Nursing 1141- Pharmacology » Fall 2022 » Mastery EAQ Ch. 34
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Question #1
Which black box warning for oral contraceptives would the nurse teach to a patient?
A.
Dementia, Breast cancer, Ovarian cancer, Cardiovascular disease, Serious cardiovascular events
B.
Dementia, Breast cancer, Cigarette smoking, Cardiovascular disease, Ovarian cancer
C.
Dementia, Breast cancer, Cigarette smoking, Cardiovascular disease, Serious cardiovascular events
D.
Dementia, Ovarian cancer, Cigarette smoking, Cardiovascular disease, Serious cardiovascular events
Question #2
The clinical reports of a patient taking fertility drugs indicate an increase in prolactin concentrations, which leads to impaired fertility. Which information would the nurse obtain from the patient?
A.
Current smoking status
B.
Current use of medications for depression
C.
Presence of abnormal uterine bleeding
D.
Compliance with the fertility drugs
Question #3
The nurse administers diluted oxytocin solution to a female patient for labor induction and continuously monitors the maternal blood pressure and pulse rate, as well as the fetal heart rate. The nurse stops the oxytocin infusion when the contractions are more frequent than every 2 minutes. What is the purpose of this action?
A.
The patient’s blood pressure is stable.
B.
The patient is ready for delivery.
C.
The fetal heart rate is stable.
D.
The contractions can be fatal to the patient.
Question #4
Which hormone initiates the cycle of events in the female ovary?
A.
Antidiuretic hormone
B.
Follicle-stimulating hormone (FSH)
C.
Adrenocorticotropic hormone
D.
Luteinizing hormone (LH)
Question #5
Ovulation commonly occurs at which day during the menstrual cycle?
A.
Day 14
B.
Day 7
C.
Day 21
D.
Day 3
Question #6
Which medication helps reduce postpartum uterine hemorrhage?
A.
Megestrol
B.
Clomiphene
C.
Raloxifene
D.
Methylergonovine
Question #7
Which medication is used to induce labor?
A.
Oxytocin
B.
Terbutaline
C.
Magnesium sulfate
D.
Methylergonovine
Question #8
Which medication is used in management of preterm labor?
A.
Megestrol
B.
Medroxyprogesterone acetate
C.
Indomethacin
D.
Methylergonovine
Question #9
Which hormone is responsible for initiating activity in the ovary?
A.
Follicle-stimulating hormone (FSH)
B.
Luteinizing hormone (LH)
C.
Luteotropic hormone
D.
Interstitial cell-stimulating hormone
Question #10
Which type of oral contraceptive (OC) delivers hormones for more than 30 days?
A.
Extended-cycle
B.
Biphasic
C.
Monophasic
D.
Triphasic
Question #11
Which phase of the menstrual cycle involves the release of an unfertilized ovum?
A.
Phase 3
B.
Phase 2
C.
Phase 1
D.
Phase 4
Question #12
Which medication is used to treat hypogonadism?
A.
Medroxyprogesterone
B.
Alendronate
C.
Megestrol
D.
Esterified estrogens
Question #13
The nurse is about to administer dinoprostone to a patient. Which condition is this medication used for?
A.
Accelerated labor
B.
Termination of pregnancy
C.
Postpartum hemorrhage
D.
Premature labor
Question #14
What is an adverse effect associated with estrogen therapy?
A.
Nausea
B.
Higher-pitched voice
C.
Weight loss
D.
Dry skin
Question #15
Which condition in a patient’s history is a contraindication for the administration of estrogens?
A.
Weight gain
B.
Hypertension
C.
Dysmenorrhea
D.
Thrombophlebitis
Question #16
Which hormone promotes the formation of progesterone in women?
A.
Luteinizing hormone
B.
Antidiuretic hormone
C.
Follicle-stimulating hormone
D.
Adrenocorticotropic hormone
Question #17
Which information does the nurse provide to a patient regarding how oral contraceptives prevent pregnancy?
A.
Inhibition of the release of gonadotropins
B.
Elevated progesterone levels inhibiting the release of the luteinizing hormone
C.
Interference with the proliferation of the fertilized ovum
D.
Diminished endometrial tissue proliferation
Question #18
Which statement indicates that the patient understands the benefit of continuous administration of progestin with an estrogen regimen?
