Pharm 40

pharm-40

Exit

Question 1 of 1

Time Left

176223

120

block

The nurse is caring for a female patient who would like to start taking oral contraceptives. What assessment finding may indicate the patient is not a good candidate for these drugs?

Select the correct answer(s).

(0/0)

Explanation

Estrogens are contraindicated in the presence of a history of thromboembolic disorders because of the increased risk of thrombus and embolus development. A loss of appetite would not contraindicate oral contraceptives but would require further assessment

176224

120

none

The nurse is caring for a patient with an intact uterus who requests hormone replacement for short-term use to reduce menopausal symptoms. What combination drug would be appropriate for this patient?

Select the correct answer(s).

(0/0)

Explanation

The patient would be given Premphase because it is a combination of estrogen and progesterone. The combination is important to help avoid risk of endometrial hyperplasia. Estrace, Premarin, and Estratab contain only estrogen so they are not combination dr

176225

120

none

The nurse is caring for a patient who just had subdermal implantation of NuvaRing. As part of drug teaching, the nurse will tell the patient this implant needs to be removed when?

Select the correct answer(s).

(0/0)

Explanation

Etonogestrel, in addition to being available as a vaginal ring, NuvaRing, is available as a subdermal implant that may be left in place for up to 3 years and then must be removed. Another implant could be placed at that time.

176226

120

none

A patient tells the nurse she is taking soy, calcium, and a multivitamin as an alternative to taking hormone replacement pills. What is the nurse's priority response?

Select the correct answer(s).

(0/0)

Explanation

The nurse may advise the patient to stop using a calcium supplement because soy is not to be taken with calcium, iron, or zinc. However, the patient may have to decide whether it would be more beneficial for her to continue the calcium and discontinue the

176227

120

none

A patient with a seizure disorder taking phenytoin (Dilantin) requests a prescription for an oral contraceptive. What is the nurse's priority response?

Select the correct answer(s).

(0/0)

Explanation

The effectiveness of oral contraceptives containing estrogen, progestin, or both will be reduced by phenytoin, so contraceptives will not be adequate to prevent pregnancy. There is no reason to change the dosage of phenytoin.

176228

120

none

A patient is using a progestin vaginal gel. What possible adverse effects should the nurse tell the patient about?

Select the correct answer(s).

(0/0)

Explanation

The use of a progestin vaginal gel is associated with breast enlargement. Constipation, not diarrhea, is also an adverse effect. Abdominal pain with progestin therapy is associated with the use of an intrauterine device for birth control, not a vaginal ge

176229

120

none

The nurse is preparing to administer an infusion of oxytocin (Pitocin) to the pregnant patient. What is the priority assessment before beginning the infusion?

Select the correct answer(s).

(0/0)

Explanation

Pitocin is used to stimulate labor and often results in intense uterine contractions. It is important that the nurse assess cephalopelvic proportions because a disproportion between the size of the baby and the size of the fetus could result in serious co

176230

120

none

A nurse is taking care of a woman receiving an abortifacient. The nurse is aware that the most serious adverse effect is what?

Select the correct answer(s).

(0/0)

Explanation

All these options are adverse effects of abortifacients. However, the most serious adverse effect would be uterine rupture. A perforated uterus or uterine rupture can be life threatening and emergency measures must be taken.

176231

120

none

A 13-year-old teenage girl is started on oral contraceptives. When following this girl in the clinic, what is the nurse's priority assessment?

Select the correct answer(s).

(0/0)

Explanation

A 13-year-old girl is still growing. Estrogens and progestins have undergone limited testing in children. Because of their effects on closure of the epiphyses, they should be used only with great caution in growing children. It is important for the nurse

176232

120

none

A patient is in the clinic for a follow-up visit after having been on hormone replacement therapy for 3 months. Which report by the patient would immediately concern the nurse?

Select the correct answer(s).

(0/0)

Explanation

All these options are poor health habits and will impact the patient's health. However, the immediate concern is smoking. The nurse should stress that women who take estrogen should not smoke because of the increased risk for thrombotic events. A weight g

176233

120

none

The patient asks the nurse, “Why can't I smoke when taking estrogen. Is the risk for blood clots really that high?” What is the nurse's best response?

Select the correct answer(s).

(0/0)

Explanation

Smoking while taking estrogens should be strongly discouraged, because the combination of therapeutic estrogen with nicotine increases the risk for development of thrombi and emboli and this risk is well documented and researched. The risk is not due to s

176234

120

none

The nurse is caring for a 33-year-old mother of two who has a history of asthma and migraine headaches. The patient is on a low-residue diet for colitis. What factor in the patient's history may contraindicate the use of birth control pills?

