Question 1

A patient who is on estrogen therapy should be counselled that smoking may cause what?

Accepted Answer

A) An increased incidence of nausea 
B) An increased tendency to bleed during menstruation 
C) Increased levels of triglycerides 
D) An increased risk for thrombosis 
A) An increased incidence of nausea 
B) An increased tendency to bleed during menstruation 
C) Increased levels of triglycerides 
D) An increased risk for thrombosis D

Question 2

A 48-year-old female patient has been started on estrogen hormone therapy after experiencing the symptoms of menopause.
Which condition is a contraindication to the administration of estrogen drugs for this patient?

Accepted Answer

A) Osteoporosis 
B) Uterine bleeding 
C) Thrombophlebitis 
D) Atrophic vaginitis 
A) Osteoporosis 
B) Uterine bleeding 
C) Thrombophlebitis 
D) Atrophic vaginitis C

Question 3

What is an effect of a tocolytic drug?

Accepted Answer

A) Uterine relaxation 
B) Uterine stimulation 
C) Ovulation stimulation 
D) Ovulation suppression 
A) Uterine relaxation 
B) Uterine stimulation 
C) Ovulation stimulation 
D) Ovulation suppression A

Question 4

A female patient lives in Toronto and is preparing to take a plane trip to Australia.She has been taking raloxifene,a SERM.Which instruction is appropriate for this patient?

Accepted Answer

A) Stop taking the drug at least 72 hours before the trip. 
B) Remember to take this drug with a full glass of water each morning. 
C) Increase the calcium supplements that are taken with the drug. 
D) No change in interventions is needed. 
A) Stop taking the drug at least 72 hours before the trip. 
B) Remember to take this drug with a full glass of water each morning. 
C) Increase the calcium supplements that are taken with the drug. 
D) No change in interventions is needed.

Question 5

A patient who is taking the bisphosphonate alendronate (Fosamax)has been instructed to lie flat in bed for 2 days after having plastic surgery.What must the nurse tell the patient at this time?

Accepted Answer

A) Continue to take the alendronate with water. 
B) Do not take the alendronate until it is possible to sit up for 30 minutes. 
C) Take the medication with breakfast. 
D) Stop taking the medication 72 hours before surgery. 
A) Continue to take the alendronate with water. 
B) Do not take the alendronate until it is possible to sit up for 30 minutes. 
C) Take the medication with breakfast. 
D) Stop taking the medication 72 hours before surgery.

Question 6

A couple is being treated for infertility with ovulation-inducing drugs.
The nurse should instruct the couple about the increased likelihood of which?

Accepted Answer

A) Severe weight gain 
B) Irregular menses 
C) Multiple births 
D) Alopecia 
A) Severe weight gain 
B) Irregular menses 
C) Multiple births 
D) Alopecia

Question 7

A patient will be taking bisphosphonate alendronate (Fosamax).What instruction should the nurse provide to the patient regarding administration? As instructed by the nurse,when should the patient take this medication?

Accepted Answer

A) In the evening just before bedtime 
B) In the morning, with an 240-mL glass of water 
C) With the first bite of the morning meal 
D) Between meals, on an empty stomach 
A) In the evening just before bedtime 
B) In the morning, with an 240-mL glass of water 
C) With the first bite of the morning meal 
D) Between meals, on an empty stomach

Question 8

Which adverse effect may be experienced by patients receiving fertility drugs,such as clomiphene?

Accepted Answer

A) Dizziness 
B) Drowsiness 
C) Dysmenorrhea 
D) Increased appetite 
A) Dizziness 
B) Drowsiness 
C) Dysmenorrhea 
D) Increased appetite

Question 9

Which drug is used to treat secondary amenorrhea and endometrial cancer?

Accepted Answer

A) oxytocin 
B) estradiol transdermal 
C) raloxifene 
D) medroxyprogesterone 
A) oxytocin 
B) estradiol transdermal 
C) raloxifene 
D) medroxyprogesterone

Question 10

The nurse is reviewing natural health products that are available for prevention of osteoporosis.Which product is considered for osteoporosis prevention?

