SCRIPT QUESTIONS ANSWERS INCLUDED
◉ For each potential adverse reaction, click to specify if the client's
statement indicates their understanding of the potential adverse reaction
of the medication prescribed for hormone replacement therapy or the
medication prescribed for urinary incontinence. There must be at least 1
selection in every row. There does not need to be a selection in every
column.
6 months ago: Client reports urinary urgency seven to eight times per
day. They state that when they are not able to make it to a bathroom in
time, they experience a small amount of urine leakage.
Today: Client reports urinary urgency now up to 10 times per day,
including awakening one to two times at night to urinate. They report an
increase in episodes of urinary incontinence.
Prescriptions:Conjugated estrogens 1.25 mg PO daily. Oxybutynin 5 mg
PO three times daily. Answer: When evaluating outcomes, the nurse
should determine that the client understands the teaching provided about
oxybutynin when they describe potential adverse reactions from
antimuscarinic effects, including dry mouth, constipation, and blurred
vision. The nurse should determine that the client understands the
teaching provided about estrogen hormone replacement therapy when
, they describe potential cardiovascular adverse reactions, including
hypertension, deep vein thrombosis, and stroke
◉ Before administering the newly prescribed medication, the nurse
should determine if the client took
___ to __
1 year ago:Client states they wish to begin fertility treatments. Reports
amenorrhea for the last year.1 month ago:Client reports monthly menses
for the last 6 months.
Provider Prescriptions:
1 year ago:Cabergoline 0.25 mg PO twice per week
2 weeks ago:Clomiphene 50 mg PO daily for 5 days
Today:Human chorionic gonadotropin (hCG) 10,000 units IM today.
Answer: clomiphene
induce ovulation
When taking action to administer the medication, the nurse should
determine that the client took their last dose of clomiphene 7 to 9 days
before the injection of hCG to stimulate follicular maturation and
promote ovulation.