Quiz 10. Hormone Replacement Therapy

 Question 1

1 out of 1 points

A male patient is trying to decide if he should use finasteride (Proscar) to treat benign

prostatic hypertrophy (BPH). When providing information about the drug, the nurse will

include which of the following as a risk associated with finasteride therapy?

Response

Feedback:

Adverse effects are usually uncommon with finasteride therapy. However,

there is a risk of sexual dysfunction related to the use of the drug. Excess fluid

volume related to potential effects of drug therapy and hypercalcemia related to

drug therapy, immobility, and breast cancer are risks associated with

testosterone therapy. Finasteride does not present a risk of neoplasms.

 Question 2

1 out of 1 points

A male patient is experiencing climacteric symptoms secondary to androgen deficiency. His

physician has prescribed testosterone. The nursing assessment reveals that the patient has had

a myocardial infarction. The combination of testosterone therapy and a history of myocardial

infarction would place that patient at a significantly higher risk of

Response

Feedback:

A patient who has had a myocardial infarction and is prescribed testosterone is

at a significantly higher risk for hypercholesterolemia. Patients taking

testosterone are also at increased risk for prostate cancer and acute urethral

obstruction; however, these risks are less significant. Gynecomastia is simply a

side effect of the drug.

 Question 3

1 out of 1 points

A pregnant patient who has diabetes has been admitted to the hospital to begin labor. Since

the patient has diabetes, the physician has decided to use oxytocin (Pitocin) to initiate labor

contractions. When talking to the patient about the adverse 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 4

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

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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.

 Question 5

1 out of 1 points

A nurse is caring for a 46-year-old female patient who is taking paclitaxel for ovarian cancer.

Two or three days after the infusion of the drug, the nurse must closely monitor for which of

the following?

Response

Feedback:

Neurotoxicity is a major problem associated with paclitaxel therapy, and close

monitoring is needed. Neurotoxicity generally begins 2 to 3 days after the

infusion. Cardiotoxicity is observed in less than 1% of patients. The drug is not

known to cause constipation or asthma.

 Question 6

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 7

1 out of 1 points

A 56-year-old woman will soon begin treatment of her overactive bladder with tolterodine

(Detrol). What patient teaching should the nurse provide to this woman?

Response

Feedback:

The anticholinergic effects of tolterodine can cause dry mouth; headaches are

another common adverse effects. Tolterodine is not associated with alterations

in cardiac function and it is not contraindicated with hormone therapy.

Hematuria is a pathological finding that would warrant follow up.

 Question 8

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