Chap 34 (exam 3) Flashcards

1
Q
When reviewing the health history of a patient who wants to begin taking oral contraceptives, the nurse recalls that which conditions are contraindications to this drug therapy? Select all that apply:
Multiple Sclerosis
Pregnancy
Thrombophlebitic disorders
Hypothyroidism
Estrogen-dependent cancers
A

Pregnancy
Thrombophlebitic disorders
Estrogen-Dependent cancers

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2
Q

When the nurse is teaching patients about postmenopausal estrogen replacement therapy, which statement is correct?
“The smallest dose that is effective will be prescribed”
“Oral forms should be taken on an empty stomach for best absorption”
“Estrogen therapy should be long-term to prevent menopausal symptoms”
“If estrogen is taken, supplemental calcium will not be needed”

A

“The smallest dose that is effective will be prescribed”

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3
Q

When combination oral contraceptives are given to provide postcoital emergency contraception, the nurse must remember which fact?
They are not effective if the woman is already pregnant
They should be taken within 12 hours of unprotected intercourse
The are given in one dose
They are intended to terminate pregnancy

A

They are not effective if the woman is already pregnant

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4
Q

When reviewing an order for dinoprostone cervical gel (Prepidil), the nurse recalls that this drug is used for which purpose?
To induce abortion during the third trimester
To improve cervical ripening near term for labor induction
To soften the cervix in women who are experiencing infertility problems
To reduce postpartum uterine atony and hemorrhage

A

To improve cervical ripening near term for labor induction

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5
Q

A pregnant woman is experiencing contractions. The nurse remembers that pharmacologic measures to stop contractions are used during which timeframe?
Before the 20th week of gestation
Between the 20th and 37th weeks
After the 37th week
At any time during the pregnancy if delivery is not desired

A

Between the 20th and 37th weeks

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6
Q

What patient teaching is appropriate for a patient taking alendronate (Fosamax)? Select all that apply:
Take with food
Take at night just before going to bed
Take with an 8oz glass of water
Take with a sip of water
Take first thing in the morning upon arising
Do not lie down for at least 30 minutes after taking

A

Take with an 8oz glass of water
Take first thing in the morning upon arising
Do not lie down for at least 30 minutes after taking

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7
Q
A patient is beginning a new prescription of raloxifene (Evista). The nurse will teach the patient to expect which potential adverse effects? Select all that apply:
Leg cramps
Loss of appetite
Diarrhea
Hot flashes
Drowsiness
A

Leg cramps

Hot flashes

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