Drugs for Disorders and Conditions of the Female Reproductive System 1.

The client has made the decision to use Ortho-Novum 1/35 for contraception. Which of the following instructions should be given to the client about this medication? A. Placebo must be taken to decrease estrogen-related adverse effects. B. Take the first pill of the pack on the fifth day of the menstrual cycle. C. Barrier contraceptives are needed if a daily dose is missed. D. Breakthrough bleeding indicates that ovulation has occurred. 2. The client is admitted with pain in the calf, shortness of breath, and severe chest pain. A medical history reveals the client is taking oral contraceptives. Based upon this assessment, the client may be experiencing a A. cerebrovascular accident. B. hypertensive crisis. C. hyperglycemic reaction. D. thromboembolism. 3. Progestin is used in combination with estrogen in hormone replacement therapy primarily to A. decrease the risk of uterine cancer. B. potentiate the effects of estrogen. C. decrease the risk of coronary artery disease. D. minimize the risk for breast cancer. 4. Which of the following discharge instructions should be given to the client receiving hormone replacement therapy? A. Avoid common foods that contain caffeine. B. Take medication thirty minutes before meals. C. Discontinue medication if uterine bleeding begins. D. Monitor for a sudden increase in LDL cholesterol. 5. Which of the following questions should the nurse ask during the assessment of a client who is about to begin Prometrium to treat dysfunctional uterine bleeding? A. "Have you ever experienced any reactions to peanuts or peanut products?" B. "Do you suffer from prolonged or excessive menstruation?" C. "Have you ever experienced GI upset when taking any type of hormone?" D. "Have you ever experienced any allergic reaction to shellfish?" 6. The client is admitted with a diagnosis of fetal demise. Which of the following medications is indicated to induce labor and delivery? A. Ritodrine B. Terbutaline C. Mifepristone D. Dinoprostone, prostaglandin E2

7 . The nurse's assessment of the client receiving an IV infusion of Oxytocin notes that uterine contractions are 4 minutes apart and 60 seconds in duration. Which of the following nursing interventions is most important based upon this assessment? A. B. C. D. Administer oxygen via facemask Monitor the client for water intoxication Position the client on her left side Discontinue the infusion immediately

8. Which of the following statements best describes the action of Clomiphene (Clomid)? A. B. C. D. It causes a rise in LH to induce ovulation. It causes the release of HMG to increase follicle maturation. It takes over the function of the hypothalamus to restart hormonal rhythms. It synthesizes gonadotropins to produce FSH.

9. Which of the following statements best describes the primary reason why a client would become pregnant while on oral contraceptives? A. Antibiotics were taken in conjunction with the oral contraceptive. B. A dose of the oral contraceptive was skipped. C. The dosage of the estrogen in the oral contraceptive was too low. D. Oral contraceptive was taken in combination with an anticonvulsant. Drugs for Disorders and Conditions of the Male Reproductive System 1. Which of the following hormones regulate sperm production? A. Luteinizing hormone (LH) B. Follicle stimulating hormone (FSH) C. Interstitial cell stimulating hormone (ICSH) D. Testosterone 2. Which of the following disorders may predispose a client to male hypogonadism? A. Mumps B. Diabetes mellitus C. Hydrocele D. Adrenal insufficiency 3. Which of the following nursing interventions would be appropriate for the client receiving testosterone? A. Monitor for a decrease in hematocrit B. Assess for signs of fluid retention C. Check for blood dyscrasias D. Assess for muscle wasting 4. Which of the following findings is most likely to be found in a client using anabolic steroids? 2

A. Hypogonadism B. Mental depression C. Permanent liver damage D. Increased cholesterol levels 5 . Which of the following findings may be evident in a client who has undergone testosterone therapy? A. Virilization B. Electrolyte imbalances C. Hepatomegaly D. Precocious puberty 6. Which of the following medications is used to treat oligospermia? A. Human Chorionic Gonadotropin (HCG) B. Menotropin (Pergonal) C. Clomiphene (Clomid) D. Antiestrogens (TamoXifen) 7. Which of the following medications may predispose the client to erectile dysfunction? A. Insulin B. Non-steroidal anti-inflammatories C. Phenothiazides D. Oral hypoglycemics 8. Which of the following questions should the nurse ask prior to the administration of Viagra? A. "Are you currently taking medications for angina?" B. "Do you have a history of diabetes?" C. "Have you ever had an allergic reaction to dairy products?" D. "Have you ever been treated for migraine headaches? 9 . Which of the following statements best describes the action of Doxazosin (Cardura)? A. B. C. D. Mobilizes excess fluid in the tissues Relaxes smooth muscles in the prostate Shrinks the size of the prostate Increases renal secretion of sodium

Nursing is not for everyone. It takes a very strong, intelligent, and compassionate person to take on the ills of the world with passion and purpose and work to maintain the health and well-being of the planet. No wonder we're exhausted at the end of the day! ~Donna Wilk Cardillo

The client has made the decision to use Ortho-Novum 1/35 for contraception. Which of the following instructions should be given to the client about this medication? Your Answer: Placebo must be taken to decrease estrogenrelated adverse effects. Correct Answer: Take the first pill of the pack on the fifth day of the menstrual cycle. Barrier contraception is only needed when 2 or more doses are missed. Placebos are usually iron, which has no effect on estrogen-related adverse effects.

2.

The client is admitted with pain in the calf, shortness of breath, and severe chest pain. A medical history reveals the client is taking oral contraceptives. Based upon this assessment, the client may be experiencing a Your Answer: cerebrovascular accident. Correct Answer: thromboembolism. Use of oral contraceptives puts a client at risk for a thrombembolism which is manifested by calf pain, shortness of breath and chest pain.

3.

Progestin is used in combination with estrogen in hormone replacement therapy primarily to Your Answer: decrease the risk of uterine cancer.

4.

Which of the following discharge instructions should be given to the client receiving hormone replacement therapy? Your Answer: Avoid common foods that contain caffeine.

5.

Which of the following questions should the nurse ask during the assessment of a client who is about to begin Prometrium to treat dysfunctional uterine bleeding? Your Answer: "Have you ever experienced any reactions to peanuts or peanut products?"

6.

The client is admitted with a diagnosis of fetal demise. Which of the following medications is indicated to induce labor and delivery? Your Answer: Ritodrine Correct Answer: Dinoprostone, prostaglandin E2 Dinoprostone, prostaglandin E2, is a local hormone that is used to initiate labor in order to expel a fetus that has died.

7.

The nurse's assessment of the client receiving an IV infusion of Oxytocin notes that uterine contractions are 4 minutes apart and 60 seconds in duration. Which of the following nursing interventions is most important based upon this assessment? Your Answer: Administer oxygen via facemask Correct Answer: Monitor the client for water intoxication

The assessment of the client is within normal parameters for the client in labor. Water intoxication can occur in clients with prolonged IV infusion of Oxytocin.

8.

Which of the following statements best describes the action of Clomiphene (Clomid)? Your Answer: It causes a rise in LH to induce ovulation.

9.

Which of the following statements best describes the primary reason why a client would become pregnant while on oral contraceptives? Your Answer: Antibiotics were taken in conjunction with the oral contraceptive. Correct Answer: A dose of the oral contraceptive was skipped. Although some antibiotics and anticonvulsants can reduce the efficacy of oral contraceptives, the most common cause of pregnancy in clients using oral contraceptives is skipping a dose.