REPRODUCTIVE AND GENITOURINARY SYSTEM
UPDATED EXAM QUESTIONS & ANSWERS WITH
DETAILED RATIONALES | INSTANT PDF
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A nurse is providing teaching to a client about sildenafil to treat erectile dysfunction.
Which of the following instructions should the nurse include?
Take the drug with a glass of grapefruit juice.
Do not take the drug with high-fat foods.
Increase intake of foods rich in vitamin K.
Avoid aged cheeses and red wine. - correct answer -Do not take the drug with high-fat
foods.
High-fat foods delay absorption and reduce peak effects of sildenafil. Clients who take
the drug should not take it with high-fat foods.
A nurse is caring for a client who has a new prescription for transdermal conjugated
estrogen and medroxyprogesterone to treat postmenopausal symptoms. The nurse
should explain to the client that this drug combination includes which of the following
therapeutic effects?
{Select all that apply.}
-Reduces the risk of ovarian cancer
-Relieves hot flashes
-Prevents osteoporosis
, -Reduces the risk of breast cancer
-Reduces the risk of thromboembolism - correct answer --Reduces the risk of ovarian
cancer is correct. Drug therapy with an estrogen and progesterone combination reduces
the risk of ovarian cancer. However, the use of estrogen alone without progesterone can
increase the risks of endometrial and ovarian cancer.
-Relieves hot flashes is correct. Drug therapy with an estrogen and progesterone
combination or estrogen alone reduces hot flashes and the sweating and sleep
disturbances they cause.
-Prevents osteoporosis is correct. Drug therapy with an estrogen and progesterone
combination or estrogen alone increases bone density and prevents osteoporosis.
A provider has prescribed a dinoprostone vaginal insert to promote cervical ripening in a
client who is at 40 weeks of gestation. When administering dinoprostone, which of the
following actions should the nurse take?
{Select all that apply.}
-Encourage the client to urinate prior to insertion.
-Remove the pouch when active labor begins.
-Monitor for uterine hyperstimulation.
-Encourage the client to walk after insertion.
-Monitor the client's temperature. - correct answer --Encourage the client to urinate
prior to insertion is correct. The client should urinate prior to the insertion of the
dinoprostone pouch. This action does not specifically relate to the therapeutic effects of
the drug, but it promotes comfort and prevents interruption of the administration
protocol.