Chapter 41: Drugs Used in Men’s and Women’s Health

Chapter 41: Drugs Used in Men’s and Women’s Health

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A female patient has developed leukorrhea since being on oral broad-spectrum antibiotics for the past week for a lower respiratory infection. Which organism causes leukorrhea?

A.	Herpes simplex
B.	Mycoplasma hominis
C.	Human papillomavirus
D.	Candida albicans

 

 

ANS:   D

 

	Feedback
A	Herpes simplex does not cause leukorrhea.
B	Mycoplasma hominis does not cause leukorrhea.
C	Papillomavirus does not cause leukorrhea.
D	C. albicans infections of the mouth, gastrointestinal tract, or vagina may develop as secondary infections during the use of broad-spectrum antibiotics, such as penicillins, tetracyclines, and cephalosporins.

 

 

DIF:    Cognitive Level: Comprehension      REF:    632

TOP:    Nursing Process Step: Assessment

MSC:   NCLEX Client Needs Category: Physiological Integrity

 

2. A patient states that she has a difficult time remembering when to resume her triphasic contraceptive pills following her menses. Which alternative plan will the nurse suggest that she discuss with her health care provider?

A.	Changing to the 28-day packet
B.	Using the inert pills every other month
C.	Changing her prescription to the minipill
D.	Calling the health care provider whenever she forgets to get appropriate instruction

 

 

ANS:   A

 

	Feedback
A	Using the 28-day packet would allow her to continue with the same type of combination oral contraception. The 28-day packet would allow her to continue daily pills and eliminate the need to recall.
B	Using the inert pills on alternate months will alter her menstrual schedule.
C	Changing to the minipill might not meet her contraceptive needs.
D	It is unnecessary and inappropriate to contact the provider for missed doses.

 

 

DIF:    Cognitive Level: Application             REF:    638

TOP:    Nursing Process Step: Implementation

MSC:   NCLEX Client Needs Category: Health Promotion and Maintenance

 

3. Which is more likely to be experienced by women taking the minipill as an oral contraceptive?

A.	Ovulation, dysmenorrhea, and break-through bleeding
B.	Excessive weight gain and breast tenderness
C.	Increased estrogen-related adverse effects
D.	Difficulty breast-feeding after pregnancy

 

 

ANS:   A

 

	Feedback
A	The minipill is made up of progestin, which inhibits ovulation. This form of contraception is an alternative for women particularly susceptible to adverse effects caused by estrogen therapy. Thirty percent to 40% of women continue to ovulate with this form of contraception, however, and there is a slightly higher incidence of uterine and tubal pregnancies. Dysmenorrhea, manifested by irregular or infrequent menses and spotting between cycles, is common in women taking the minipill.
B	The minipill has a reduced chance for weight gain and breast tenderness.
C	The minipill does not contain estrogen.
D	The minipill does not cause difficulty with breast-feeding.

 

 

DIF:    Cognitive Level: Comprehension      REF:    637-638

TOP:    Nursing Process Step: Evaluation

MSC:   NCLEX Client Needs Category: Health Promotion and Maintenance

 

4. The nurse is obtaining a history on a patient who is seeking oral contraceptives. Which condition would contraindicate the use of oral contraceptives?

A.	Sexually transmitted diseases (STDs)
B.	Hypothyroidism
C.	Varicose veins
D.	Thromboembolic disease

 

 

ANS:   D

 

	Feedback
A	STDs do not pose a problem with contraceptive therapy.
B	Hypothyroidism does not pose a problem with contraceptive therapy.
C	Varicose veins do not pose a problem with contraceptive therapy.
D	Women who have a history of thromboembolic disease must consult with a health care provider before obtaining a prescription for an oral contraceptive. Serious adverse effects include embolisms and thrombus formation, cardiac abnormalities, seizures, and severe depression.

 

 

DIF:    Cognitive Level: Comprehension      REF:    644

TOP:    Nursing Process Step: Evaluation

MSC:   NCLEX Client Needs Category: Health Promotion and Maintenance