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Karch's Focus on Pharmacology 8th Ed. Chapter 40 Exam Questions with Answers
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A client who is taking an estrogen reports swelling and weight gain. The nurse notes some peripheral edema. Which nursing diagnosis would the nurse identify as the priority? - Correct Answers: Fluid volume excess A nurse should monitor a client receiving oxytocin for which adverse effects? - Correct Answers: Cardiac arrhythmias A nurse is caring for a patient who has been administered menotropins by the intramuscular route for the secretion of sex hormones. The patient reports pain after the drug is injected. Which intervention should the nurse perform for the patient? - Correct Answers: Rotate sites and examine previous sites for redness. A 7 months' pregnant woman is experiencing contractions. She is admitted to the hospital in preterm labor. What will be prescribed to stop the labor? - Correct Answers: Tocolytics Estropipate is sometimes administered to postmenopausal women to prevent which condition? - Correct Answers: Osteoporosis The nurse is on the phone with a woman who is taking an antispasmodic for overactive bladder syndrome. The woman states that her mouth is very dry, but she is afraid to drink because she does not want the urge to urinate to increase. What is the nurse's best response to this client? - Correct Answers: "You shouldn't restrict your fluid intake because it will only make your bladder problems worse." A client who is taking estrogen therapy calls the clinic and tells the nurse that she is experiencing sudden, sharp chest pain. The nurse suspects the client is experiencing what adverse reaction related to estrogen therapy? - Correct Answers: Pulmonary embolism
A client has been prescribed a transdermal patch of estrogen. Which adverse effect should be included in the teaching plan about the medication? - Correct Answers: Redness at the application site A client asks the nurse about a word they heard from the health care provider. The word was "andropause". The client asks what that is. Which is the nurse's best response? - Correct Answers: "A gradual change, related to age, that occurs in the testes." A client prescribed terazosin asks the nurse how the medication works. Which is the nurse's "best" statement? - Correct Answers: "It works by relaxing the smooth muscle of the prostate and the bladder neck." A group of nursing students are reviewing information about hormonal therapy for cancer. The students demonstrate understanding of the information when they identify which medication as a gonadotropin- releasing hormone analog? Select all that apply. - Correct Answers: degarelix leuprolide Rationale: Degarelix and leuprolide are examples of gonadotropin-releasing analogs. Abiraterone and bicalutamide are antiandrogens. Estramustine is an estrogen.