Chapter 41 Drugs Used in Men’s and Women’s Health

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Chapter 41  Drugs Used in Men’s and Women’s Health

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. A female patient has developed leukorrhea since being on oral broad spectrum antibiotics for the past week for a lower respiratory infection. Which organism causes leukorrhea?
a.
Herpes simplex
b.
Mycoplasma hominis
c.
Human papillomavirus (HPV)
d.
Candida albicans

ANS: D
Candida albicans infections of the mouth, gastrointestinal tract, or vagina may develop as secondary infections during the use of broad spectrum antibiotics, such as penicillins, tetracyclines, and cephalosporins. Herpes simplex, Mycoplasma hominis, and HPV do not cause leukorrhea.

DIF: Cognitive Level: Comprehension REF: p. 642 OBJ: 1
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity

2. A patient states that she has a difficult time remembering when to resume her triphasic contraceptive pills following her menses. Which alternative plan will the nurse suggest that she discuss with her health care provider?
a.
Changing to the 28-day packet
b.
Using the inert pills every other month
c.
Changing her prescription to the mini pill
d.
Calling the health care provider whenever she forgets to get appropriate instruction

ANS: A
Using the 28-day packet would allow her to continue with the same type of combination oral contraception. The 28-day packet would allow her to continue daily pills and eliminate the need to recall. Using the inert pills on alternate months will alter her menstrual schedule. Changing to the mini pill might not meet her contraceptive needs. It is unnecessary and inappropriate to contact the provider for missed doses.

DIF: Cognitive Level: Application REF: pp. 652-653 | p. 647
OBJ: 3 | 4 TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance

3. Which is more likely to be experienced by women taking the mini pill as an oral contraceptive?
a.
Ovulation, dysmenorrhea, and break-through bleeding
b.
Excessive weight gain and breast tenderness
c.
Increased estrogen related adverse effects
d.
Difficulty breastfeeding after pregnancy

ANS: A
The mini pill is made up of progestin, which inhibits ovulation. This form of contraception is an alternative for women particularly susceptible to adverse effects caused by estrogen therapy. Between 30% and 40% of women continue to ovulate with this form of contraception, however, and there is a slightly higher incidence of uterine and tubal pregnancies. Dysmenorrhea, manifested by irregular or infrequent menses and spotting between cycles, is common in women taking the mini pill. The mini pill has a reduced chance for weight gain and breast tenderness, does not contain estrogen, and does not cause difficulty with breastfeeding.

DIF: Cognitive Level: Comprehension REF: p. 653 OBJ: 4
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance

4. The nurse is obtaining a history on a patient who is seeking oral contraceptives. Which condition would contraindicate the use of oral contraceptives?
a.
Sexually transmitted diseases (STDs)
b.
Hypothyroidism
c.
Varicose veins
d.
Thromboembolic disease

ANS: D
Women who have a history of thromboembolic disease must consult with a health care provider before obtaining a prescription for an oral contraceptive. Serious adverse effects include embolisms and thrombus formation, cardiac abnormalities, seizures, and severe depression. STDs, hypothyroidism, and varicose veins do not pose a problem with contraceptive therapy.

DIF: Cognitive Level: Comprehension REF: p. 652 OBJ: 4
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance

5. A patient diagnosed with benign prostatic hypertrophy asks why tamsulosin (Flomax), an alpha1 adrenergic blocking agent, has been prescribed. Which explanation by the nurse is most accurate?
a.
It inhibits the action of testosterone.
b.
It improves sexual function.
c.
It reduces the size of the prostate.
d.
It increases urinary flow.

ANS: D
Alpha 1 adrenergic blocking agents are used to relax the smooth muscle of the bladder and prostate. Tamsulosin specifically blocks alpha1 receptors on the prostate gland and certain areas of the bladder neck, causing muscle relaxation and increased urine flow in men with enlarged prostate glands. Adrenergic blocking agents do not affect hormone production, directly affect sexual function, or affect prostate size.

DIF: Cognitive Level: Comprehension REF: pp. 659-660 OBJ: 6
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance

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