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, Ovarian cancer, Cigarette smoking, Cardiovascular disease, Serious cardiovascular events
B.   Dementia, Breast cancer, Cigarette smoking, Cardiovascular disease, Serious cardiovascular events
C.   Dementia, Breast cancer, Ovarian cancer, Cardiovascular disease, Serious cardiovascular events
D.   Dementia, Breast cancer, Cigarette smoking, Cardiovascular disease, Ovarian cancer
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.   Compliance with the fertility drugs
B.   Presence of abnormal uterine bleeding
C.   Current smoking status
D.   Current use of medications for depression
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 is ready for delivery.
B.   The contractions can be fatal to the patient.
C.   The fetal heart rate is stable.
D.   The patient’s blood pressure is stable.
Question #4
Which hormone initiates the cycle of events in the female ovary?
A.   Luteinizing hormone (LH)
B.   Adrenocorticotropic hormone
C.   Follicle-stimulating hormone (FSH)
D.   Antidiuretic hormone
Question #5
Ovulation commonly occurs at which day during the menstrual cycle?
A.   Day 21
B.   Day 3
C.   Day 14
D.   Day 7
Question #6
Which medication helps reduce postpartum uterine hemorrhage?
A.   Clomiphene
B.   Raloxifene
C.   Methylergonovine
D.   Megestrol
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.   Methylergonovine
B.   Indomethacin
C.   Medroxyprogesterone acetate
D.   Megestrol
Question #9
Which hormone is responsible for initiating activity in the ovary?
A.   Luteinizing hormone (LH)
B.   Luteotropic hormone
C.   Follicle-stimulating hormone (FSH)
D.   Interstitial cell-stimulating hormone
Question #10
Which type of oral contraceptive (OC) delivers hormones for more than 30 days?
A.   Biphasic
B.   Triphasic
C.   Extended-cycle
D.   Monophasic
Question #11
Which phase of the menstrual cycle involves the release of an unfertilized ovum?
A.   Phase 2
B.   Phase 3
C.   Phase 4
D.   Phase 1
Question #12
Which medication is used to treat hypogonadism?
A.   Alendronate
B.   Megestrol
C.   Medroxyprogesterone
D.   Esterified estrogens
Question #13
The nurse is about to administer dinoprostone to a patient. Which condition is this medication used for?
A.   Termination of pregnancy
B.   Premature labor
C.   Postpartum hemorrhage
D.   Accelerated labor
Question #14
What is an adverse effect associated with estrogen therapy?
A.   Dry skin
B.   Nausea
C.   Higher-pitched voice
D.   Weight loss
Question #15
Which condition in a patient’s history is a contraindication for the administration of estrogens?
A.   Weight gain
B.   Thrombophlebitis
C.   Dysmenorrhea
D.   Hypertension
Question #16
Which hormone promotes the formation of progesterone in women?
A.   Luteinizing hormone
B.   Adrenocorticotropic hormone
C.   Follicle-stimulating hormone
D.   Antidiuretic hormone
Question #17
Which information does the nurse provide to a patient regarding how oral contraceptives prevent pregnancy?
A.   Interference with the proliferation of the fertilized ovum
B.   Elevated progesterone levels inhibiting the release of the luteinizing hormone
C.   Diminished endometrial tissue proliferation
D.   Inhibition of the release of gonadotropins
Question #18
Which statement indicates that the patient understands the benefit of continuous administration of progestin with an estrogen regimen?
A.   "The progestin in the regimen will help prevent breast cancer."
B.   "Endometrial cancer risk can be reduced by adding progestin."
C.   "The progestin in the regimen will help prevent ovarian cancer."
D.   "Vaginal cancer is prevented by adding progestin to the regimen."
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.   Dysmenorrhea
B.   Deep vein thrombosis
C.   Uterine bleeding
D.   Weight loss
Question #20
Which medication is most likely to promote follicular maturation in an infertile female patient?
A.   Ethinyl estradiol
B.   Clomiphene
C.   Progesterone
D.   Choriogonadotropin alfa
Question #21
Which medication is used to treat infertility?
A.   Clomiphene
B.   Dinoprostone
C.   Oxytocin
D.   Indomethacin
Question #22
A pregnant patient has been prescribed oxytocin. Which nursing intervention is appropriate?
A.   Administer acetaminophen as needed.
B.   Suggest the patient take aluminum hydroxide with the medication.
C.   Assess pulse oximetry continuously.
D.   Monitor the patient’s blood pressure frequently.
Question #23
Which adverse reaction may occur as a result of raloxifene use during perimenopause?
A.   Brown discoloration of face
B.   Hot flashes
C.   Loss of hair
D.   Yellow undertone to the skin
Question #24
Which medication is suitable therapy for oral contraception in women who cannot take estrogen?
A.   Megestrol
B.   Estrone
C.   Estropipate
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.   Oxytocin
B.   Terbutaline
C.   Prostaglandin E
D.   Clomiphene
Question #26
Which information would the nurse include when teaching about cancer risks in women postmenopause?
A.   Monotherapy with a progestin increases breast cancer risk.
B.   Estradiol with progestin increases the risk of endometrial cancer.
C.   Estrogen monotherapy increases the risk of breast cancer.
D.   Unopposed estrogen increases the risk of endometrial cancer.
Question #27
Which has the greatest potential to increase the risk of thromboembolism in a patient taking norethindrone and ethinyl estradiol?
A.   Sedentary lifestyle
B.   Smoking heavily every day
C.   Increased body mass index (BMI)
D.   Consumption of saturated fats
Question #28
What is the reason for prescribing dinoprostone to a patient who is at 38 weeks’ gestation of pregnancy?
A.   To terminate pregnancy
B.   To treat gestational hypertension
C.   To induce cervical ripening
D.   To treat pelvic inflammatory disease
Question #29
Which clinical manifestation can be observed in a patient who is receiving teriparatide therapy?
A.   Vertigo, Joint pain, Chest pain
B.   Chest pain, Hot flashes, Loss of appetite
C.   Hot flashes, Loss of appetite, Joint pain
D.   Hot flashes, Vertigo, Loss of appetite
Question #30
Which patient statement indicates to the nurse full patient understanding of the discharge instructions regarding alendronate?
A.   "I need to take this medication with food to prevent damage to my esophagus."
B.   "I need to decrease my intake of dairy products to prevent hypercalcemia."
C.   "This medication will help relieve the bone pain I have from my osteoporosis."
D.   "I will take the medication on an empty stomach and not lie down for 30 minutes."
Question #31
Which medication listed in a patient’s medical history concern the nurse for a patient prescribed raloxifene?
A.   Multivitamin, Atenolol
B.   Warfarin, Cholestyramine
C.   Levothyroxine, Multivitamin
D.   Atenolol, Levothyroxine
Question #32
Which mechanism of action of raloxifene would the nurse include when conducting patient teaching?
A.   Promotes bone absorption of calcium
B.   Contains estrogen, which stimulates bone reabsorption
C.   Stimulates estrogen receptors on the bone to increase bone density
D.   Inhibits osteoclast-mediated bone reabsorption
Question #33
Which prescription concerns the nurse for a patient taking estradiol?
A.   Metformin
B.   Levothyroxine
C.   Amoxicillin
D.   Ferritin
Question #34
Which statement made by the patient indicates that ospemifene is effective?
A.   "I am no longer experiencing painful intercourse."
B.   "I no longer experience hot flashes."
C.   "I have not experienced any uterine bleeding."
D.   "I have seen a great improvement in my sexual desire."
Question #35
Which statement made by the nurse regarding the hormonal activity during the monthly menstrual cycle needs correction?
A.   "Surges of Gn-RH, follicle-stimulating hormone, and luteinizing hormone stimulate ovulation."
B.   "High progesterone levels inhibit the release of luteinizing hormone."
C.   "Decreased Gn-RH suppresses the release of follicle-stimulating hormone."
D.   "Estrogen levels inhibit the release of follicle-stimulating hormone."
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.   "Report missed menstrual periods."
