Effects of the drug the nurse should understand that

effects of the drug, the nurse should understand that the most common adverse
effects of the drug include
Response
Feedback:
Adverse effects of oxytocin are dose related and take two forms—
maternal and fetal. The most common maternal adverse effects are
nausea, vomiting, uterine tachysystole, and cardiac arrhythmias.
Less common but potentially fatal are severe water intoxication and

hyponatremia.
 Question 10
1 out of 1 points
A patient has acquired primary hypogonadism and has been prescribed
testosterone transdermal (Androderm) patches. When educating the patient on how
to administer the drug, the nurse will instruct him to
Response
Feedback:
The patient should place the patch on the back, abdomen, upper
arms, or thighs. He should not place it on the scrotum or on bony
areas such as the shoulder or the hip. The skin area should not be
oily, damaged, or irritated. The patch should stay in place for 7 days
before replacement.
 Question 11
1 out of 1 points
A patient is receiving radiotherapy for an overactive thyroid gland and asks whether
her milk is safe for her baby. If her treatment cannot be discontinued, what should
the nurse recommend?
Response
Feedback:
A breast-feeding woman who is receiving any radioactive
compounds should pump her breasts during the time that breast
milk is radioactive and discard the milk into a biohazard container
designed for radioactive materials. Breast-feeding can resume when
the drug is stopped and the breast milk contains no radioactivity. It is
not the role of the nurse to recommend alternative medication.
 Question 12
1 out of 1 points
A nurse is working in a women's hospital where she is caring for a new mother who
is experiencing postpartum urinary retention. Bethanechol (Urecholine) has been
ordered. The nurse will observe for which of the following?
Response
Feedback:
The nurse will monitor the patient's blood pressure for possible
hypertension. Adverse effects of bethanechol are the same as with
pilocarpine, which are hypertension, tachycardia, bronchiolar spasm,
pulmonary edema, salivation, sweating, and nausea and vomiting.
Bradycardia and decreased salivation are not identified adverse
effects. If the drug is taken with a ganglionic blocking agent, a
decrease in blood pressure could result.
 Question 13
1 out of 1 points
A nurse is working with a patient in the clinic who has erectile dysfunction. The
patient has been prescribed sildenafil (Viagra). The patient wants to do everything
he can to promote effectiveness of the drug. The nurse will instruct him to

Response
Feedback:
Maximum plasma concentrations of sildenafil are reached within 30
to 120 minutes of oral dosing when taken on an empty stomach. The
most frequent peak time is 60 minutes. However, when the drug is
taken with a high-fat meal, absorption is slow and 60 extra minutes
are needed to reach peak plasma levels. A high-fat meal reduces
peak serum concentrations by 29%. Therefore, the patient should be
advised to avoid high-fat meals when ingesting the drug. Avoiding a
high-protein meal or drinking fluids will not help achieve quick effects
from the drug. It is not advisable to increase the dosage of the drug