Chamberlain College of Nursing - NR566 week 6 quiz / NR 566 week 6 quiz (answered)

NR 566 week 6 quiz (answered) Question 1 1 / 1 pts The medroxyprogesterone (Depo Provera) injection has a Black Box Warning due to which of the following? the potential development of significant hypertension the risk of a life-threatening rash such as Stevens-Johnson syndrome increased risk of strokes decreased bone density Question 2 1 / 1 pts A 31-year-old female presents to the clinic with a malodorous vaginal discharge and is confirmed to have a Trichomonas infection. Which of the following should the Nurse Practitioner prescribe? topical intravaginal metronidazole daily x 7 days azithromycin 2 grams PO x 1 dose metronidazole 2 grams PO x 1 dose intravaginal clindamycin daily x 7 days Question 3 1 / 1 pts Which of the following is the optimal maximum time frame for HRT (hormone replacement therapy) or estrogen replacement therapy (ERT)? 5 years 10 years 15 years 2 years Question 4 1 / 1 pts Which of the following medications has the longest half-life? sildenafil (Viagra) vardenafil (Levitra) all of the medications have the same half-life tadalafil (Cialis) Question 5 1 / 1 pts A 20-year-old, sexually active female calls the office to report that she missed 2 doses of the active pills in her combined oral contraceptive pack. She wants to know what she should do now. The Nurse Practitioner's best response is which of the following? "Take 2 active pills for 2 days and use back-up contraception for 7 days." "Take 2 inactive pills today to replace the ones you missed." "Don't have intercourse until you start your next pill pack after your period." "You can't get pregnant since you only missed 2 pills." Question 6 0 / 1 pts Which of the following describes the correct mechanism of action for oral combined contraceptives to prevent pregnancy? Correct Answer Progestins thicken cervical mucus and slow tubal motility. You Answered Estrogen thins the endometrium making implantation difficult. Estrogen prevents the luteinizing hormone surge necessary for ovulation. Progestin suppresses follicle stimulating hormone release. Progestins are primarily responsible for the contraceptive effect in hormonal preparations. Progestins exhibit a negative effect in the hypothalamic-pituitary-ovarian axis, essentially suppressing the LH surge necessary for ovulation. They also cause thickening of cervical mucus, making penetration by sperm difficult. Tubal motility is slowed, delaying transport of the ovum and sperm. Finally, progestins cause atrophy of the endometrium, preventing implantation. Question 7 1 / 1 pts Which of the following drug increases the risk of osteoporosis? anticonvulsants high doses of vitamin D oral combined contraceptives calcium channel blockers Question 8 1 / 1 pts Women with an intact uterus should be treated with both estrogen and progestin, why? There is a reduced risk for colon cancer with combined therapy. There is a lower risk of developing blood clots with combined therapy. Combination therapy provides the best relief of menopausal vasomotor symptoms. There is an increased risk for endometrial cancer if estrogen is used alone. Question 9 1 / 1 pts The drug of choice for treatment of primary or secondary syphilis is which of the following? oral azithromycin oral ciprofloxacin Ceftriaxone IM Benzathine penicillin G IM Question 10 1 / 1 pts Men who are prescribed sildenafil (Viagra) need ongoing monitoring for _______________. impaired renal function gynecomastia development of chest pain or dizziness weight gain