Nokea
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.
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A 51-year-old woman will be taking selective estrogen receptor modulators (SERMs) as part of treatment for postmenopausal osteoporosis. The nurse reviews potential contraindications, including which condition?
- A. Hypocalcemia
- B. Breast cancer
- C. Stress fractures
- D. Venous thromboembolism
Correct Answer: D
Rationale: SERMs like raloxifene are contraindicated in patients with venous thromboembolism (e.g., DVT, PE) due to increased clotting risk. Hypocalcemia, breast cancer, and stress fractures are not contraindications.
When considering the various types of contraceptive drugs, the nurse is aware that which type most closely duplicates the normal hormonal levels of the female menstrual cycle?
- A. Monophasic
- B. Biphasic
- C. Triphasic
- D. Short acting
Correct Answer: C
Rationale: Triphasic contraceptives mimic the natural hormonal fluctuations of the menstrual cycle by varying estrogen and progestin doses in three phases, unlike monophasic or biphasic forms.
The nurse is preparing to administer the contraceptive form of medroxyprogesterone. What route is appropriate?
- A. Subcutaneous
- B. Intramuscular
- C. Vaginal
- D. Transdermal
Correct Answer: B
Rationale: Medroxyprogesterone (Depo-Provera) as a contraceptive is administered intramuscularly for sustained release. Other routes are not appropriate for this formulation.
A patient is to receive medroxyprogesterone (Depo-Provera) 700 mg weekly, intramuscularly, as part of palliative therapy for endometrial cancer. The medication is available in vials of 400 mg/mL. Identify how many milliliters will the nurse draw up and administer with each injection. (record answer using one decimal place)
Correct Answer: 1.8 mL
Rationale: To calculate: 400 mg/1 mL = 700 mg/x mL. Cross-multiply: (400 * x) = (1 * 700); 400x = 700; x = 700/400 = 1.75 mL, rounded to 1.8 mL.
A patient is being treated for secondary amenorrhea. The nurse expects which drug to be used to treat this problem?
- A. Methylergonovine
- B. Estradiol transdermal
- C. Raloxifene
- D. Medroxyprogesterone
Correct Answer: D
Rationale: Medroxyprogesterone, a progestin, is commonly used to treat secondary amenorrhea by inducing withdrawal bleeding. The other drugs are not indicated for this condition.