NURS 6521N WEEK 10 MEN AND WOMEN HEALTH
Question 1
1 out of 1 points
A 54-year-old woman with a history of osteoporosis has been prescribed
ciprofloxacin for recurrent cystitis. Because of the patient's history, the
nurse would be sure to discuss with the woman the use of
Response
Feedback Patients who take ciprofloxacin should avoid taking the drug
: with food that contains iron, calcium, magnesium, and other
cations because the presence of these elements may reduce
the bioavailability of ciprofloxacin. Because the woman has a
history of osteoporosis, she is very likely taking a calcium
supplement. Alcohol and nicotine should be avoided while on
any drug therapy. Grapefruit juice is not known to interact
with ciprofloxacin.
• Question 2
1 out of 1 points
A female patient has been prescribed estrogen therapy. Which of the
following will the nurse advise the patient is a common adverse effect of
estrogen therapy?
Response
Feedback The nurse will advise the patient that common adverse effects
: include breakthrough bleeding, changes in menstrual flow,
dysmenorrhea, premenstrual-like syndrome, headache, nausea
and vomiting, bloating, abdominal cramps, chloasma, and
photosensitivity. Migraine headaches, dizziness, and changes in
libido are less common adverse effects.
• Question 3
1 out of 1 points
A 38-year-old pregnant patient admits to the nurse that she is an alcoholic
and has been consuming alcohol during her pregnancy. The nurse knows
that using alcohol during pregnancy may result in a child who presents
with
Response
Feedback Fetal alcohol syndrome (FAS) can be the result of a mother using
: alcohol during pregnancy. Microcephaly or smallness of the
head is a teratogenic characteristic of FAS. A high-pitched cry is
a characteristic seen in children of mothers who used
clemastine (Tavist) during pregnancy. Electrolyte imbalances
and thrombocytopenia would not be common findings in
mothers who abuse alcohol during their pregnancy.
• Question 4
1 out of 1 points
A patient is being discharged from the hospital and will be taking
oxybutynin (Ditropan) for overactive bladder. The nurse will instruct the
patient that she will be taking a medication
, NURS 6521N WEEK 10 MEN AND WOMEN HEALTH
Response
Feedback: Oxybutynin is available as a transdermal patch and causes
dry mouth approximately 60% of patients. The drug is not
noted to cause palpitations or lightheadedness and it is not
administered as an IM injection.
• Question 5
1 out of 1 points
A man is prescribed ciprofloxacin to treat a sexually transmitted infection.
The nurse will instruct the patient to
Response
Feedback To maximize the therapeutic effects of the drug, the nurse
: should encourage the patient to complete the entire drug
therapy as prescribed. The dosage of ciprofloxacin is not
reduced gradually but taken in the same dosage throughout the
treatment period, and there is no indication that it is necessary
for the patient to take the drug only at home. The prescriber
would be the only person who could change the form of the
drug to be used, and subcutaneous injection is not an identified
route of administration for ciprofloxacin.
• Question 6
1 out of 1 points
A nurse is providing patient education to a 50-year-old woman who is
taking methotrexate (MTX) for breast cancer. The nurse will instruct the
patient to avoid which of the following drugs?
Response
Feedback Because MTX is secreted by the renal tubules, certain drugs
: that follow the same pathway, such as salicylates,
sulfonamides, phenytoin, and penicillin, may compete with MTX
excretion, resulting in accumulation and increased toxicity.
Therefore, if these drugs cannot be avoided, they should be
discontinued 2 days before and restarted 2 days after MTX
therapy. Acetaminophen, furosemide, and digoxin do not cause
drug–drug interactions with MTX.
• Question 7
1 out of 1 points
A nurse is working with a 16-year-old pregnant teen and assessing for
behavior that may put the baby at risk. The most important assessment
the nurse can make is
Response
Feedback: Adolescents are prone to experimentation with various
substances, both legal and nonlegal; assessments related to
this phenomenon are important during pregnancy. Insurance
coverage, exercise, and dietary habits are considered less
important.
