Ph. Ch.40 Drugs Used in Men's and Women's Health (Evolve) Flashcards
Which statement by the patient indicates a correct understanding about the use of the transdermal contraceptive patch?
- I will reinforce the patch with tape if it becomes loose.”
- “I should apply the patch on the first Sunday after my next menses stops.”
- “The patch can be applied to any area of skin that is free of hair.”
- “I need to use a backup contraceptive for the first 7 days of the first cycle I use the patch.”
“I need to use a backup contraceptive for the first 7 days of the first cycle I use the patch.”
- Effective contraception is not immediate; therefore, a backup contraceptive is needed.
- The patient’s understanding about the use of the transdermal contraceptive patch is correct.
- The patch should not be applied to the breast or to areas of irritated skin.
- The patch is applied on the first Sunday after menses starts.
- Tape should not be used; if the patch loosens to the point where it needs additional securing, it should be replaced.
Which instruction does the nurse give to a patient with angina who has just received a prescription for sildenafil (Viagra)?
- Avoid frozen and preserved foods when using the drug.
- Start with an initial dose of 100 mg and increase to 150 mg if needed.
- If an anginal attack occurs, lie down and rest; do not take nitroglycerin.
- Use the drug no more frequently than every 3 days.
“If an anginal attack occurs, lie down and rest; do not take nitroglycerin.”
- Nitroglycerin can interact fatally with sildenafil, so nitroglycerin should not be taken.
- The initial dose of sildenafil is 50 mg.
- Nitrates found in foods do not interact with sildenafil.
- Sildenafil can be used once per day.
Which premedication assessment is essential before initiating finasteride (Proscar) therapy?
- Prostate specific antigen (PSA) level
- Glucose tolerance
- Sperm count
- Complete blood count (CBC)
“Prostate specific antigen (PSA) level”
- A baseline PSA level is needed.
- PSA level should decrease with finasteride; any sustained elevation suggests prostate cancer or nonadherence with therapy.
- Glucose tolerance, CBC values, and sperm count are unaffected by finasteride.
Which instruction does the nurse give to the student taking combination oral contraceptives that reports that she has not missed a pill but missed a period?
- Take two pills per day for the first week of the next cycle.
- Get a pregnancy test.
- Discuss a dose adjustment with her prescriber.
- Continue taking the pills as prescriber.
“Continue taking the pills as prescriber.”
- It is not uncommon for a woman to occasionally miss a period when on a combination oral contraceptive.
- The woman should be instructed to start the next pack of pills on the appropriate Sunday.
- A change in dosage may be indicated if spotting occurs for two or more cycles. In this case, the student should continue to take the medication as ordered.
- A pregnancy test is not needed unless a second period is missed.
- If two pills are missed, two pills are taken as soon as remembered and again the next day.
- No situation would call for taking two pills per day for the first week of the next cycle.
Which herbal supplement may reduce the effectiveness of oral contraceptives?
- Ginseng
- Evening primrose oil
- St. John’s wort
- Garlic
“St. John’s wort”
- St. John’s wort may increase the liver’s metabolism of oral contraceptive hormones, possibly resulting in decreased contraceptive effect.
- An alternative or additional form of birth control is advisable during concurrent use.
- Ginseng, evening primrose oil, and garlic do not have an effect on oral contraceptives.
Which instruction is correct to provide to a patient about the use the NuvaRing for birth control when she has not used a hormonal contraceptive within the past month?
- “Insert the ring 7 days after the last menstrual cycle.”
- “Insert the contraceptive ring on or prior to day 5 of the cycle.”
- “Insert the ring during the menstrual cycle and remove it on the last day of bleeding.”
- “Insert the ring on the last day of the menstrual cycle and remove it when bleeding begins again.”
“Insert the contraceptive ring on or prior to day 5 of the cycle.”
- Counting the first day of menstruation as day 1, insert the contraceptive ring on or prior to day 5 of the cycle, even if menses is continuing.
- A nonhormonal backup contraceptive should be used concurrently for the first 7 consecutive days of continuous ring use.
- The other methods listed are not the correct methods of using the NuvaRing.
Which statement by the patient indicates a need for further teaching about the use of tamsulosin (Flomax)?
- “I should not drink alcohol while taking this drug.”
- “I will lie down if I become lightheaded.”
- “I will stop taking this medication if I develop a headache.”
- “I will take this medication within 30 minutes after eating.”
“I will stop taking this medication if I develop a headache.”
- The patient should not stop taking tamsulosin if headache occurs.
- Headache tends to be self-limiting, and if the headache persists, the patient should be instructed to contact the healthcare provider.
- Tamsulosin should be taken 30 minutes after eating.
- Alcohol interacts with tamsulosin and should be avoided while taking this drug.
- If the patient becomes lightheaded while taking tamsulosin, he should be instructed to lie down.
Which situation correctly identifies when the nurse should instruct a patient taking the oral contraceptive Tri-Levlen to use an additional form of birth control?
- If a Pap smear is scheduled
- If the patient is chewing tobacco
- If the patient is taking penicillin
- If the patient is drinking grapefruit juice
“If the patient is taking penicillin”
- Penicillin interacts with oral contraceptives and decreases their effectiveness.
- An additional form of contraception is needed while taking penicillin.
- A Pap smear, grapefruit juice, and chewing tobacco do not interfere with the contraceptive effects of oral contraceptives.
Which location should be avoided when a patient applies a transdermal contraceptive?
- Buttock
- Upper outer arm
- Abdomen
- Breasts
“Breasts”
- A transdermal contraceptive patch, which contains estrogen and progestin, should not be placed on the breasts.
- A transdermal contraceptive patch can be placed on the abdomen, the buttock, and the upper outer arm.
Which medication should be avoided when a patient is prescribed dutasteride (Avodart) for the treatment of benign prostatic hypertrophy?
- Nitroglycerin
- Tetracycline
- Diltiazem (Cardizem)
- Warfarin (Coumadin)
“Diltiazem (Cardizem)”
- Diltiazem is a calcium channel blocker that inhibits the metabolism of dutasteride.
- Nitroglycerin, tetracycline, and warfarin do not interact with dutasteride.
