Nurs6521 questions with answers tested and verified updates 2024, Exams of Nursing

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Question 1 A nurse practitioner is reviewing the prepregnancy medication regimen of a patient who has just had a positive pregnancy test. The nurse should be aware of which of the following changes in pharmacokinetics that accompanies pregnancy? A. Hepatic metabolism of drugs that are normally metabolized by the kidneys B. Decreased excretion rates as a result of decreased glomerular filtration rate during pregnancy C. Decreased absorption of inhaled drugs due to decreased tidal volume D. Increased drug distribution resulting from hemodynamic changes Question 2 The nurse recognizes that the potential for teratogenic drug effects is not static throughout the prenatal and postnatal periods. The potential for teratogenic effects is highest during A. the first 2 months of pregnancy. B. the second trimester. C. breast-feeding of the neonate. D. the two to 3 weeks prior to delivery. Question 3 A nurse is assigned to a patient who is at 32 weeks' gestation and is receiving terbutaline (Brethine) IV for 24 hours to control preterm labor. Which of the following nursing actions will the nurse take to decrease the risk of hypotension and promote circulation to the fetus? A. Instruct the patient to notify the nurse if she experiences palpitations. B. Instruct the patient to lie on her back during the infusion. C. Instruct the patient to limit the amount of her fluid intake during the therapy. D. Instruct the patient to lie on her left side during the infusion. Question 4 A patient is being discharged from the hospital and will be taking oxybutynin (Ditropan) for overactive bladder. The nurse will instruct the patient that she will be taking a medication A. that may be prescribed as a patch and which may cause dry mouth. B. that will be administered as a weekly IM injection in an outpatient setting.

C.

that will be provided in pill form and which may cause lightheadedness. D. that can be inhaled and that may cause occasional heart palpitations. Question 5 A woman who is in the second trimester of her first pregnancy has been experiencing frequent headaches and has sought advice from her nurse practitioner about safe treatment options. What analgesic can the nurse most safely recommend? A. Diflunisal (Dolobid) B. Acetaminophen C. Ibuprofen D. Aspirin Question 6 A patient is taking flavoxate hydrochloride (Urispas) to help control an overactive bladder. On a follow-up visit to the clinic, the nurse will question the patient about which of the following? A. Headaches B. Dental hygiene practices C. Chronic diarrhea D. Diet Question 7 A 36-year-old patient comes to the clinic and tells the nurse that she suspects that she is pregnant. During the initial assessment, the nurse learns that the patient is currently taking medications for diabetes, hypertension, and a seizure disorder. The nurse would be most concerned about which of the following medications? A. Phenytoin (Dilantin) B. Furosemide (Lasix) C. Ibuprofen (Advil) D. Insulin Question 8

The nurse practitioner has recommended that a breast-feeding woman take her prescribed medications just before her infant takes his longest nap of the day. The woman does not understand and asks the nurse to explain. The nurse will tell the woman that the recommendation was made to A. increase the blood concentrations of the drug in the breast-feeding infant. B. evaluate the drug's potential adverse effects on the neonate. C. reduce neonatal drug exposure. D. reduce the half-life of the drug. Question 9 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 A. microcephaly. B. thrombocytopenia. C. a high-pitched cry. D. an electrolyte imbalance. Question 10 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? A. “You'll likely find that you have scant amounts of blood in your urine for the first few days, but this is not unusual or problematic.” B. “You might find that you get a dry mouth or a headache from this drug, but this does not mean it has to be discontinued.” C. “You'll probably need to stop taking your hormone replacement therapy when you're taking Detrol.” D. “It's good to measure your heart rate before you take your Detrol each day, and withhold it if your heart rate is below 60 beats/minute.” Question 11 Alendronate (Fosamax) is prescribed for a 67-year-old postmenopausal woman. In order to help prevent gastrointestinal distress, the nurse will advise the patient to A.

take calcium and vitamin D supplements. B. avoid drinking water with the drug. C. lift weights in the gym at least five times a week. D. stand or sit upright for at least 30 minutes after taking alendronate.. Question 12 A patient is taking etoposide for a testicular tumor refractory to treatment. The nursing assessment reveals that he is also taking warfarin. The nurse must carefully monitor for which of the following? A. Decreased heart rate B. Lower liver enzymes C. Increased serum drug levels of etoposide D. Elevated prothrombin time Question 13 A 51-year-old female patient has been receiving doxorubicin (Adriamycin) for metastatic breast cancer. Her medical record indicates she has cardiomyopathy and a cumulative dose of 300 mg/m2 of doxorubicin. Which of the following measures would help limit the severity of the cardiomyopathy in this patient? A. A reduced dose B. Meticulous monitoring during drug administration C. The use of dexrazoxane in conjunction with doxorubicin D. A single large dose instead of multiple doses Question 14 A patient is pregnant and is at 7 weeks' gestation. She has type 1 diabetes and has been taking insulin since she was 13 years old. She asks the nurse if the insulin will be harmful to her baby. The best response to the patient by the nurse would be A. “You will have to discontinue the insulin therapy during your pregnancy, but you will resume the medication after delivery.” B. “Insulin is usually the drug of choice for controlling blood glucose levels during pregnancy because it does not cross into the placenta.” C.

“I will tell your physician that you are concerned about taking insulin during your pregnancy.” D. “You will need to continue taking your insulin because hyperglycemia is thought to contribute to low birth weight.” Question 15 A pregnant patient asks the nurse what over-the-counter medication she can take for recurring headaches. The nurse should recommend A. motrin. B. aspirin. C. advil. D. tylenol. Question 16 A man is prescribed ciprofloxacin to treat a sexually transmitted infection. The nurse will instruct the patient to A. complete the entire course of drug therapy. B. take the drug only in safe and secure home settings. C. reduce the dosage of ciprofloxacin gradually. D. take the drug through subcutaneous injection if it tastes bad. Question 17 Alprostadil (Caverject), a drug used to treat erectile dysfunction, has been prescribed to a 42- year-old patient. When providing education to the patient and his wife, the nurse should inform the wife about which of the following adverse effects? A. Increased heart rate B. Vaginal burning C. Reduced desire for sexual activity D. Low blood pressure Question 18 After 6 months of unsuccessfully trying to conceive, a 31-year-old woman and her husband have sought a referral to a fertility specialist in order to explore their options. A nurse at the clinic should recognize that the woman may benefit from

A.

mifepristone. B. clomiphene. C. progesterone. D. conjugated estrogen. Question 19 The nurse has established peripheral IV access and begun an infusion of magnesium sulfate on a 29-year-old antepartum patient who is 35 weeks pregnant. Which of the following assessment findings most likely prompted the patient's physician to order magnesium sulfate for this patient? A. Decreased level of consciousness with a sudden onset B. Systolic blood pressure readings in excess of 190 mmHg C. Maternal bradycardia accompanied by a prolonged QT interval D. The presence of rales and rhonchi and oxygen saturation less than or equal to 80% on room air Question 20 A 73-year-old woman has osteoporosis and is prescribed alendronate. She takes calcium and vitamin D supplements, drinks lots of water, and has just quit smoking. The nurse should advise the patient to also A. stop using artificial sweeteners while taking alendronate. B. drink at least 6 to 8 oz of milk daily. C. perform light-weight exercises and go for walks. Question 21 A woman is receiving prolonged drug therapy during her complicated pregnancy, and it 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 sure A. that the FDA is informed that the woman is receiving drug therapy. B. that serum levels of the drug are being monitored. C. to check the drug's FDA pregnancy category to determine safety. D.

that only nonpharmacologic alternatives are being used. Question 22 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 A. leave the patch in place for 15 days before replacing it. B. place the patch on a bony area such as the shoulder or hip. C. place the patch on the scrotum. D. place the patch on the back, abdomen, upper arms, or thighs. Question 23 A 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 following medications would best address this patient's erectile dysfunction (ED)? A. Exogenous testosterone B. Tamsulosin (Flomax) C. Tadalafil (Cialis) D. Sildenafil (Viagra) Question 24 A nurse is performing patient education for a woman who has just been prescribed a bisphosphonate. Which of the following diagnostic and history findings would have prompted the woman's care provider to prescribe a bisphosphonate? A. Height in the lowest quartile of the population and a history of joint pain B. Complaints of cold intolerance, recurrent constipation, and evidence of diverticular disease C. Low bone density and a family history of osteoporosis D. Labile moods and short-term memory deficits Question 25 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? A. Advise her to discard her breast milk in a biohazard container, as it is unsafe for the baby.

B.

Advise her that it is safe to breast-feed her baby. C. Recommend alternative medication that is compatible with breast-feeding. D. Provide her with reports that identify several categories of drugs and their potential to cause problems with breast-feeding. Question 26 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 A. avoid taking the drug with a high-protein meal. B. drink plenty of fluids. C. avoid taking the drug with a high-fat meal. D. take a double dose of the drug. Question 27 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? A. Lack of secondary sexual characteristics B. Cardiovascular complications C. Early epiphyseal closure D. Decreased libido Question 28 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? A. “Natural testosterone would be more effective for you.” B. “Natural testosterone undergoes a high first-pass effect and is not used orally.” C. “Natural testosterone undergoes a short first-past effect and is less extensively metabolized than what has been prescribed for you.” D. “Natural testosterone poses a higher risk of gynecomastia.”

Question 29 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? A. Incontinence, Functional, related to neurosensory and musculoskeletal changes B. Fluid Volume Deficit related to metabolic changes secondary to drug therapy C. Risk for Injury related to loss of vision or thrombotic events D. Confusion, Chronic, related to CNS changes resulting from adverse drug effects Question 30 A nurse is instructing a 19-year-old female patient on the use of fluconazole for candida vaginitis. A teaching priority will be to A. use an aspirin for relief of minor discomforts. B. take the drug with food. C. use an alternative form of birth control, if taking an oral contraceptive. D. take an antiemetic or antidiarrheal for adverse GI effects. Question 31 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? A. Dizziness B. Migraine headaches C. Changes in libido D. Breakthrough bleeding Question 32 A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The nurse will instruct the patient to take the drug A. first thing in the morning. B. at bedtime. C.

at any time of the day with tea or coffee. D. after meals. Question 33 A 66-year-old man has made an appointment with his primary care provider to discuss his recent erectile dysfunction (ED) and has requested a prescription for tadalafil (Cialis) based on television commercials he has seen. What characteristic of this patient would most likely contraindicate the use of tadalafil for his ED? A. The patient often takes ginseng when he gets a common cold B. The patient has unstable angina and uses a nitroglycerin patch C. The patient takes allopurinol for the treatment of gout D. The patient has a family history of osteoporosis and has undergone bone density testing Question 34 A female patient is taking oral cyclophosphamide therapy for breast cancer. Because of possible adverse effects of the drug, the nurse will instruct the patient to do which of the following? A. Limit fluid intake B. Take the medication at bedtime C. Increase the protein in her diet D. Drink a lot of water Question 35 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? A. Hypercalcemia related to drug therapy, immobility, and breast cancer B. Excess fluid volume related to potential effects of drug therapy C. Sexual dysfunction related to erectile dysfunction D. Prostatic neoplasia Question 36

A 59-year-old man with a recent history of erectile dysfunction has been assessed and prescribed sildenafil (Viagra). When providing patient education to this man, the nurse should tell him which of the following? A. “Make sure that you don't take any other prescription medications while you're using Viagra.” B. “You should take your Viagra at the same time each morning, ideally on an empty stomach.” C. “If you get some heart palpitations or dizziness after you take Viagra, know that this is normal and will pass with time.” D. “You might find that your face becomes flushed or you get a headache after you take Viagra.” Question 37 A 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? A. Salicylates B. Digoxin C. Acetaminophen D. Furosemide Question 38 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 A. prostate cancer. B. acute urethral obstruction. C. hypercholesterolemia. D. gynecomastia. Question 39 A 71-year-old man has just been prescribed finasteride (Proscar). Which of the following complaints by this patient most likely indicated a need for this drug? A. “Lately, I have to get up three or four times a night to go to the bathroom.”

B.

“My urine is extremely concentrated lately and it smells strong.” C. “My urine's been cloudy for the last little while and it burns when I go to the bathroom.” D. “To be honest, I find that I can't get an erection for the past few months.” Question 40 A male patient is taking finasteride for BPH. Which of the following will the nurse evaluate at each clinic visit? A. Serum cholesterol levels B. Urinary elimination patterns C. Hemoglobin levels D. Bone growth Question 1 1 out of 1 points A nurse practitioner is reviewing the prepregnancy medication regimen of a patient who has just had a positive pregnancy test. The nurse should be aware of which of the following changes in pharmacokinetics that accompanies pregnancy? Response Feedback: The hemodynamic changes during pregnancy, such as increased blood volume and heart rate, increase the distribution of drugs. GFR and tidal volume both typically increase during pregnancy, resulting in increased excretion rates and increased absorption of inhaled drugs, respectively. Drug metabolism is not affected by pregnancy. Question 2 1 out of 1 points The nurse recognizes that the potential for teratogenic drug effects is not static throughout the prenatal and postnatal periods. The potential for teratogenic effects is highest during Response Feedback: The critical period of organogenesis, during which the major fetal organs form, is from implantation up to approximately day 58 to 60 after conception. If drugs that cause teratogenic effects are administered during this period, major malformations of fetal organ systems may result. Question 3 1 out of 1 points

A nurse is assigned to a patient who is at 32 weeks' gestation and is receiving terbutaline (Brethine) IV for 24 hours to control preterm labor. Which of the following nursing actions will the nurse take to decrease the risk of hypotension and promote circulation to the fetus? Response Feedback: In a patient receiving terbutaline, the nurse should closely monitor the patient's pulse rate and blood pressure. In addition, to increase placental perfusion, the nurse should have the patient lie

on her left side during the infusion. This will help minimize the risk for hypotension and promote circulation to the fetus. Palpitations are a common adverse effect of the drug and should be reported but are unrelated to hypotension and fetal circulation. The nurse should advise the patient to limit her fluid intake during the infusion because of possible fluid overload. However, this, too, is unrelated to hypotension and fetal circulation. Question 4 1 out of 1 points A patient is being discharged from the hospital and will be taking oxybutynin (Ditropan) for overactive bladder. The nurse will instruct the patient that she will be taking a medication Response Feedback: Oxybutynin is available as a transdermal patch and causes dry mouth approximately 60% of patients. The drug is not noted to cause palpitations or lightheadedness and it is not administered as an IM injection. Question 5 1 out of 1 points A woman who is in the second trimester of her first pregnancy has been experiencing frequent headaches and has sought advice from her nurse practitioner about safe treatment options. What analgesic can the nurse most safely recommend? Response Feedback: Acetaminophen is the analgesic of choice during pregnancy. Question 6 1 out of 1 points A patient is taking flavoxate hydrochloride (Urispas) to help control an overactive bladder. On a follow-up visit to the clinic, the nurse will question the patient about which of the following? Response Feedback: Because a prominent anticholinergic effect is dry mouth, good oral hygiene is very important to prevent dental caries and gum disorders. Dryness may be relieved with hard candies, chewing gum, or lip gloss. Chronic diarrhea, headaches, and a special diet are not issues with this drug. Question 7 1 out of 1 points A 36-year-old patient comes to the clinic and tells the nurse that she suspects that she is pregnant. During the initial assessment, the nurse learns that the patient is currently taking medications for diabetes, hypertension, and a seizure disorder. The nurse would be most concerned about which of the following medications?

Response Feedback: Most anticonvulsant drugs can have a teratogenic effect on the fetus. Dilantin can cause fetal hydantoin syndrome, which is characterized by craniofacial abnormalities, limb defects, growth deficiency, and mental deficiency. Insulin is not harmful in the pregnant woman, since it cannot pass through to the placenta. Lasix is classified as a category C drug, which indicates that animal studies have shown an adverse effect on the fetus but there are no adequate studies in humans. Advil is classified as a category B drug, which indicates that animal studies have not demonstrated a risk to the fetus, but there are no adequate studies in pregnant women during the first and second trimesters of pregnancy. Advil is, however, considered a category D drug during the third semester (there is evidence of human fetal risk). Question 8 1 out of 1 points

The nurse practitioner has recommended that a breast-feeding woman take her prescribed medications just before her infant takes his longest nap of the day. The woman does not understand and asks the nurse to explain. The nurse will tell the woman that the recommendation was made to Response Feedback: One of the methods used to reduce neonatal drug exposure is to schedule drug therapy just after breast-feeding or before the infant goes to sleep for several hours. A drug's half-life helps to determine when breast-feeding can begin again. Assessing the blood concentration of the drug and the drug's potential adverse effects helps to determine the safest drug possible. Question 9 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 10 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 11 1 out of 1 points Alendronate (Fosamax) is prescribed for a 67-year-old postmenopausal woman. In order to help prevent gastrointestinal distress, the nurse will advise the patient to Response Feedback:

To decrease gastrointestinal distress, the patient should stand or sit upright for at least 30 minutes after taking the drug. Drinking at least 6 to 8 oz of water with the drug helps maximize the therapeutic effect of the drug. The patient should also take calcium and vitamin D supplements along with lifting weights to improve the success of therapy, but these interventions would not directly serve to decrease gastrointestinal distress. Question 12 1 out of 1 points A patient is taking etoposide for a testicular tumor refractory to treatment. The nursing assessment reveals that he is also taking warfarin. The nurse must carefully monitor for which of the following? Response Feedback:

