Chapter 35 Women’s Health Drugs
Sealock Lilley’s Pharmacology for Canadian Health Care Practice
MULTIPLE CHOICE
1. A patient is to receive estrogen replacement therapy.
Which orders for taking this medication should the nurse give the patient?
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.
ANS C
When a patient is taking oral estrogen therapy, a weight gain of more than 1 kg in a 24-hour period
should be reported to the physician. The statements “Double up on the medication if a dose is missed,”
“Do not be concerned about breast lumps or bumps that occur,” and “Take the medication on an empty
stomach to enhance absorption” are not true for estrogen replacement therapy.
DIF Cognitive Level Application
2. For which patients is the use of the estrogens contraindicated?
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
ANS D
Estrogenic drugs are contraindicated in a patient who has breast cancer.
DIF Cognitive Level Comprehension
3. Which drug is used to treat secondary amenorrhea and endometrial cancer?
a. oxytocin
, b. estradiol transdermal
c. raloxifene
d. medroxyprogesterone
ANS D
Medroxyprogesterone, a progestin, is one of the most commonly used drugs to treat secondary
amenorrhea, endometrial cancer, and uterine bleeding.
DIF Cognitive Level Knowledge
4. 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?
a. Osteoporosis
b. Uterine bleeding
c. Thrombophlebitis
d. Atrophic vaginitis
ANS C
The most serious adverse effects of the estrogens are thromboembolic events; therefore,
thrombophlebitis is a contraindication to the use of estrogens. Osteoporosis, uterine bleeding,
and atrophic vaginitis are indications for the use of estrogen.
DIF Cognitive Level Application
5. Which adverse effect may be experienced by patients receiving fertility drugs, such as clomiphene?
a. Dizziness
b. Drowsiness
c. Dysmenorrhea
d. Increased appetite
Sealock Lilley’s Pharmacology for Canadian Health Care Practice
MULTIPLE CHOICE
1. A patient is to receive estrogen replacement therapy.
Which orders for taking this medication should the nurse give the patient?
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.
ANS C
When a patient is taking oral estrogen therapy, a weight gain of more than 1 kg in a 24-hour period
should be reported to the physician. The statements “Double up on the medication if a dose is missed,”
“Do not be concerned about breast lumps or bumps that occur,” and “Take the medication on an empty
stomach to enhance absorption” are not true for estrogen replacement therapy.
DIF Cognitive Level Application
2. For which patients is the use of the estrogens contraindicated?
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
ANS D
Estrogenic drugs are contraindicated in a patient who has breast cancer.
DIF Cognitive Level Comprehension
3. Which drug is used to treat secondary amenorrhea and endometrial cancer?
a. oxytocin
, b. estradiol transdermal
c. raloxifene
d. medroxyprogesterone
ANS D
Medroxyprogesterone, a progestin, is one of the most commonly used drugs to treat secondary
amenorrhea, endometrial cancer, and uterine bleeding.
DIF Cognitive Level Knowledge
4. 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?
a. Osteoporosis
b. Uterine bleeding
c. Thrombophlebitis
d. Atrophic vaginitis
ANS C
The most serious adverse effects of the estrogens are thromboembolic events; therefore,
thrombophlebitis is a contraindication to the use of estrogens. Osteoporosis, uterine bleeding,
and atrophic vaginitis are indications for the use of estrogen.
DIF Cognitive Level Application
5. Which adverse effect may be experienced by patients receiving fertility drugs, such as clomiphene?
a. Dizziness
b. Drowsiness
c. Dysmenorrhea
d. Increased appetite
