Avoiding a high protein meal or drinking fluids will

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 without consulting the prescriber.
Question 27
1 out of 1 points
A 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?
Response Feedback:
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 28
1 out of 1 points
A male patient with a medical background tells the nurse that he is not satisfied with the oral
synthetic testosterone that has been prescribed for him and he would like to try a natural form of
oral testosterone. Which of the following would be an appropriate response by the nurse?
Response Feedback:
Natural testosterone undergoes a high first-pass effect and is therefore not used orally. The form
of testosterone that is used orally is a synthetic androgen that is less extensively metabolized and
has a longer half-life than natural testosterones. Natural testosterone does not pose a higher risk
of gynecomastia.
Question 29
1 out of 1 points
A 36-year-old woman with a history of dysmenorrhea has begun treatment with progesterone,
which she will be receiving by the intramuscular route. The nurse participating in the woman's
care should prioritize which of the following potential nursing diagnoses?
Response Feedback:
Progesterone therapy carries risks of thrombotic events and vision loss. It is not associated with
fluid loss, incontinence, or cognitive changes.
Question 30

1 out of 1 points
A nurse is instructing a 19-year-old female patient on the use of fluconazole for candida
vaginitis. A teaching priority will be to
Response Feedback:
A teaching priority would be to tell the patient to use another form of birth control if she was
taking an oral contraceptive. Fluconazole may decrease the effectiveness of oral contraceptives.
Taking an antiemetic or antidiarrheal for adverse GI effects would be an appropriate instruction
for this drug. The nurse should also instruct the patient to take aspirin instead of acetaminophen
for relief of minor discomforts because acetaminophen has the potential to damage the liver and
kidneys. Taking the drug with food is recommended if the patient experiences GI distress. All of
these instructions are important, but not as important as making sure that the patient does not
inadvertently become pregnant while on the medication.