Lilley Pharm Ch 34
1. 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." - ANSANS: C
Patients taking oral estrogen therapy should report weight gain of 5 pounds or more per week to
a physician. The other statements are not true for estrogen replacement therapy.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 550
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
2. 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 - ANSANS: D
Estrogenic drugs are contraindicated in people who have active thromboembolic disorders and
in those with histories of thromboembolic disease. Atrophic vaginitis and inoperable prostate
cancer are potential indications for estrogen therapy. Estrogen is not used to prevent lactation.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 537
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
3. 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) - ANSANS: D
Medroxyprogesterone, a progestin, is one of the drugs most commonly used for secondary
amenorrhea. Secondary amenorrhea is not an indication for the other drugs listed.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 538
TOP: NURSING PROCESS: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
, 4. 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 - ANSANS: A
Headache is one of the possible adverse effects of the fertility drugs. They may also cause
vomiting, restlessness, and urticaria. Drowsiness, dysmenorrhea, and hypertension are not
potential adverse effects. See Table 34-5 for other adverse effects.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 544
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
5. A patient is receiving oxytocin (Pitocin) to induce labor. During administration of this
medication, the nurse will also implement which action?
a. Giving magnesium sulfate along with the oxytocin
b. Administering the medication in an intravenous (IV) bolus
c. Administering the medication with an IV infusion pump
d. Monitoring fetal heart rate and maternal vital signs every 6 hours - ANSANS: C
Oxytocin is infused via an infusion pump, not via an IV bolus. Magnesium sulfate is not
administered with oxytocin. Fetal heart rate and maternal vital signs should be monitored
continuously.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 549
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
6. 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 - ANSANS: B
Tocolytics relax uterine smooth muscles and stop the uterus from contracting and are used
along with nonpharmacologic measures to prevent preterm labor between 20 and 37 weeks of
pregnancy.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 546
TOP: NURSING PROCESS: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
1. 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." - ANSANS: C
Patients taking oral estrogen therapy should report weight gain of 5 pounds or more per week to
a physician. The other statements are not true for estrogen replacement therapy.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 550
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
2. 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 - ANSANS: D
Estrogenic drugs are contraindicated in people who have active thromboembolic disorders and
in those with histories of thromboembolic disease. Atrophic vaginitis and inoperable prostate
cancer are potential indications for estrogen therapy. Estrogen is not used to prevent lactation.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 537
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
3. 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) - ANSANS: D
Medroxyprogesterone, a progestin, is one of the drugs most commonly used for secondary
amenorrhea. Secondary amenorrhea is not an indication for the other drugs listed.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 538
TOP: NURSING PROCESS: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
, 4. 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 - ANSANS: A
Headache is one of the possible adverse effects of the fertility drugs. They may also cause
vomiting, restlessness, and urticaria. Drowsiness, dysmenorrhea, and hypertension are not
potential adverse effects. See Table 34-5 for other adverse effects.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 544
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
5. A patient is receiving oxytocin (Pitocin) to induce labor. During administration of this
medication, the nurse will also implement which action?
a. Giving magnesium sulfate along with the oxytocin
b. Administering the medication in an intravenous (IV) bolus
c. Administering the medication with an IV infusion pump
d. Monitoring fetal heart rate and maternal vital signs every 6 hours - ANSANS: C
Oxytocin is infused via an infusion pump, not via an IV bolus. Magnesium sulfate is not
administered with oxytocin. Fetal heart rate and maternal vital signs should be monitored
continuously.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 549
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
6. 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 - ANSANS: B
Tocolytics relax uterine smooth muscles and stop the uterus from contracting and are used
along with nonpharmacologic measures to prevent preterm labor between 20 and 37 weeks of
pregnancy.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 546
TOP: NURSING PROCESS: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
