Lilley Chapter 35: Women’s Health Drugs Flashcards
Which statement by the patient indicates an understanding of discharge teaching about alendronate sodium (Fosamax®)?
A. “I need to take this medication with food to prevent damage to my esophagus caused by reflux of stomach acid.”
B. “I will take the medication in the morning before I eat, with 8 oz of water, and remain upright for 30 minutes.”
C. “I need to decrease my intake of dairy products to prevent hypercalcemia.”
D. “This medication will help relieve the bone pain I have from my osteoporosis.”
B. “I will take the medication in the morning before I eat, with 8 oz of water, and remain upright for 30 minutes.”
Alendronate can cause erosive esophagitis. To prevent this adverse effect, it is important for the patient to take the medication with a 240-mL glass of water in the morning on an empty stomach without any other medications and to maintain an upright position for 30 minutes. These actions facilitate rapid absorption and prevent reflux into the esophagus.
The combined continuous administration of progestin and estrogen reduces the risk of which cancer?
A. Breast
B. Ovarian
C. Endometrial
D. Vaginal
C. Endometrial
Estrogen, given alone, has been associated with an increased risk of endometrial hyperplasia, which can lead to endometrial cancer. Progestin reduces the incidence of endometrial hyperplasia.
The nurse would question a prescription for estrogen replacement therapy for a patient with a history of which condition?
A. Dysmenorrhea
B. Deep vein thrombosis
C. Weight loss
D. Vaginal bleeding
B. Deep vein thrombosis
Increased coagulation and risk of deep vein thrombosis are serious adverse effects of hormone replacement therapy.
During a postpartum patient assessment, the nurse notes increased vaginal bleeding. Based on the assessment data, the nurse prepares to administer which medication?
A. dinoprostone (Prostin E2®)
B. terbutaline
C. oxytocin
D. clomiphene (Clomid®)
C. oxytocin
Oxytocin is a uterine stimulant that causes uterine contractions, which would decrease the vaginal bleeding.
Which laboratory test would the nurse expect the health care provider to prescribe to monitor a patient for adverse effects related to progestin medications?
A. Complete blood count
B. Liver function
C. Cardiac enzymes
D. Serum creatinine
B. Liver function
One of the most serious adverse effects of the progestins is liver dysfunction, which is assessed by monitoring liver enzymes.
A female patient arrives at the clinic for counselling on potential hormone replacement therapy. When taking the patient’s history, which condition would the nurse consider a contraindication to the use of hormone replacement therapy for the patient?
A. Osteoporosis
B. Hyperlipidemia
C. Early onset of menarche
D. Thromboembolic events
D. Thromboembolic events
A contraindication for estrogen administration is any history of thromboembolic disorder.
When educating a patient about the use of oral contraceptives, which of the following patient response indicates the need for further teaching?
A. “I will take backup contraception if I am presribed antibiotics.”
B. “If I miss one dose I will take it as soon as possible.”
C. “Everyday I will take the medicaiton at the same time.”
D. “I will no longer need to use condoms to prevent sexually transmitted infections.”
D. “I will no longer need to use condoms to prevent sexually transmitted infections.”
Stress to patients the importance of using condoms with hormonal contraception to prevent sexually transmitted infections.
A patient taking oral contraceptives is being treated for a urinary tract infection with antibiotics. Which of the following statements should the nurse include as education in oral contraceptives?
A. “There is no drug interaction between oral contraceptives and antibiotics.”
B. “Your sexual partner should use a nonprescription test kit that will detect a urinary tract infection.”
C. “Use an alternative method of birth control for up to 1 month during and after antibiotic use.”
D. “Report any abdominal pain, blood in the urine, or changes in vision.”
C. “Use an alternative method of birth control for up to 1 month during and after antibiotic use.”
When a patient takes oral contraceptives and is prescribed an antibiotic, the oral contraceptive’s effectiveness can be decreased, and an alternative method of birth control should be used for at least 1 month during and after taking certain antibiotics.
A elderly female client is being treated with a selective estrogen receptor modulator (SERM) for osteoporosis. Which condition would alert the nurse as a contraindication for SERM medication?
A. Coronary heart disease
B. Hypercalcemia
C. Hypertension
D. Deep vein thrombosis
D. Deep vein thrombosis
The use of SERMs is contraindicated in postmenopausal women with venous thromboembolic disorders such as deep vein thrombosis.
What is the most common drug used for the induction of labour in pregnant women and to promote the ejection of milk during lactation?
A. oxytocin
B. misoprostol
C. mifepristone (Mifegymiso®)
D. clomiphene (Clomid)
A. oxytocin
Oxytocin is a naturally occurring hormone that can be given in synthetic form to induce labour.