A.
"Vaginal cancer is prevented by adding progestin to the regimen."
B.
"The progestin in the regimen will help prevent breast cancer."
C.
"The progestin in the regimen will help prevent ovarian cancer."
D.
"Endometrial cancer risk can be reduced by adding progestin."
Question #19
The nurse is assessing a patient who is prescribed estrogen replacement therapy. A history of which medical condition would be a contraindication to this therapy?
A.
Deep vein thrombosis
B.
Dysmenorrhea
C.
Uterine bleeding
D.
Weight loss
Question #20
Which medication is most likely to promote follicular maturation in an infertile female patient?
A.
Progesterone
B.
Ethinyl estradiol
C.
Clomiphene
D.
Choriogonadotropin alfa
Question #21
Which medication is used to treat infertility?
A.
Oxytocin
B.
Indomethacin
C.
Dinoprostone
D.
Clomiphene
Question #22
A pregnant patient has been prescribed oxytocin. Which nursing intervention is appropriate?
A.
Assess pulse oximetry continuously.
B.
Administer acetaminophen as needed.
C.
Monitor the patient’s blood pressure frequently.
D.
Suggest the patient take aluminum hydroxide with the medication.
Question #23
Which adverse reaction may occur as a result of raloxifene use during perimenopause?
A.
Hot flashes
B.
Yellow undertone to the skin
C.
Brown discoloration of face
D.
Loss of hair
Question #24
Which medication is suitable therapy for oral contraception in women who cannot take estrogen?
A.
Estropipate
B.
Estrone
C.
Megestrol
D.
Medroxyprogesterone
Question #25
During a postpartum assessment, the nurse notes a boggy uterus and increased uterine bleeding. Which drug would the nurse anticipate will be prescribed?
A.
Clomiphene
B.
Terbutaline
C.
Prostaglandin E
D.
Oxytocin
Question #26
Which information would the nurse include when teaching about cancer risks in women postmenopause?
A.
Unopposed estrogen increases the risk of endometrial cancer.
B.
Estrogen monotherapy increases the risk of breast cancer.
C.
Estradiol with progestin increases the risk of endometrial cancer.
D.
Monotherapy with a progestin increases breast cancer risk.
Question #27
Which has the greatest potential to increase the risk of thromboembolism in a patient taking norethindrone and ethinyl estradiol?
A.
Consumption of saturated fats
B.
Sedentary lifestyle
C.
Increased body mass index (BMI)
D.
Smoking heavily every day
Question #28
What is the reason for prescribing dinoprostone to a patient who is at 38 weeks’ gestation of pregnancy?
A.
To treat gestational hypertension
B.
To treat pelvic inflammatory disease
C.
To induce cervical ripening
D.
To terminate pregnancy
Question #29
Which clinical manifestation can be observed in a patient who is receiving teriparatide therapy?
A.
Hot flashes, Vertigo, Loss of appetite
B.
Chest pain, Hot flashes, Loss of appetite
C.
Hot flashes, Loss of appetite, Joint pain
D.
Vertigo, Joint pain, Chest pain
Question #30
Which patient statement indicates to the nurse full patient understanding of the discharge instructions regarding alendronate?
A.
"I will take the medication on an empty stomach and not lie down for 30 minutes."
B.
"I need to take this medication with food to prevent damage to my esophagus."
C.
"This medication will help relieve the bone pain I have from my osteoporosis."
D.
"I need to decrease my intake of dairy products to prevent hypercalcemia."
Question #31
Which medication listed in a patient’s medical history concern the nurse for a patient prescribed raloxifene?
A.
Multivitamin, Atenolol
B.
Atenolol, Levothyroxine
C.
Levothyroxine, Multivitamin
D.
Warfarin, Cholestyramine
Question #32
Which mechanism of action of raloxifene would the nurse include when conducting patient teaching?
A.
Promotes bone absorption of calcium
B.
Inhibits osteoclast-mediated bone reabsorption
C.
Stimulates estrogen receptors on the bone to increase bone density
D.
Contains estrogen, which stimulates bone reabsorption
Question #33
Which prescription concerns the nurse for a patient taking estradiol?
A.
Levothyroxine
B.
Metformin
C.
Amoxicillin
D.