Accepted Answer

A) Soy 
B) St.John's wort 
C) Ginger 
D) Iodized salt 
A) Soy 
B) St.John's wort 
C) Ginger 
D) Iodized salt

Question 11

A 51-year-old female will be starting raloxifene as part of treatment of postmenopausal osteoporosis.The nurse should inform this patient about which possible occurrence?

Accepted Answer

A) Pregnancy 
B) Breast cancer 
C) Stress fractures 
D) Venous thromboembolism 
A) Pregnancy 
B) Breast cancer 
C) Stress fractures 
D) Venous thromboembolism

Question 12

The patient taking an oral contraceptive should be aware of potential drug interactions with which medications? (Select all that apply.)

Accepted Answer

A) penicillin, an antibiotic 
B) guaifenesin (Robitussin), an antitussive 
C) warfarin (Coumadin), an anticoagulant 
D) atenolol (Tenormin), a ?-blocker 
E) isoniazid (INH), an antituberculosis drug
F)ibuprofen (Motrin), a nonsteroidal anti-inflammatory drug
G)theophylline (Theo-Dur), a bronchodilator
H)omeprazole (Prilosec), a proton pump inhibitor 
A) penicillin, an antibiotic 
B) guaifenesin (Robitussin), an antitussive 
C) warfarin (Coumadin), an anticoagulant 
D) atenolol (Tenormin), a ?-blocker 
E) isoniazid (INH), an antituberculosis drug
F)ibuprofen (Motrin), a nonsteroidal anti-inflammatory drug
G)theophylline (Theo-Dur), a bronchodilator
H)omeprazole (Prilosec), a proton pump inhibitor

Question 13

For which patients is the use of the estrogens contraindicated?

Accepted Answer

A) A patient who has atrophic vaginitis 
B) A patient who has inoperable prostate cancer 
C) A patient who has just given birth 
D) A patient who has just been diagnosed with breast cancer 
A) A patient who has atrophic vaginitis 
B) A patient who has inoperable prostate cancer 
C) A patient who has just given birth 
D) A patient who has just been diagnosed with breast cancer

Question 14

A woman visiting a health centre requests oral contraception.Which laboratory test is most important for the nurse to assess before the patient begins oral contraception therapy?

Accepted Answer

A) Complete blood count 
B) Urinalysis 
C) Vaginal cultures 
D) Pregnancy test 
A) Complete blood count 
B) Urinalysis 
C) Vaginal cultures 
D) Pregnancy test

Question 15

A patient is to receive estrogen replacement therapy.
Which orders for taking this medication should the nurse give the patient?

Accepted Answer

A) Double up on the medication if a dose is missed. 
B) Do not be concerned about breast lumps or bumps that occur. 
C) Report any weight gain of more than 1 kg in a 24-hour period. 
D) Take the medication on an empty stomach to enhance absorption. 
A) Double up on the medication if a dose is missed. 
B) Do not be concerned about breast lumps or bumps that occur. 
C) Report any weight gain of more than 1 kg in a 24-hour period. 
D) Take the medication on an empty stomach to enhance absorption.

Question 16

A patient is receiving oxytocin to induce labour.During administration of this medication,which is an appropriate nursing measure?

Accepted Answer

A) Giving magnesium sulphate along with the oxytocin 
B) Administering the medication in an intravenous (IV) bolus 
C) Administering the medication with an IV infusion pump 
D) Monitoring fetal heart rate and maternal vital signs every 4 hours 
A) Giving magnesium sulphate along with the oxytocin 
B) Administering the medication in an intravenous (IV) bolus 
C) Administering the medication with an IV infusion pump 
D) Monitoring fetal heart rate and maternal vital signs every 4 hours

Question 17

Which type of contraceptive drug most closely duplicates the normal hormonal levels of the female menstrual cycle?

Accepted Answer

A) Monophasic 
B) Biphasic 
C) Triphasic 
D) Long-acting 
A) Monophasic 
B) Biphasic 
C) Triphasic 
D) Long-acting

Question 18

The nurse is preparing to administer the contraceptive form of medroxyprogesterone (Depo-Provera).What route should be planned?

Accepted Answer

A) Oral 
B) Intramuscular 
C) Vaginal 
D) Transdermal 
A) Oral 
B) Intramuscular 
C) Vaginal 
D) Transdermal

Exam 35: Women’s Health Drugs

A patient who is on estrogen therapy should be counselled that smoking may cause what?

