Chapter 60: Estrogens and Progestins: Basic Pharmacology and Noncontraceptive Applications

Chapter 60: Estrogens and Progestins: Basic Pharmacology and Noncontraceptive Applications

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. A 34-year-old patient has come to the office for follow-up after a left-sided mastectomy for breast cancer. The prescriber tells her that she will be started on tamoxifen (Nolvadex) to prevent the recurrence of breast cancer. The nurse provides patient education and answers questions about the drug treatment. Which statement made by the patient best demonstrates the need for further teaching?

a.	“I may experience hot flashes.”
b.	“I will have an increased risk of osteoporosis.”
c.	“This medication may reduce the fat in my blood (serum lipids).”
d.	“This medication may increase my risk of endometrial cancer.”

 

 

ANS:   B

Tamoxifen protects against osteoporosis; this statement indicates a need for further teaching.

Tamoxifen produces hot flashes; no further teaching is necessary.

Tamoxifen has a favorable effect on serum lipids; no further teaching is necessary.

Tamoxifen increases the risk of endometrial cancer and thromboembolism; no further teaching is necessary.

 

DIF:    Cognitive Level: Application             REF:    p. 722

TOP:    Nursing Process: Evaluation

MSC:   NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies

 

2. The nurse educator at a public health clinic is teaching the nurses at a mom and well baby clinic about pregnancy. The educator asks the nurses, “During the follicular phase, estrogen causes which physiologic effects?” Which of the following responses made by the nurses best demonstrate understanding? (Select all that apply.)

a.	Facilitation of vaginal atrophy
b.	Breast enlargement
c.	Increased secretions from cervical glands
d.	Reversal of endometrial proliferation
e.	Increased vaginal acidity

 

 

ANS:   B, C, E

The physiologic effects of estrogens during the follicular phase are breast enlargement, increased secretions from cervical glands, and increased vaginal acidity.

Estrogen does not facilitate vaginal atrophy or reverse endometrial proliferation.

 

DIF:    Cognitive Level: Application             REF:    p. 725

TOP:    Nursing Process: Implementation

MSC:   NCLEX Client Needs Category: Physiological Integrity: Physiological Adaptation

 

3. The nurse is working in a women’s clinic and is caring for a 60-year-old patient who is starting progesterone therapy for dysfunctional uterine bleeding. In providing patient education, the nurse should advise the patient to report which of the following symptoms? (Select all that apply).

a.	Depression
b.	Lethargy
c.	Diarrhea
d.	Breakthrough bleeding
e.	Breast tenderness

 

 

ANS:   A, B, E

The nurse should advise the patient to report depression, lethargy, and breast tenderness.

Diarrhea is not a side effect of progesterone therapy.

Breakthrough bleeding is expected with progesterone therapy.

 

DIF:    Cognitive Level: Application             REF:    p. 730

TOP:    Nursing Process: Implementation

MSC:   NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies

 

4. The nurse is providing patient education on the prevention of osteoporosis. Which of the following, when stated by the patient, best demonstrates a need for further teaching? “I can help prevent osteoporosis by

a.	consuming a diet high in phosphorus.”
b.	performing weight-bearing exercises.”
c.	avoiding alcohol.”
d.	avoiding smoking.”

 

 

ANS:   A

The statement that consuming a diet high phosphorus can help prevent osteoporosis indicates a need for further patient teaching.

Primary prevention of bone loss includes ensuring an adequate intake of calcium and vitamin D, performing regular weight-bearing exercise, and avoiding smoking and excessive alcohol intake. No further teaching is required with these statements.

 

DIF:    Cognitive Level: Application             REF:    p. 725

TOP:    Nursing Process: Implementation

MSC:   NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential