Nokea
An older adult female patient is receiving the progestin drug megestrol. Which is the most likely reason megestrol is ordered for this patient?
- A. Migraine headaches
- B. Osteoporosis
- C. Appetite stimulant
- D. Reduction of hot flashes
Correct Answer: C
Rationale: Megestrol is used as an appetite stimulant in conditions like cancer or AIDS-related cachexia. It is not indicated for migraines, osteoporosis, or hot flashes.
You may also like to solve these questions
A patient wants to try an oral soy product to relieve perimenopausal symptoms. The nurse will assess the patient's medication history for which potential drug interaction?
- A. Thyroid replacement therapy
- B. Oral anticoagulant therapy
- C. Nonsteroidal anti-inflammatory drugs
- D. Beta blockers
Correct Answer: A
Rationale: Oral soy can interfere with thyroid hormone absorption, reducing its efficacy. It does not significantly interact with anticoagulants, NSAIDs, or beta blockers.
The nurse is teaching a patient about the adverse effects of fertility drugs such as clomiphene. Which is a potential adverse effect of this drug?
- A. Headache
- B. Drowsiness
- C. Dysmenorrhea
- D. Hypertension
Correct Answer: A
Rationale: Clomiphene can cause headaches as a side effect, along with vomiting, restlessness, and urticaria. Drowsiness, dysmenorrhea, and hypertension are not typical adverse effects.
The nurse is providing teaching for a patient who is to receive progestin therapy. Which statement is correct to include in the teaching session?
- A. If you miss a dose, double-up on the next dose.
- B. There's no need to be concerned about breast lumps or bumps that occur.
- C. Be sure to report any weight gain of 5 pounds or more per week.
- D. Take the medication on an empty stomach to enhance absorption.
Correct Answer: C
Rationale: Significant weight gain (5 pounds or more per week) during progestin therapy may indicate fluid retention or other adverse effects, requiring medical evaluation. Doubling doses, ignoring breast lumps, or taking on an empty stomach are incorrect.
The nurse is providing patient teaching about the oral bisphosphonate alendronate (Fosamax). Which statement by the patient indicates a good understanding of when this drug should be taken?
- A. I will take it in the evening just before bedtime.
- B. I will take it in the morning with an 8-ounce glass of water.
- C. I will take it with the first bite of the morning meal.
- D. I will take it between meals on an empty stomach.
Correct Answer: B
Rationale: Alendronate must be taken in the morning with 6â??8 ounces of water, followed by staying upright for 30 minutes, to prevent esophageal irritation. Taking it with food or at other times is incorrect.
The nurse recognizes that the risk of osteoporosis is higher in an individual with which risk factor?
- A. Whites or Asians
- B. Blacks
- C. History of participation in active sports
- D. Obesity
Correct Answer: A
Rationale: White or Asian descent is a risk factor for postmenopausal osteoporosis due to genetic predisposition and lower bone density. Active sports and obesity may reduce risk, and Black individuals have lower risk.