Nokea
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.
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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.
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.
The nurse is reviewing the use of uterine tocolytics, such as indomethacin (Indocin). Which statement best describes the indication for these drugs?
- A. Prevention of preterm labor in the 15th week of pregnancy
- B. Prevention of preterm labor in the 22nd week of pregnancy
- C. Stimulation of contractions in prolonged labor
- D. Stimulation of ovulation as part of infertility treatments
Correct Answer: B
Rationale: Tocolytics like indomethacin are used to prevent preterm labor between 20 and 37 weeks, such as at 22 weeks, by relaxing uterine smooth muscle. They do not stimulate contractions or ovulation.
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 recognizes that use of estrogen drugs is contraindicated in which patient?
- A. A patient who has atrophic vaginitis
- B. A patient who has inoperable prostate cancer
- C. A woman who has just given birth and wants to prevent postpartum lactation
- D. A woman with a history of thrombophlebitis
Correct Answer: D
Rationale: Estrogen increases the risk of thromboembolism, making it contraindicated in patients with a history of thrombophlebitis. Atrophic vaginitis and inoperable prostate cancer are indications for estrogen therapy, and it is not used to prevent lactation.