Ferritin
Question #34
Which statement made by the patient indicates that ospemifene is effective?
A.
"I have seen a great improvement in my sexual desire."
B.
"I am no longer experiencing painful intercourse."
C.
"I no longer experience hot flashes."
D.
"I have not experienced any uterine bleeding."
Question #35
Which statement made by the nurse regarding the hormonal activity during the monthly menstrual cycle needs correction?
A.
"Decreased Gn-RH suppresses the release of follicle-stimulating hormone."
B.
"Estrogen levels inhibit the release of follicle-stimulating hormone."
C.
"High progesterone levels inhibit the release of luteinizing hormone."
D.
"Surges of Gn-RH, follicle-stimulating hormone, and luteinizing hormone stimulate ovulation."
Question #36
A female patient is taking estrogen with progesterone. To facilitate monitoring of the risks associated with this therapy, which instruction would the nurse include in patient teaching?
A.
"Have a yearly mammogram."
B.
"Have tests for serum cholesterol."
C.
"Report missed menstrual periods."
D.
"Perform weight-bearing exercise."
Question #37
The clinical reports of a patient taking a bisphosphonate and calcium supplement indicate poor therapeutic levels of the bisphosphonate. Which changes in the medication administration will the nurse need to encourage the patient to implement?
A.
"Obtain a prescription for increasing the bisphosphonate dose."
B.
"Space the medications 1 to 2 hours apart."
C.
"Replace the bisphosphonate with calcitonin."
D.
"Discontinue the calcium supplement."
Question #38
The nurse is assessing a female patient who has osteoporosis. The nurse finds that the patient is prescribed a bisphosphonate instead of calcitonin. Which aspect of the patient’s medical history may be a reason for this prescription?
A.
Joint pain
B.
Allergy to salmon
C.
Current smoker
D.
Breast cancer
Question #39
A female patient using contraceptives reports headaches. Which contraceptive is the patient likely using?
A.
Norethindrone and ethinyl estradiol
B.
Male condom with spermicidal jelly
C.
Cervical cap with spermicidal jelly
D.
Medroxyprogesterone
Question #40
A patient tests positive for pregnancy even though she has been taking oral contraceptives. Which situation represents a possible cause of this unintended pregnancy?
A.
Diabetes
B.
Antibiotic therapy
C.
Hypertension
D.
Anticonvulsant therapy
Question #41
A patient who is 26 weeks pregnant and who has diabetes mellitus begins to experience preterm labor. Which treatment is the best initial therapy for the prevention of uterine contractions and complications in this patient’s pregnancy?
A.
Ritodrine
B.
Terbutaline
C.
Magnesium sulfate
D.
Bed rest and hydration
Question #42
A patient with menopausal symptoms is seeking hormone replacement therapy. During the assessment, the nurse finds that the patient has a history of endometrial cancer and is a smoker. Which information would the nurse provide to the patient?
A.
"You may need to stop smoking during the therapy."
B.
"The therapy may cause thromboembolic events."
C.
"The treatment is likely to cause endometrial cancer."
D.
"The treatment should be started as soon as possible."
Question #43
A 46-year-old female patient who reports hot flashes, fatigue, and sleep disorders is unwilling to start hormonal therapy. Which nursing intervention is appropriate for this patient?
A.
Advise the patient to engage in quiet activities.
B.
Ask the patient to include soy in her diet.
C.
Inform the patient about the benefits and risks of the therapy.
D.
Persuade the patient to start the therapy.
Question #44
Which medication is contraindicated in patients who have osteoporosis and a history of renal dysfunction?
A.
Tamoxifen
B.
Ibandronate
C.
Calcitonin
D.
Denosumab
Question #45
Which monitoring parameter should be evaluated for drug effectiveness for a patient in labor who is receiving oxytocin?
A.
Uterine hyperactivity, Fetal heart rate, Complete blood cell count
B.
Fetal movement, Uterine hyperactivity, Complete blood cell count
C.
Fetal heart rate, Fetal movement, The patient’s blood pressure and pulse
D.
The patient’s blood pressure and pulse, Complete blood cell count, Uterine hyperactivity
Question #46
The clinical report of a patient who is undergoing estrogen therapy indicates thrombosis. Which event may the nurse suspect as the cause of thrombosis?
A.
