Question 161 out of 1 pointsA 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?ResponseFeedback: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 171 out of 1 pointsA woman is receiving prolonged drug therapy during her complicated pregnancy, andit may pose a risk to both the mother and the fetus. The primary care physician has made dosage adjustments to minimize adverse effects and prevent toxicity. The nurse should make sureResponseFeedback:If prolonged drug use is necessary and poses a risk to the woman or the fetus, the pregnant woman and the fetus need to be monitored for both therapeutic and adverse effects of drug therapy. Serum levels of the drug should be monitored to detect elevations that may lead to adverse effects and the need for dosage adjustments. The FDA would not need to be informed that the woman is receiving drug therapy. At this point, with the patient already taking the drug, it is not necessary to check the FDA category of the drug. The use of nonpharmacologic alternatives is a good idea but would not be as critical as monitoring drug levels.Question 181 out of 1 pointsA 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?ResponseFeedback:Because MTX is secreted by the renal tubules, certain drugs that followthe 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 191 out of 1 pointsA 20-year-old woman has been prescribed estrogen. As with all women taking estrogen, the nurse will carefully monitor the patient for which of the following?ResponseFeedback:Women taking estrogen are at an increased risk of cardiovascular complications, along with ovarian and breast cancer. Early epiphyseal closure is a condition the nurse would watch for in a prepubescent girl who takes estrogen. Diminished libido and lack of secondary sexual characteristics are not identified adverse effects of estrogen.Question 20
1 out of 1 pointsA man has a demonstrated history of androgen deficiency and the consequences of this health problem include an inability to maintain an erection. Which of the followingmedications would best address this patient's erectile dysfunction (ED)?
You've reached the end of your free preview.
Want to read all 11 pages?