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 19 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 20 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 21 1 out of 1 points A nurse is providing patient education to a 23-year-old woman who is starting the norelgestromin/ethinyl estradiol transdermal system (Ortho Evra). Because this is the patient's first time to use the birth control patch, the nurse will instruct her to apply the patch Response Feedback : The first time a woman uses the norelgestromin/ethinyl estradiol transdermal system, she should start it after her menstrual period begins. She can choose to apply the first patch either the day her period starts or the following Sunday. If she chooses the Sunday after the start of her period, she needs to use backup contraception for the first week of her first cycle. Question 22 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.