B.   "Have tests for serum cholesterol."
C.   "Have a yearly mammogram."
D.   "Perform weight-bearing exercise."
Question #37
  
A.   "Space the medications 1 to 2 hours apart."
B.   "Obtain a prescription for increasing the bisphosphonate dose."
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.   Breast cancer
B.   Joint pain
C.   Current smoker
D.   Allergy to salmon
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.   Medroxyprogesterone
D.   Cervical cap with spermicidal jelly
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.   Antibiotic therapy
B.   Hypertension
C.   Anticonvulsant therapy
D.   Diabetes
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.   Bed rest and hydration
B.   Terbutaline
C.   Magnesium sulfate
D.   Ritodrine
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.   "The therapy may cause thromboembolic events."
B.   "The treatment should be started as soon as possible."
C.   "You may need to stop smoking during the therapy."
D.   "The treatment is likely to cause endometrial cancer."
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.   Persuade the patient to start the therapy.
B.   Ask the patient to include soy in her diet.
C.   Advise the patient to engage in quiet activities.
D.   Inform the patient about the benefits and risks of the therapy.
Question #44
Which medication is contraindicated in patients who have osteoporosis and a history of renal dysfunction?
A.   Denosumab
B.   Calcitonin
C.   Tamoxifen
D.   Ibandronate
Question #45
Which monitoring parameter should be evaluated for drug effectiveness for a patient in labor who is receiving oxytocin?
A.   The patient’s blood pressure and pulse, Complete blood cell count, Uterine hyperactivity
B.   Uterine hyperactivity, Fetal heart rate, Complete blood cell count
C.   Fetal movement, Uterine hyperactivity, Complete blood cell count
D.   Fetal heart rate, Fetal movement, The patient’s blood pressure and pulse
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.   Cigarette use
B.   Use of herbal supplements
C.   Low fluid intake
D.   Current tricyclic antidepressant use
Question #47
Which assessment finding indicates that a patient is a suitable candidate for oxytocin therapy?
A.   Absence of cervical ripening at 42 weeks’ gestation
B.   Ineffective contractions in a full-term pregnancy
C.   Radiographic confirmation of cephalopelvic disproportion
D.   Vaginal bleeding at 38 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.   Blood glucose
B.   Blood pressure
C.   Temperature
D.   Uterine contractions
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.   Uterine atony
B.   Nausea and vomiting
C.   Hypertension
D.   Pelvic inflammatory disease
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.   Administer it before placenta delivery. Monitor blood pressure during administration. Assess for pelvic inflammatory disease. Question the prescription if the patient has liver disease.
B.   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.
C.   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.
D.   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.
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.   Immediately discontinue intravenous (IV) fluids.
B.   Instruct the patient to bear down and push.
C.   Administer phentolamine mesylate.
D.   Place the patient on her left side.
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.   Decrease the drug dose immediately.
B.   Request a prescription to give calcium gluconate.
C.   Obtain a prescription for terbutaline.
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.   Atropine
B.   Calcium gluconate
C.   Epinephrine
D.   Protamine sulfate
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.   Methylergonovine
B.   Estradiol
C.   Alendronate
D.   Megestrol
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.   For at least 6 weeks, starting at the end of the antibiotic regimen
C.   Until three throat cultures have been negative for the pathogen
D.   For at least 1 month after starting the antibiotic
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.   Hirsutism, Dizziness,, Increased diuresis
B.   Hirsutism, Bradycardia, Increased diuresis
C.   Blurred vision, Bradycardia, Increased diuresis
D.   Anxiety, Dizziness, Blurred vision
Question #57
Which condition is a contraindication to the use of oral contraceptives?
A.   Pulmonary embolism
B.   Ovarian failure
C.   Abnormal vaginal bleeding
D.   Renal failure
Question #58
Which patient assessment finding does the nurse expect after the vaginal administration of dinoprostone?
A.   Softened cervix
B.   Midline fundus
C.   Strong contractions
D.   Decreased pain

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