• Question 8
1 out of 1 points
Question 1
1 out of 1 points
A 54-year-old woman with a history of osteoporosis has been prescribed
ciprofloxacin for recurrent cystitis. Because of the patient's history, the
nurse would be sure to discuss with the woman the use of
Response
Feedback Patients who take ciprofloxacin should avoid taking the drug
: with food that contains iron, calcium, magnesium, and other
cations because the presence of these elements may reduce
the bioavailability of ciprofloxacin. Because the woman has a
history of osteoporosis, she is very likely taking a calcium
supplement. Alcohol and nicotine should be avoided while on
any drug therapy. Grapefruit juice is not known to interact
with ciprofloxacin.
• Question 2
1 out of 1 points
A female patient has been prescribed estrogen therapy. Which of the
following will the nurse advise the patient is a common adverse effect of
estrogen therapy?
Response
Feedback The nurse will advise the patient that common adverse effects
: include breakthrough bleeding, changes in menstrual flow,
dysmenorrhea, premenstrual-like syndrome, headache, nausea
and vomiting, bloating, abdominal cramps, chloasma, and
photosensitivity. Migraine headaches, dizziness, and changes in
libido are less common adverse effects.
• Question 3
1 out of 1 points
A 38-year-old pregnant patient admits to the nurse that she is an alcoholic
and has been consuming alcohol during her pregnancy. The nurse knows
that using alcohol during pregnancy may result in a child who presents
with
Response
Feedback Fetal alcohol syndrome (FAS) can be the result of a mother using
: alcohol during pregnancy. Microcephaly or smallness of the
head is a teratogenic characteristic of FAS. A high-pitched cry is
a characteristic seen in children of mothers who used
clemastine (Tavist) during pregnancy. Electrolyte imbalances
and thrombocytopenia would not be common findings in
mothers who abuse alcohol during their pregnancy.
• Question 4
1 out of 1 points
A patient is being discharged from the hospital and will be taking
oxybutynin (Ditropan) for overactive bladder. The nurse will instruct the
patient that she will be taking a medication
, NURS 6521N WEEK 10 MEN AND WOMEN HEALTH
Response
Feedback: Oxybutynin is available as a transdermal patch and causes
dry mouth approximately 60% of patients. The drug is not
noted to cause palpitations or lightheadedness and it is not
administered as an IM injection.
• Question 5
1 out of 1 points
A man is prescribed ciprofloxacin to treat a sexually transmitted infection.
The nurse will instruct the patient to
Response
Feedback To maximize the therapeutic effects of the drug, the nurse
: should encourage the patient to complete the entire drug
therapy as prescribed. The dosage of ciprofloxacin is not
reduced gradually but taken in the same dosage throughout the
treatment period, and there is no indication that it is necessary
for the patient to take the drug only at home. The prescriber
would be the only person who could change the form of the
drug to be used, and subcutaneous injection is not an identified
route of administration for ciprofloxacin.
• Question 6
1 out of 1 points
A nurse is providing patient education to a 50-year-old woman who is
taking methotrexate (MTX) for breast cancer. The nurse will instruct the
patient to avoid which of the following drugs?
Response
Feedback Because MTX is secreted by the renal tubules, certain drugs
: that follow the same pathway, such as salicylates,
sulfonamides, phenytoin, and penicillin, may compete with MTX
excretion, resulting in accumulation and increased toxicity.
Therefore, if these drugs cannot be avoided, they should be
discontinued 2 days before and restarted 2 days after MTX
therapy. Acetaminophen, furosemide, and digoxin do not cause
drug–drug interactions with MTX.
• Question 7
1 out of 1 points
A nurse is working with a 16-year-old pregnant teen and assessing for
behavior that may put the baby at risk. The most important assessment
the nurse can make is
Response
Feedback: Adolescents are prone to experimentation with various
substances, both legal and nonlegal; assessments related to
this phenomenon are important during pregnancy. Insurance
coverage, exercise, and dietary habits are considered less
important.
• Question 8
1 out of 1 points
