place. d. The patch should be applied to a different area of the upper body each day4. Before a patient begins therapy with finasteride, the nurse should make sure that which laboratory test has been performed? a. Blood glucose level b. Complete blood count c. Urinalysis d. Prostate-specific antigen (PSA) leveld. Prostate-specific antigen (PSA) level5. A male patient tells the nurse he has been taking finasteride for 3 months and has seen little relief of symptoms. Which is the best response by the nurse? a. "You will need surgical intervention." b. "Tell me how you are taking your medication." c. "It may take up to 6 months for full effect. " d. "A second drug will need to be added to your medications."c. "It may take up to 6 months for full effect.6. In addition to many effects on body systems, the nurse would be correct in identifying which effect as an outcome of androgen therapy? a. Increased sperm production and enhanced fertility b. Increased red blood cell production c. Weight loss d. Bone resorptionb. Increased red blood cell production7. A patient is taking finasteride for the treatment of benign prostatic hyperplasia. His wife, who is 3 months pregnant, is worried about the adverse effects that may occur with this drug. Which state-ment by the nurse is the most important at this time? a. "Gastric upset may be reduced if he takes this drug on an empty stomach." b. "He should notice therapeutic effects of increased libido and erection within 1 month." c. "This medication should not even be handled by pregnant women because it may harm the fetus." d. "He may experience transient hair loss while taking this medication."c. "This medication should not even be handled by pregnant women because it may harm the fetus."8. A male patient wants to know if there are any drugs that can be used for baldness. The nurse knows that which drug, in low dosages, is used for androgenetic alopecia in men? a. Finasteride b. Vardenafil c. Danazol d. Oxandrolonea. Finasteride9. A patient has asked for a new prescription for sil-denafil. As the nurse reviews the current medica-tions, which drug, if taken by the patient, would cause a significant interaction? a. Warfarin, an oral anticoagulant b. Amoxicillin, an antibiotic c. Esomeprazole, a proton pump inhibitor d. Isosorbide dinitrate, a nitrated. Isosorbide dinitrate, a nitrate10. A patient has a new prescription for finasteride. The nurse will instruct the patient about which potential adverse effects? (Select all that apply.) a. Loss of erection b. Gynecomastia c. Headaches d. Increased libido e. Ejaculatory dysfunctiona. Loss of erection b. Gynecomastia e. Ejaculatory dysfunction11. A patient is to receive testosterone cypionate 300 mg every 2 weeks as an intramuscular injection. The medication is available in two strengths: 100 mg/mL and 200 mg/mL. a. Which is the most appropriate strength? b. How many milliliters will the nurse administer per injection?a. 200 mg/mL = 1.5 mL; use least amount of medicine b. 1.5 mL