Nokea
A nurse is teaching a client about transdermal estrogen therapy. The nurse understands that this method of delivery has been found to be safer especially for women with which of the following conditions? Select all that apply.
- A. Hypertriglyceridemia
- B. Type 2 diabetes
- C. Migraine headaches
- D. Hypertension
- E. Rheumatoid arthritis
Correct Answer: A,B,C,D
Rationale: Transdermal delivery of estrogens has been found to be safer especially for women with hypertriglyceridemia, type 2 diabetes, hypertension, and migraine headaches and those who smoke.
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A nurse educating a client on Ortho Tri-Cyclen Lo should strongly caution the client not to smoke because smoking increases the risk of which of the following adverse events? Select all that apply
- A. Venous thromboembolism
- B. Arterial thromboembolism
- C. Hemorrhagic stroke
- D. Myocardial infarction
- E. Thrombotic stroke
Correct Answer: A,B,C,D,E
Rationale: Smoking while taking oral contraceptives, like Ortho Tri-Cyclen Lo, increases a client's risk for venous and arterial thromboembolism, myocardial infarction, and thrombotic and hemorrhagic stroke.
A nurse may be asked to administer androgen drugs to clients with which of the following medical conditions? Select all that apply.
- A. Anemia of renal insufficiency
- B. Hypogonadism
- C. Postmenopausal metastatic breast carcinoma
- D. Male-pattern baldness
- E. Benign prostatic hypertrophy
Correct Answer: B,C
Rationale: A nurse may be asked to administer androgen drugs to clients with the following medical conditions: testosterone deficiency, hypogonadism, delayed puberty, testosterone deficiency after puberty, postmenopausal metastatic breast carcinoma, and premenopausal, hormone-dependent metastatic breast carcinoma.
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 female client is prescribed norethindrone (Aygestin) The nurse understands that this drug is indicated for which of the following? Select all that apply.
- A. Treatment of amenorrhea
- B. Treatment of edema
- C. Treatment of endometriosis
- D. Pregnancy prevention
- E. Prevention of estrogen-dependent breast carcinoma
Correct Answer: A,C,D
Rationale: Progestins, like norethindrone (Aygestin), are used to treat amenorrhea, endometriosis, and functional uterine bleeding and to prevent pregnancy.
When completing the ongoing assessment of clients receiving estrogen, progestin, or combination products, which of the following would the nurse include? Select all that apply.
- A. Blood pressure
- B. Pulse
- C. Respiratory rate
- D. Temperature
- E. Therapeutic effects
Correct Answer: A,B,C,E
Rationale: The nurse's ongoing assessment of clients receiving estrogen, progestin, or combination products should include blood pressure, pulse, respiratory rate, weight, and questioning about adverse effects and therapeutic effects.