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During a follow-up visit, a patient who has been on estrogen therapy admits that she has continued to smoke cigarettes. The nurse will remind the patient that smoking while on estrogen may lead to increased


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

Correct Answer

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The nurse is administering oxytocin (Pitocin) . Which situation is an indication for the use of oxytocin?


A) Decreased fetal heart rate and movements
B) Stimulation of contractions in prolonged labor
C) Cervical ripening near term in pregnant patients
D) To reverse premature onset of labor

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The nurse is reviewing the use of uterine tocolytics, such as indomethacin (Indocin) . Which statement best describes the indication for these drugs?


A) Prevention of preterm labor in the 15th week of pregnancy
B) Prevention of preterm labor in the 22nd week of pregnancy
C) Stimulation of contractions in prolonged labor
D) Stimulation of ovulation as part of infertility treatments

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


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

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B

The nurse is providing patient teaching about the oral bisphosphonate alendronate (Fosamax) . Which statement by the patient indicates a good understanding of when this drug should be taken?


A) "I will take it in the evening just before bedtime."
B) "I will take it in the morning with an 8-ounce glass of water."
C) "I will take it with the first bite of the morning meal."
D) "I will take it between meals on an empty stomach."

Correct Answer

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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 )

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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."

Correct Answer

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A patient who is taking the bisphosphonate alendronate (Fosamax) has been instructed to lie flat in bed for 2 days after having ophthalmic surgery. Which intervention is appropriate at this time?


A) She will continue to take the alendronate with water.
B) She cannot take the alendronate until she can sit up for 30 minutes.
C) She can take the medication with breakfast.
D) She will stop taking the medication 72 hours before her surgery.

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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

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An elderly female patient is receiving the progestin drug megestrol (Megace) . Which is the most likely reason megestrol is ordered for this patient?


A) Migraine headaches
B) Osteoporosis
C) Appetite stimulant
D) Reduction of hot flashes

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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

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A patient is to receive medroxyprogesterone ( Depo-Provera ) 700 mg weekly, intramuscularly, as part of palliative therapy for endometrial cancer. The medication is available in vials of 400 mg/mL. How many milliliters will the nurse draw up and administer with each injection? (Record solve using one decimal place.)

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1.8 mL
400 mg : 1 mL :: 700 mg...

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A patient wants to try an oral soy product to relieve perimenopausal symptoms. The nurse will assess the patient's medication history for which potential drug interaction?


A) Thyroid replacement therapy
B) Oral anticoagulant therapy
C) Nonsteroidal antiinflammatory drugs
D) Beta blockers

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When considering the various types of contraceptive drugs, the nurse is aware that which type most closely duplicates the normal hormonal levels of the female menstrual cycle?


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

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The nurse is providing patient education for a patient taking an oral contraceptive. Which drugs may cause interactions with oral contraceptives? (Select all that apply.)


A) cephalexin (Keflex)
B) guaifenesin (Robitussin)
C) warfarin (Coumadin)
D) ibuprofen (Motrin)
E) theophylline (Uniphyl)

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A, C, E

When couples are treated for infertility with ovulation-inducing drugs, the nurse will include instruction about the increased likelihood of which condition?


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

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A 51-year-old woman will be taking selective estrogen receptor modulators (SERMs) as part of treatment for postmenopausal osteoporosis. The nurse reviews potential contraindications, including which condition?


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

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The nurse recognizes that the risk of osteoporosis is higher in an individual with which risk factor?


A) White or Asian race
B) African-American race
C) History of participation in active sports
D) Obesity

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A woman who lives in New York City is preparing to take a plane trip to China. She has been taking the SERM raloxifene ( Evista ) for 6 months. The nurse will provide which instructions to this patient?


A) She needs to stop taking the drug at least 72 hours before the trip.
B) She must remember to take this drug with a full glass of water each morning.
C) She will not take the drug while traveling on the plane.
D) No change in how the drug is taken will be needed.

Correct Answer

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A

While discussing options for osteoporosis prevention, a patient asks if she will be using estrogen patches. What is the nurse's best response?


A) "Estrogen patches are still the first choice for osteoporosis prevention."
B) "Estrogen patches are often used as long-term therapy for osteoporosis prevention."
C) "Estrogen patches are not the first choice for osteoporosis prevention because they are associated with a high risk for cardiovascular problems."
D) "Estrogen patches can be prescribed if you prefer patches to oral medications."

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