A nurse is caring for a client who has a new prescription for transdermal conjugated estrogen

Pharm Made Easy – Reproductive & Genitourinary System:

1. A nurse is providing teaching to a client about sildenafil to treat erectile dysfunction. Which of the following

instructions should the nurse include?

A) Take the drug with a glass of grapefruit juice.

B) Do not take the drug with high-fat foods.

C) Increase intake of foods rich in vitamin K.

D) Avoid aged cheeses and red wine.

Rationale: High-fat foods delay absorption and reduce peak effects of sildenafil. Clients who take the drug should not take

it with high-fat foods.

2. After administering terbutaline to a client to inhibit preterm labor, the nurse should assess which of the following?

A) Peripheral pulses

B) Temperature

C) Vision

D) Heart Rate

Rationale: Terbutaline can cause tachycardia, chest pain, and palpitations. The nurse should monitor the client's ECG for

tachycardia and other dysrhythmias and monitor fetal heart rate and rhythm.

3. A nurse is preparing to administer finasteride to a client who has benign prostatic hypertrophy (BPH). Which of the

following precautions should the nurse plan to take when administering this drug?

A) Refrain from crushing the tablet

B) Withhold the medication if the client doesn't eat

C) Wear gloves when handling the tablet

D) Monitor heart rate prior to administration

Rationale: The nurse should avoid touching the drug because it can be absorbed through the skin. For women, this can

potentially cause harm if they are pregnant and have a male fetus. Women should also avoid exposure to semen from

individuals who are taking finasteride.

4. A nurse is caring for a client who is about to begin taking finasteride to treat benign prostatic hypertrophy. The

nurse should explain to the client the need to monitor which of the following laboratory values?

A) Prostate-specific antigen (PSA)

B) BUN

C) Creatine Phosphokinase (CPK)

D) ALT

Rationale: The nurse should monitor PSA levels at baseline and periodically thereafter. Increases in PSA can indicate

prostate cancer. PSA levels should decrease with finasteride therapy.

5. A nurse is providing teaching to a client who is taking bethanechol for urinary retention. Which of the following

instructions should the nurse include? (Select all that apply.)

A) Avoid driving and activities that require alertness

B) Increase fluid intake

C) Take the drug with food

D) Stay close to the bathroom after taking the drug

E) Increase weight-bearing activities

Rationale: Avoid driving and activities that require alertness is correct. Bethanechol, a muscarinic agonist, can cause

dizziness and fainting. Clients who take the drug should use caution with activities that require alertness until they know

how the drug will affect them.

Increase fluid intake is correct. Bethanechol can cause diarrhea and increased salivary and gastric secretions. Clients who

take the drug should maintain hydration by increasing their fluid intake.

Stay close to the bathroom after taking the drug is correct. Bethanechol can cause rapid relief of urinary retention or

diarrhea, with fecal incontinence. Clients who take the drug should stay near a bathroom or have a bedpan or urinal ready.

6. 14. A nurse is caring for a male client who has hyperthyroidism and is not responding to treatment. The nurse should

identify that hyperthyroidism is a contraindication for which of the following drugs?

A) Sildenafil

B) Bethanechol

C) Tamsulosin

D) Finasteride