Women's health drugs Flashcards
(35 cards)
Medroxyprogesterone (provera): action
Induces favorable conditions for fetal growth and dev and maintain pregnancy
-Drop in progesterone levels results in menstruation
Medroxyprogesterone (provera): admin
- Oral
- IM
- SQ
- Transdermal
- Intravaginal
*** Expect withdrawal bleeding 3-7 days after taking medication
Medroxyprogesterone (provera): adverse effects
Breast cancer
- teach pt to perform regular self-breast exams
- ** contraindicated in pt’s with breast cancer
thromboembolytic events (MI/PE/ stroke)
-encourage pt to quit smoking
monitor pain/swelling/warmth around lower legs
*** contraindicated in pt’s with dot/ thromboembolitic disease
Breakthrough bleeding
- encourage pt to report abnormal vaginal bleeding
edema
-monitor bp, i&o, and weight gain
Jaundice
-encourage pt to report yellowing of sclera, and skin
monitor liver enzymes
migraines
The nurse would question the order for estrogen replacement therapy in a patient with a history of which condition? A) Deep vein thrombosis B) Vaginal bleeding C) Weight loss D) Dysmenorrhea
A) Deep vein thrombosis
Which laboratory test would the nurse expect to be ordered to monitor a patient for adverse effects related to progestin medications? A) Cardiac enzymes B) Liver function tests C) BUN and creatinine D) Complete blood count
B) Liver function tests
A female patient arrives in the clinic for counseling and potential hormone replacement therapy. When taking the patient history, which finding should the nurse consider as a contraindication to use of hormone replacement therapy for the patient? A) High cholesterol B) History of thromboembolic events C) Early menstrual onset D) High number of pregnancies
B) History of thromboembolic events
When educating a patient on use of oral contraceptives, the nurse provides what explanation for the pills having different colors each week?
A) “They help you remember which week you are taking.”
B) “There isn’t a reason for the color, just the choice of the drug company.”
C) “The different color pills are due to different amounts of hormones in each week.”
D) “They are color coded for the weeks of the month.”
C) “The different color pills are due to different amounts of hormones in each week.”
A patient on oral contraceptives is being treated for a urinary tract infection with antibiotics. Which information should the nurse include as education related to the oral contraceptives?
A) “Use an alternative method of birth control this month during antibiotic use.”
B) “The urinary tract infection can be passed to your partner, so he should be screened.”
C) “Be sure to complete the full course of antibiotics.”
D) “There is no interaction of oral contraceptives and antibiotics.”
A) “Use an alternative method of birth control this month during antibiotic use.”
A woman being treated for osteoporosis with a selective estrogen receptor modulator (SERM) should be alerted to the potential for an increased risk of which condition? A) Elevated blood pressure B) Venous thromboembolism C) Hot flashes D) Skin color changes
B) Venous thromboembolism
Which is the most common drug used for induction of labor in pregnant women and is the hormone responsible for let-down of milk during lactation? A) clomiphene B) oxytocin C) misoprostol D) mifepristone
B) oxytocin
the nurse is cousnseling a woman who will be starting rifampin. The patient is on oral contraceptives. Which statement is true reguarding rifampin therapy for this patient?
c. Oral contraceptives are less effective
- 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? The patient should
A. double-up on the medication if a dose is missed.
B. not be concerned about breast lumps or bumps that occur.
C. report any weight gain of more than 5 pounds per week.
D. take the medication on an empty stomach to enhance absorption
D. take the medication on an empty stomach to enhance absorption
. The nurse recognizes that use of estrogen drugs is contraindicated in which of the following patients?
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
D. A woman with a history of thrombophlebitis
A patient is being treated for primary amenorrhea. The nurse expects which drug to be used to treat this problem? A. oxytocin (Pitocin) B. estradiol transdermal (Estraderm) C. raloxifene (Evista) D. medroxyprogesterone (Provera)
D. medroxyprogesterone (Provera)
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. Dizziness B. Drowsiness C. Dysmenorrhea D. Increased appetite
A. Dizziness
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 bolus
C. Administering the medication with an IV infusion pump
D. Monitoring fetal heart rate and maternal vital signs every 6 hours
C. Administering the medication with an IV infusion pump
A 51-year-old woman will be taking selective estrogen receptor modulators (SERMs) as part of the treatment for postmenopausal osteoporosis. The nurse reviews potential adverse effects with this patient, including the possible occurrence of A. pregnancy. B. breast cancer. C. stress fractures. D. venous thromboembolism.
D. venous thromboembolism.
. During a follow-up visit, a patient who has been on estrogen therapy admits that she has continued to smoke cigarettes. The nurse will remind the patient that smoking while on estrogen may lead to increased
A. incidence of nausea.
B. tendency to bleed during menstruation.
C. levels of triglycerides.
D. risk for thrombosis.
D. risk for thrombosis.
When considering the various types of contraceptive drugs, the nurse is aware that which type most closely duplicates the normal hormonal levels of the female menstrual cycle? A. Monophasic B. Biphasic C. Triphasic D. Long-acting
C. Triphasic
A woman visits a health center requesting oral contraception. Which lab test is most important for the nurse to assess before the patient begins oral contraception therapy? A. Complete blood count B. Urinalysis C. Vaginal cultures D. Pregnancy test
D. Pregnancy test
The nurses in a clinic are discussing studies in hormone replacement therapy (HRT). After reading the Heart and Estrogen/Progestin Replacement Study (HERS), one nurse asks another, “What do you think the most important finding of HERS was?” The nurse would be correct to state that the most important finding was
a. HRT had no effect on the heart and the risk of MI.
b. the risk of a first MI was not affected by HRT, but secondary prevention was evident.
c. HRT prevented a first MI.
d. the risk of MI increased in the first few years of HRT.
D. the risk of MI increased in the first few years of HRT.
The nurse is talking with a patient about the effectiveness of the medication dose of hormone therapy the patient has been taking. Which of the following would be the best indication that the patient is receiving a sufficient dose of hormone therapy?
a. Reduction in or cessation of hot flashes and night sweats
b. Increase in urogenital atrophy
c. Serum lipid profile
d. Depression screening test
A.Reduction in or cessation of hot flashes and night sweats
The nurse is providing patient education about the application of transdermal estrogen. Which statement made by the patient best demonstrates understanding of the application of this medication? “I should apply this medication to my
A. Posterior thigh
B. waistline
c. breast
d. abdomen
D. ABDOMEN
Nurses are discussing a plan of care for a female patient on estrogen therapy. Which of the following would be considered the major beneficial effect of hormone therapy with estrogen?
A. Decreased menopausal symptoms
B. Reduction of osteoporosis
C. Increased vitamin metabolism
D. Prevention of breast cancer
A. DECREASED MENOPAUSAL SYMPTOMS
