Chapter 34: Women’s Health Drugs

Chapter 34: Women’s Health Drugs

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is providing teaching for a patient who is to receive estrogen replacement therapy. Which statement is correct to include in the teaching session?

a.	“If you miss a dose, double-up on the next dose.”
b.	“There’s no need to be concerned about breast lumps or bumps that occur.”
c.	“Be sure to report any weight gain of 5 pounds or more per week.”
d.	“Take the medication on an empty stomach to enhance absorption.”

 

 

ANS:  C

Patients taking oral estrogen therapy should report weight gain of 5 pounds or more per week to a physician. The other statements are not true for estrogen replacement therapy.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 550

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential

 

2. The nurse recognizes that use of estrogen drugs is contraindicated in which patient?

a.	A patient who has atrophic vaginitis
b.	A patient who has inoperable prostate cancer
c.	A woman who has just given birth and wants to prevent postpartum lactation
d.	A woman with a history of thrombophlebitis

 

 

ANS:  D

Estrogenic drugs are contraindicated in people who have active thromboembolic disorders and in those with histories of thromboembolic disease. Atrophic vaginitis and inoperable prostate cancer are potential indications for estrogen therapy. Estrogen is not used to prevent lactation.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 537

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

3. A patient is being treated for secondary amenorrhea. The nurse expects which drug to be used to treat this problem?

a.	Methylergonovine (Methergine)
b.	Estradiol transdermal (Estraderm)
c.	Raloxifene (Evista)
d.	Medroxyprogesterone (Provera)

 

 

ANS:  D

Medroxyprogesterone, a progestin, is one of the drugs most commonly used for secondary amenorrhea. Secondary amenorrhea is not an indication for the other drugs listed.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 538

TOP:   NURSING PROCESS: Planning

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

4. The nurse is teaching a patient about the adverse effects of fertility drugs such as clomiphene (Clomid). Which is a potential adverse effect of this drug?

a.	Headache
b.	Drowsiness
c.	Dysmenorrhea
d.	Hypertension

 

 

ANS:  A

Headache is one of the possible adverse effects of the fertility drugs. They may also cause vomiting, restlessness, and urticaria. Drowsiness, dysmenorrhea, and hypertension are not potential adverse effects. See Table 34-5 for other adverse effects.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 544

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies