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Final Exam 1141 latest Real Questions With Correct Detailed Answers.Final Exam 1141 latest Real Questions With Correct Detailed Answers.$15.99
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Final Exam 1141 latest Real Questions
With Correct Detailed Answers.
Which statement by the patient indicates an understanding of discharge teaching for the
medication alendronate (Fosamax)?
A. "I need to decrease my intake of dairy products to prevent hypercalcemia."
B. "This medication will help relieve the bone pain I have from my osteoporosis."
C. "I need to take this medication with food to prevent damage to my esophagus caused
by reflux of stomach acid."
D. "I will take the medication in the morning before I eat with 8 oz of water and remain
upright for 30 minutes." - ANSWER- D. "I will take the medication in the morning before
I eat with 8 oz of water and remain upright for 30 minutes."
Alendronate can cause erosive esophagitis. To prevent this adverse effect, it is
important for the patient to take the medication with an 8-oz glass of water in the
morning on an empty stomach without any other medications and maintain an upright
position for 30 minutes. These actions facilitate rapid absorption and prevent reflux into
the esophagus.
The combined continuous administration of progestin and estrogen reduces the risk of
which cancer?
A. Breast
B. Vaginal
C. Ovarian
D. Endometrial - ANSWER- D. Endometrial
Estrogen, given alone, has been associated with an increased risk of endometrial
hyperplasia, which can lead to endometrial cancer. Progestin reduces the incidence of
endometrial hyperplasia.
The nurse would question a prescription for estrogen replacement therapy in a patient
with a history of which condition?
A. Weight loss
B. Dysmenorrhea
C. Vaginal bleeding
D. Deep vein thrombosis - ANSWER- D. Deep vein thrombosis
,Increased coagulation and risk of deep vein thrombosis are serious adverse effects of
hormone replacement therapy.
During a postpartum patient assessment, the nurse notes a boggy uterus and increased
vaginal bleeding. Based on this assessment data, the nurse prepares to administer
which medication?
A. Oxytocin (Pitocin)
B. Clomiphene (Clomid)
C. Terbutaline (Brethine)
D. Dinoprostone (Prostin E2) - ANSWER- A. Oxytocin (Pitocin)
Oxytocin is a uterine stimulant that causes uterine contractions, which would decrease
the vaginal bleeding
Which laboratory test would the nurse expect the health care provider to prescribe to
monitor a patient for adverse effects related to progestin medications?
A. Cardiac enzymes
B. Liver function tests
C. Complete blood count
D. Serum creatinine level - ANSWER- B. Liver function tests
One of the most serious undesirable adverse effects of progestins is liver dysfunction,
which would be assessed by monitoring liver enzymes.
A female patient arrives to the clinic for counseling on potential hormone replacement
therapy. When taking the patient's history, which condition would the nurse consider as
a contraindication to use of hormone replacement therapy for the patient?
A. Osteoporosis
B. Hyperlipidemia
C. Thromboembolic events
D. Early onset of menarche - ANSWER- C. Thromboembolic events
A contraindication for estrogen administration is any history of thromboembolic disorder.
When educating a patient about the use of oral contraceptives, the nurse provides what
explanation for the pills having different colors each week?
A. "They help you remember which week you are taking."
B. "There isn't a reason for the color; it's just the choice of the drug company."
C. "The different color pills are because of different amounts of hormones in each
week."
D. "They are color coded for the weeks of the month." - ANSWER- C. "The different
color pills are because of different amounts of hormones in each week."
,Oral contraceptive pills can be monophasic, biphasic, or triphasic. If the pills are
different colors, they have different amounts of hormones and are likely the triphasic
type of contraceptive.
A patient taking oral contraceptives is being treated for a urinary tract infection with
antibiotics. Which information should the nurse include as education related to the oral
contraceptives?
A. "Report any abdominal pain, blood in the urine, or changes in vision."
B. "There is no drug interaction between oral contraceptives and antibiotics."
C. "Use an alternative method of birth control for up to 1 month during and after
antibiotic use."
D. "Your sexual partner should use a nonprescription test kit that will detect a urinary
tract infection." - ANSWER- C. "Use an alternative method of birth control for up to 1
month during and after antibiotic use."
When a patient takes oral contraceptives and is prescribed an antibiotic, the oral
contraceptive effectiveness can be decreased, and an alternative method of birth
control should be used for at least 1 month during and after taking certain antibiotics.
An elderly female patient being treated for osteoporosis with a selective estrogen
receptor modulator (SERM) should alert the nurse for an increased risk of which
condition?
A. Hypertension
B. Hypercalcemia
C. Deep vein thrombosis
D. Coronary heart disease - ANSWER- C. Deep vein thrombosis
.The use of SERMs is contraindicated in postmenopausal women with venous
thromboembolic disorders, such as deep vein thrombosis.
What is the most common drug used for induction of labor in pregnant women and to
promote ejection of milk during lactation?
A. Oxytocin (Pitocin)
B. Clomiphene (Clomid)
C. Misoprostol (Cytotec)
D. Mifepristone (Mifeprex) - ANSWER- A. Oxytocin (Pitocin)
Oxytocin is a naturally occurring hormone that can be given in synthetic form for
induction of labor.
What is a pharmacodynamic effect of exogenous androgens?
, A. Decreased erythropoiesis
B. Increased protein synthesis
C. Increased nitrogen excretion
D. Decreased sperm production - ANSWER- B. Increased protein synthesis
Androgens retard the breakdown of amino acids, contributing to an increased synthesis
of body proteins, which aids in the formation and maintenance of muscle tissue.
Additionally, they stimulate the production of erythropoietin by the kidneys, resulting in
enhanced erythropoiesis (red blood cell synthesis); increase the retention of nitrogen
which is essential protein synthesis; and may suppress sperm production when given in
large doses as a result of the feedback inhibition of pituitary follicle-stimulating hormone.
The nurse would question the administration of testosterone (Androderm) to a patient
with which condition?.
A. Hypovolemia
B. Hypocalcemia
C. Hyponatremia
D. Hyperkalemia - ANSWER- D. Hyperkalemia
Testosterone can cause increased serum potassium levels.
What possible common adverse effect would the nurse include in the discharge
teaching for a patient prescribed finasteride (Proscar)?
A. Hair loss
B. Increased libido
C. Muscle weakness
D. Ejaculatory dysfunction - ANSWER- Ejaculatory dysfunction
Possible adverse effects of finasteride include ejaculatory dysfunction, loss of libido,
loss of erection, hypersensitivity reactions, gynecomastia, and severe myopathy. It is
also used to treat male pattern baldness and thus would cause hair growth, not hair
loss.
Patients prescribed sildenafil (Viagra) should be instructed regarding the potential life-
threatening drug interaction with which medication?
A. Warfarin (Coumadin)
B. Nitroglycerin (Nitrostat)
C. Acetaminophen (Tylenol)
D. Aspirin (Acetylsalicylic acid) - ANSWER- B. Nitroglycerin (Nitrostat)
Sildenafil and other drugs for erectile dysfunction should not be taken with nitroglycerin
because it may lead to a significant hypotension that could be life threatening.
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