Current tricyclic antidepressant use
B.
Cigarette use
C.
Low fluid intake
D.
Use of herbal supplements
Question #47
Which assessment finding indicates that a patient is a suitable candidate for oxytocin therapy?
A.
Vaginal bleeding at 38 weeks’ gestation
B.
Radiographic confirmation of cephalopelvic disproportion
C.
Ineffective contractions in a full-term pregnancy
D.
Absence of cervical ripening at 42 weeks’ gestation
Question #48
A patient is receiving intravenous methylergonovine after a vaginal delivery. Which postpartum assessment will the nurse conduct to prevent complications of therapy?
A.
Uterine contractions
B.
Temperature
C.
Blood pressure
D.
Blood glucose
Question #49
The nurse is providing postpartum care for a female patient who is prescribed methylergonovine. Which aspect of the patient’s medical history would be a contraindication for receiving this drug?
A.
Pelvic inflammatory disease
B.
Uterine atony
C.
Nausea and vomiting
D.
Hypertension
Question #50
The obstetrics nurse reviews a postpartum patient’s history. The patient is prescribed methylergonovine for control of postpartum hemorrhage. Which is an essential nursing intervention for a patient receiving this medication?
A.
Monitor the patient for blurred vision. Administer it before placenta delivery. Assess for pelvic inflammatory disease. Question the prescription if the patient has liver disease.
B.
Administer it before placenta delivery. Monitor blood pressure during administration. Assess for pelvic inflammatory disease. Question the prescription if the patient has liver disease.
C.
Monitor the patient for blurred vision. Monitor blood pressure during administration. Administer it before placenta delivery. Question the prescription if the patient has liver disease.
D.
Monitor the patient for blurred vision. Monitor blood pressure during administration. Assess for pelvic inflammatory disease. Question the prescription if the patient has liver disease.
Question #51
The labor and delivery nurse is caring for a patient in preterm labor who is receiving indomethacin. The patient develops hypotension. Which action would the nurse perform?
A.
Instruct the patient to bear down and push.
B.
Place the patient on her left side.
C.
Immediately discontinue intravenous (IV) fluids.
D.
Administer phentolamine mesylate.
Question #52
The nurse finds that concentrated solutions of magnesium sulfate administered to prevent premature labor have caused toxicity in a patient. Which nursing intervention is most appropriate?
A.
Obtain a prescription for terbutaline.
B.
Request a prescription to give calcium gluconate.
C.
Decrease the drug dose immediately.
D.
Obtain a prescription for indomethacin.
Question #53
A pregnant patient is receiving magnesium sulfate to inhibit uterine contractions. The patient develops depressed reflexes and confusion. Which medication does the nurse anticipate administering?
A.
Calcium gluconate
B.
Protamine sulfate
C.
Atropine
D.
Epinephrine
Question #54
The nurse observes that a female patient is at risk for postpartum uterine hemorrhage. Which medication would the nurse discuss with the health care provider to initiate?
A.
Megestrol
B.
Alendronate
C.
Estradiol
D.
Methylergonovine
Question #55
A female patient with strep throat is taking amoxicillin with clavulanate to treat the infection. Because the patient also takes an oral contraceptive (OC), how long would the nurse instruct the patient to use a different method of birth control?
A.
During the entire period the patient is taking the antibiotic
B.
Until three throat cultures have been negative for the pathogen
C.
For at least 1 month after starting the antibiotic
D.
For at least 6 weeks, starting at the end of the antibiotic regimen
Question #56
The nurse at the fertility clinic is instructing a patient about the adverse effects of clomiphene. Which effect would the nurse instruct the patient to report to the health care provider?
A.
Anxiety, Dizziness, Blurred vision
B.
Blurred vision, Bradycardia, Increased diuresis
C.
Hirsutism, Bradycardia, Increased diuresis
D.
Hirsutism, Dizziness,, Increased diuresis
Question #57
Which condition is a contraindication to the use of oral contraceptives?
A.
Pulmonary embolism
B.
Abnormal vaginal bleeding
C.
Ovarian failure
D.
Renal failure
Question #58
Which patient assessment finding does the nurse expect after the vaginal administration of dinoprostone?
A.
Strong contractions
B.
Midline fundus
C.
Decreased pain
D.
Softened cervix
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