A 48-year-old female patient has been started on estrogen hormone therapy after experiencing the symptoms of menopause. Which condition is a contraindication to the administration of estrogen drugs for this patient?

What is an effect of a tocolytic drug?

A female patient lives in Toronto and is preparing to take a plane trip to Australia.She has been taking raloxifene,a SERM.Which instruction is appropriate for this patient?

A patient who is taking the bisphosphonate alendronate (Fosamax)has been instructed to lie flat in bed for 2 days after having plastic surgery.What must the nurse tell the patient at this time?

A couple is being treated for infertility with ovulation-inducing drugs. The nurse should instruct the couple about the increased likelihood of which?

A patient will be taking bisphosphonate alendronate (Fosamax).What instruction should the nurse provide to the patient regarding administration? As instructed by the nurse,when should the patient take this medication?

Which adverse effect may be experienced by patients receiving fertility drugs,such as clomiphene?

Which drug is used to treat secondary amenorrhea and endometrial cancer?

The nurse is reviewing natural health products that are available for prevention of osteoporosis.Which product is considered for osteoporosis prevention?

A 51-year-old female will be starting raloxifene as part of treatment of postmenopausal osteoporosis.The nurse should inform this patient about which possible occurrence?

The patient taking an oral contraceptive should be aware of potential drug interactions with which medications? (Select all that apply.)

For which patients is the use of the estrogens contraindicated?

A woman visiting a health centre requests oral contraception.Which laboratory test is most important for the nurse to assess before the patient begins oral contraception therapy?

A patient is to receive estrogen replacement therapy. Which orders for taking this medication should the nurse give the patient?

A patient is receiving oxytocin to induce labour.During administration of this medication,which is an appropriate nursing measure?

Which type of contraceptive drug most closely duplicates the normal hormonal levels of the female menstrual cycle?

The nurse is preparing to administer the contraceptive form of medroxyprogesterone (Depo-Provera).What route should be planned?

Nursing Practice in Canada and Drug Therapy

Pharmacological Principles

Legal and Ethical Considerations

Patient Focused Considerations

Gene Therapy and Pharmacogenomics

Medication Errors: Preventing and Responding

Patient Education and Drug Therapy

Over-the-Counter Drugs and Natural Health Products

Vitamins and Minerals

Principles of Drug Administration

Analgesic Drugs

General and Local Anaesthetics

Central Nervous System Depressants and Muscle Relaxants

Central Nervous System Stimulants and Related Drugs

Antiepileptic Drugs

Antiparkinsonian Drugs

Psychotherapeutic Drugs

Substance Misuse

Adrenergic Drugs

Adrenergic-Blocking Drugs

Cholinergic Drugs

Cholinergic-Blocking Drugs

Antihypertensive Drugs

Antianginal Drugs

Heart Failure Drugs

Antidysrhythmic Drugs

Coagulation Modifier Drugs

Antilipemic Drugs

Diuretic Drugs

Fluids and Electrolytes

Pituitary Drugs

Thyroid and Antithyroid Drugs

Antidiabetic Drugs

Adrenal Drugs

Men’s Health Drugs

Antihistamines,Decongestants,Antitussives,and Expectorants

Respiratory Drugs

Acid-Controlling Drugs

Antidiarrheal Drugs and Laxatives

Antiemetic and Anti-nausea Drugs

Nutritional Supplements

Antibiotics, Part 1: Sulfonamides, Penicillins, Cephalosporins, Macrolides, and Tetracyclines

Antibiotics Part 2: Aminoglycosides, Fluoroquinolones, and Other Drugs

Antiviral Drugs

Antitubercular Drugs

Antifungal Drugs

Antimalarial, Antiprotozoal, and Anthelmintic Drugs

Anti-Inflammatory and Antigout Drugs

Immunosuppressant Drugs

Immunizing Drugs and Pandemic Preparedness

Antineoplastic Drugs Part 1: Cancer Overview and Cell Cycle–Specific Drugs

Antineoplastic Drugs Part 2: Cell Cycle–Nonspecific and Miscellaneous Drugs

Biological Response–Modifying Drugs

Anemia Drugs

Dermatological Drugs

Ophthalmic Drugs

Otic Drugs

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