NURS 6521N WEEK 10 MEN AND WOMEN HEALTH

1 NURS 6521N WEEK 10 MEN AND WOMEN HEALTH Question 1 A 54-year-old woman with a history of osteoporosis has been prescribed ciprofloxacin for recurrent cystitis. Because of the patient's history, the nurse would be sure to discuss with the woman the use of Response 1 out of 1 points Feedback : Patients who take ciprofloxacin should avoid taking the drug with food that contains iron, calcium, magnesium, and other cations because the presence of these elements may reduce the bioavailability of ciprofloxacin. Because the woman has a history of osteoporosis, she is very likely taking a calcium supplement. Alcohol and nicotine should be avoided while on any drug therapy. Grapefruit juice is not known to interact with ciprofloxacin. • Question 2 A female patient has been prescribed estrogen therapy. Which of the 1 out of 1 points following will the nurse advise the patient is a common adverse effect of estrogen therapy? Response Feedback : The nurse will advise the patient that common adverse effects include breakthrough bleeding, changes in menstrual flow, dysmenorrhea, premenstrual-like syndrome, headache, nausea and vomiting, bloating, abdominal cramps, chloasma, and photosensitivity. Migraine headaches, dizziness, and changes in libido are less common adverse effects. • Question 3 1 out of 1 points A 38-year-old pregnant patient admits to the nurse that she is an alcoholic and has been consuming alcohol during her pregnancy. The nurse knows that using alcohol during pregnancy may result in a child who presents with Response Feedback : Fetal alcohol syndrome (FAS) can be the result of a mother using alcohol during pregnancy. Microcephaly or smallness of the head is a teratogenic characteristic of FAS. A high-pitched cry is a characteristic seen in children of mothers who used clemastine (Tavist) during pregnancy. Electrolyte imbalances and thrombocytopenia would not be common findings in mothers who abuse alcohol during their pregnancy. • Question 4 A patient is being discharged from the hospital and will be taking oxybutynin (Ditropan) for overactive bladder. The nurse will instruct the patient that she will be taking a medication 1 out of 1 points 2 NURS 6521N WEEK 10 MEN AND WOMEN HEALTH Response Feedback: Oxybutynin is available as a transdermal patch and causes dry mouth approximately 60% of patients. The drug is not noted to cause palpitations or lightheadedness and it is not administered as an IM injection. • Question 5 1 out of 1 points A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will instruct the patient to Response Feedback : To maximize the therapeutic effects of the drug, the nurse should encourage the patient to complete the entire drug therapy as prescribed. The dosage of ciprofloxacin is not reduced gradually but taken in the same dosage throughout the treatment period, and there is no indication that it is necessary for the patient to take the drug only at home. The prescriber would be the only person who could change the form of the drug to be used, and subcutaneous injection is not an identified route of administration for ciprofloxacin. • Question 6 A nurse is providing patient education to a 50-year-old woman who is taking methotrexate (MTX) for breast cancer. The nurse will instruct the patient to avoid which of the following drugs? Response 1 out of 1 points Feedback : Because MTX is secreted by the renal tubules, certain drugs that follow the same pathway, such as salicylates, sulfonamides, phenytoin, and penicillin, may compete with MTX excretion, resulting in accumulation and increased toxicity. Therefore, if these drugs cannot be avoided, they should be discontinued 2 days before and restarted 2 days after MTX therapy. Acetaminophen, furosemide, and digoxin do not cause drug–drug interactions with MTX. • Question 7 1 out of 1 points A nurse is working with a 16-year-old pregnant teen and assessing for behavior that may put the baby at risk. The most important assessment the nurse can make is Response Feedback: Adolescents are prone to experimentation with various substances, both legal and nonlegal; assessments related to this phenomenon are important during pregnancy. Insurance coverage, exercise, and dietary habits are considered less important. • Question 8 1 out of 1 points