Nokea
A nurse is describing the action of estrogen in the female body to a client. Which of the following would the nurse include? Select all that apply.
- A. Diuresis
- B. Calcium and phosphorus conservation
- C. Thinning of the cervical mucus
- D. Protein catabolism
- E. Stimulation of fallopian tube contraction
Correct Answer: B,C,E
Rationale: The actions of estrogen on the female body include fluid retention, calcium and phosphorus conservation, protein anabolism, thinning of the cervical mucus, stimulation of fallopian tube contraction, growth of axillary and pubic hair, restoration of the endometrium after menstruation, and at puberty promotion of growth and development of the vagina, uterus, fallopian tubes, and breasts.
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A nurse is teaching a client about the use of estradiol (Estrace). The nurse wams the client of which of the following dermatologic reactions that may continue after drug discontinuation? Select all that apply.
- A. Dermatitis
- B. Stevens-Johnson syndrome
- C. Pruritus
- D. Chloasma
- E. Melasma
Correct Answer: D,E
Rationale: Chloasma and melasma are dermatologic reactions that can result from the use of estrogens, like estradiol (Estrace), and may continue when use of the drug is discontinued.
A nurse's preadministration assessment for a client about the receive oxymetholone (Anadrol-50) should include which of the following? Select all that apply.
- A. Weight
- B. Blood glucose
- C. Serum lipid levels
- D. Hepatic function tests
- E. Pain assessment
Correct Answer: A,C,D
Rationale: A nurse's preadministration assessment for a client about the receive oxymetholone (Anadrol-50) should include weight, blood pressure, pulse, respiratory rate, complete blood count, hepatic function tests, serum electrolytes, and serum lipid levels.
A client with delayed puberty has been advised to undertake transdermal androgen therapy, Androderm. Which of the following instructions should the nurse provide the client to help promote an optimal response to this therapy?
- A. Apply the Androderm to the underside of the scrotum.
- B. Repeat the application to the scrotum after 3 days.
- C. Moisten the skin before the application.
- D. Apply immediately after removing the cover.
Correct Answer: D
Rationale: Applying the system immediately after opening the pouch and removing the protective cover may help obtain an optimal response to the transdermal androgen delivery system. The drug should not be applied to the underside of the scrotum. It is applied to clean, dry skin on the abdomen, thigh, back, or upper arm. Thus, the skin should not be moistened before the application; rather, it should be dry. Seven days should be allowed between applications to a specific site, and application to the same site should not be repeated after 3 days.
When caring for a client receiving estrogen replacement therapy for postmenopausal symptoms, the nurse documents a diagnosis of Ineffective Tissue Perfusion. Which of the following conditions is the nurse referring to in the diagnosis?
- A. Thromboembolism
- B. Edema of the feet
- C. Gastrointestinal upset
- D. Chloasma
Correct Answer: A
Rationale: The nursing diagnosis of Ineffective Tissue Perfusion is related to thromboembolism, which is a complication of estrogen replacement therapy. A nurse may note other female hormone-related adverse reactions such as edema of the feet due to excess fluid volume or gastrointestinal upset, which manifests as nausea, vomiting, abdominal cramps, and bloating. Chloasma is a dermatologic reaction due to female hormones, riposo in excessive pigmentation of the skin.
A client taking oral contraceptive drugs complains of occasional bloating of the abdomen. Which of the following instructions should the nurse offer the client to help alleviate the condition?
- A. Limit fluid intake with meals.
- B. Take the drug along with food.
- C. Decrease the intake of salt.
- D. Elevate the legs when sitting.
Correct Answer: A
Rationale: The nurse should instruct the client to limit fluid intake with meals if she experiences bloating of the abdomen after oral contraceptive use. Light to moderate exercise also may be helpful. Taking the drug with food alleviates nausea and GI irritation, and not the bloating of the abdomen. A decrease in salt intake causes a decrease in the intake of sodium, which may be beneficial when there is an excess fluid volume, and not when there is bloating of the abdomen. Elevating the legs when sitting prevents thromboembolism seen with oral contraceptive use. It does not prevent bloating of the abdomen.