In a patient receiving warfarin concomitantly with etoposide, prothrombin time can become elevated and place the patient at an increased risk of bleeding. The heart rate, drug serum levels, and liver enzymes are not affected by concomitant use of warfarin. Question 13 1 out of 1 points A 51-year-old female patient has been receiving doxorubicin (Adriamycin) for metastatic breast cancer. Her medical record indicates she has cardiomyopathy and a cumulative dose of 300 mg/m2 of doxorubicin. Which of the following measures would help limit the severity of the cardiomyopathy in this patient? Response Feedback: Dexrazoxane, a cardioprotectant, is recommended to reduce the severity and incidence of cardiomyopathy associated with doxorubicin for women with metastatic breast cancer who received a cumulative dose of 300 mg/m2. Meticulous monitoring or multiplying daily doses would not reduce the severity and incidence of cardiomyopathy as effectively as using dexrazoxane, and reducing the dosage is not advisable. Question 14 1 out of 1 points A patient is pregnant and is at 7 weeks' gestation. She has type 1 diabetes and has been taking insulin since she was 13 years old. She asks the nurse if the insulin will be harmful to her baby. The best response to the patient by the nurse would be Response Feedback: The best response would be to tell the patient that insulin is the drug of choice because it does not cross the placenta and reach the fetus. Hyperglycemia is not associated with low birth weight. Telling the patient's physician is also appropriate; however, the nurse can offer information that can immediately allay the patient's concern. Question 15 1 out of 1 points A pregnant patient asks the nurse what over-the-counter medication she can take for recurring headaches. The nurse should recommend Response Feedback: Tylenol, which is acetaminophen, is the only analgesic recommended for use during pregnancy. Question 16 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 17 1 out of 1 points

Alprostadil (Caverject), a drug used to treat erectile dysfunction, has been prescribed to a 42- year-old patient. When providing education to the patient and his wife, the nurse should inform the wife about which of the following adverse effects? Response Feedback: Vaginal burning, itching, or both can occur in the female partner of a man using intraurethral alprostadil. The nurse will advise the wife to be aware that this is a possibility. The pharmacodynamics of alprostadil may lead to hemodynamic changes such as low blood pressure and increased heart rate in the man. However, these changes are not clinically important and would not affect the female partner. The drug is not known to decrease sexual desire in either men or women. Question 18 1 out of 1 points After 6 months of unsuccessfully trying to conceive, a 31-year-old woman and her husband have sought a referral to a fertility specialist in order to explore their options. A nurse at the clinic should recognize that the woman may benefit from Response Feedback: Clomiphene is used in treating ovulatory failure in patients who want to become pregnant and have a fertile partner. Estrogen and progesterone are contraindicated in women who may become pregnant and neither drug increases the chance of conception. Mifepristone is used to end an early pregnancy. Question 19 1 out of 1 points The nurse has established peripheral IV access and begun an infusion of magnesium sulfate on a 29-year-old antepartum patient who is 35 weeks pregnant. Which of the following assessment findings most likely prompted the patient's physician to order magnesium sulfate for this patient? Response Feedback: Magnesium sulfate is used frequently for treating or preventing seizures associated with pre- eclampsia, eclampsia, and pregnancy-induced hypertension. Its effectiveness in preventing seizures in eclampsia is well accepted and documented. Impaired oxygenation, changes in LOC, and ECG changes are not indications for the administration of magnesium sulfate in the pregnant patient. Question 20 1 out of 1 points A 73-year-old woman has osteoporosis and is prescribed alendronate. She takes calcium and

vitamin D supplements, drinks lots of water, and has just quit smoking. The nurse should advise the patient to also Response Feedback: The patient should be encouraged to exercise and lift light weights as often as she can to increase bone density. It is also important to have adequate amounts of vitamin C in her diet, but it would not be directly related to this therapy. Drinking at least 6 to 8 oz of milk daily is a good idea, but she is already taking a calcium and vitamin D supplement. There is no identified adverse relationship between artificial sweeteners and alendronate therapy. Question 21 1 out of 1 points

A woman is receiving prolonged drug therapy during her complicated pregnancy, and it 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 sure Response Feedback: 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 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. Question 23 1 out of 1 points A 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 following medications would best address this patient's erectile dysfunction (ED)? Response Feedback: Testosterone is used in treating erectile dysfunction and male climacteric symptoms when these conditions are secondary to androgen deficiency. PDE5 inhibitors do not address ED secondary to androgen deficiency. Tamsulosin is used to treat BPH. Question 24 1 out of 1 points A nurse is performing patient education for a woman who has just been prescribed a bisphosphonate. Which of the following diagnostic and history findings would have prompted the woman's care provider to prescribe a bisphosphonate?

Response Feedback: Bisphosphonate drugs are recommended for long-term management of hypercalcemia to increase bone resorption of calcium, in treating and preventing osteoporosis in postmenopausal women, and in managing Paget disease. Low bone density and a family history of osteoporosis would consequently indicate a potential benefit. Impaired growth, cold intolerance, and cognitive deficits are not indications for the use of bisphosphonates. Question 25 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 26 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 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