Select the correct answer(s).

(0/0)

Explanation

Progestins should be used with caution in patients with epilepsy, migraine headaches, asthma, or cardiac or renal dysfunction because of the potential exacerbation of these conditions. Age, asthma, and colitis would not be cautions or contraindications fo

176235

120

none

The nurse is caring for a postmenopausal patient taking estradiol (Estrace) to reduce signs and symptoms of menopause. What other benefit will result from this medication?

Select the correct answer(s).

(0/0)

Explanation

Estrogen slows the bone loss seen with osteoporosis so this will be an added benefit of the drug. Observe for improved bone density tests and absence of fractures. Endometriosis and dysfunctional uterine bleeding do not occur in postmenopausal women who n

176236

120

none

The nurse has been conducting patient teaching for a 16-year-old who is starting oral contraception. What statement indicates that she needs additional teaching?

Select the correct answer(s).

(0/0)

Explanation

If one tablet is missed, take it as soon as possible or take two tablets the next day. If two consecutive tablets are missed, take two tablets daily for the next 2 days; then resume the regular schedule. If three consecutive tablets are missed, begin a ne

176237

120

none

The patient comes to the women's health clinic to ask about emergency contraception. The patient is prescribed levonorgestrel (Plan B). How will the nurse instruct the patient to take this medication?

Select the correct answer(s).

(0/0)

Explanation

Levonorgestrel (Plan B) is taken within 72 hours of unprotected intercourse with another tablet taken 12 hours after the first. Levonorgestrel (Plan B One-Step) is taken once within 72 hours after unprotected intercourse and is available OTC for patients

Pharm 40

Question 1 of 1

Time Left

The nurse is caring for a female patient who would like to start taking oral contraceptives. What assessment finding may indicate the patient is not a good candidate for these drugs?

Select the correct answer(s).

(0/0)

Explanation

The nurse is caring for a patient with an intact uterus who requests hormone replacement for short-term use to reduce menopausal symptoms. What combination drug would be appropriate for this patient?

Select the correct answer(s).

(0/0)

Explanation

The nurse is caring for a patient who just had subdermal implantation of NuvaRing. As part of drug teaching, the nurse will tell the patient this implant needs to be removed when?

Select the correct answer(s).

(0/0)

Explanation

A patient tells the nurse she is taking soy, calcium, and a multivitamin as an alternative to taking hormone replacement pills. What is the nurse's priority response?

Select the correct answer(s).

(0/0)

Explanation

A patient with a seizure disorder taking phenytoin (Dilantin) requests a prescription for an oral contraceptive. What is the nurse's priority response?

Select the correct answer(s).

(0/0)

Explanation

A patient is using a progestin vaginal gel. What possible adverse effects should the nurse tell the patient about?

Select the correct answer(s).

(0/0)

Explanation

The nurse is preparing to administer an infusion of oxytocin (Pitocin) to the pregnant patient. What is the priority assessment before beginning the infusion?

Select the correct answer(s).

(0/0)

Explanation

A nurse is taking care of a woman receiving an abortifacient. The nurse is aware that the most serious adverse effect is what?

Select the correct answer(s).

(0/0)

Explanation

A 13-year-old teenage girl is started on oral contraceptives. When following this girl in the clinic, what is the nurse's priority assessment?

Select the correct answer(s).

(0/0)

Explanation

A patient is in the clinic for a follow-up visit after having been on hormone replacement therapy for 3 months. Which report by the patient would immediately concern the nurse?

Select the correct answer(s).

(0/0)

Explanation

The patient asks the nurse, “Why can't I smoke when taking estrogen. Is the risk for blood clots really that high?” What is the nurse's best response?

Select the correct answer(s).

(0/0)

Explanation

The nurse is caring for a 33-year-old mother of two who has a history of asthma and migraine headaches. The patient is on a low-residue diet for colitis. What factor in the patient's history may contraindicate the use of birth control pills?

Select the correct answer(s).

(0/0)

Explanation

The nurse is caring for a postmenopausal patient taking estradiol (Estrace) to reduce signs and symptoms of menopause. What other benefit will result from this medication?

Select the correct answer(s).

(0/0)

Explanation

The nurse has been conducting patient teaching for a 16-year-old who is starting oral contraception. What statement indicates that she needs additional teaching?

Select the correct answer(s).

(0/0)

Explanation

The patient comes to the women's health clinic to ask about emergency contraception. The patient is prescribed levonorgestrel (Plan B). How will the nurse instruct the patient to take this medication?

Select the correct answer(s).

(0/0)

Explanation

Results

Correct

0

Incorrect

0

Skipped

0

Overall Percentage

0%

Rate Quiz