Nokea
Nurses who are pregnant or may become pregnant should not handle which drugs if they are crushed or broken due to the drugs' substantial risk of abnormal growth to a male fetus? Select all that apply.
- A. Methyltestosterone (Testred)
- B. Finasteride (Proscar)
- C. Testosterone (Striant)
- D. Dutasteride (Avodart)
- E. Oxandrolone (Oxandrin)
Correct Answer: B,D
Rationale: Women of childbearing age should not handle androgen hormone inhibitors, such as finasteride (Proscar) or dutasteride (Avodart) tablets, if they are crushed or broken due to the drugs' substantial risk of abnormal growth to a male fetus.
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While conducting a health promotion presentation for a local group of women who are in their 30s and 40s, one of the women asks the nurse, 'I've heard horror stories about menopause. Are there any herbal products that can help?' Which of the following would the nurse include in the response? Select all that apply.
- A. Black cohosh
- B. Sage
- C. Calendula
- D. Saw palmetto
- E. Dandelion
Correct Answer: A,B,C,E
Rationale: Black cohosh, sage, dandelion, and calendula are herbs that may be used to address menopausal symptoms. Saw palmetto is used to relieve the symptoms of benign prostatic hypertrophy.
A client is receiving estrogen therapy. When teaching the client about this therapy, the nurse would inform the client about which of the following as a possible adverse reaction? Select all that apply.
- A. Migraines
- B. Breakthrough bleeding
- C. Changes in libido
- D. Weight gain
- E. Breast tenderness
Correct Answer: A,B,C,D,E
Rationale: Adverse reactions associated with estrogens include headache, including migraines, breakthrough bleeding, spotting, or changes in menstrual flow; changes in libido; weight gain or loss; and breast pain, enlargement, and tenderness.
Prior to administering oxybutynin (Ditropan) to a client, the nurse should get a full medical history because the use of oxybutynin (Ditropan) is contraindicated in clients with which of the following? Select all that apply.
- A. Myasthenia gravis
- B. Urinary tract blockage
- C. Diabetes
- D. Intestinal blockage
- E. Hypertriglyceridemia
Correct Answer: A,B,D
Rationale: The use of oxybutynin (Ditropan) is contraindicated in clients with the following: known hypersensitivity, glaucoma, myasthenia gravis, abdominal bleeding, and intestinal, gastric, or urinary tract blockages.
A client is receiving estrogen therapy but also takes phenytoin for seizure control. The nurse would alert the client to the possibility of which of the following?
- A. Potential for blood clots
- B. Increased risk for infection
- C. Possibility of breakthrough bleeding
- D. Increased risk for seizures
Correct Answer: C
Rationale: When estrogen is given with phenytoin, a hydantoin, the client is at increased risk for breakthrough bleeding. Blood clots can be an adverse reaction with estrogen therapy alone. There is no increased risk for infection. When given together, these drugs do not increase the risk for seizures.
Hormones may be used in cancer therapy, especially for advanced disease. Which of the following are hormones used as antineoplastic drugs? Select all that apply.
- A. Testolactone (Teslac)
- B. Leuprolide (Lupron)
- C. Megestrol (Megace)
- D. Bicalutamide (Casodex)
- E. Goserelin (Zoladex)
Correct Answer: A,B,C,E
Rationale: Testolactone (Teslac), leuprolide (Lupron), megestrol (Megace), and goserelin (Zoladex) are hormones used as antineoplastic drugs. Bicalutamide (Casodex) is an antiandrogen, not a hormone.