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Terms in this set (50)A 50-year-old male patient reports having decreased libido and testicular atrophy. The nurse will anticipate that the provider may order which medication to treat these symptoms? Testosterone (Androderm) The nurse is teaching the parents of a boy who has inadequate pituitary function and delayed puberty about testosterone enanthate injections. Which statement by the parents indicates a need for further teaching? "Sexual development will occur in 1-2 years." The nurse is instructing a patient about the buccal muco-adhesive testosterone system (Striant) to treat low testosterone. What information will the nurse include when teaching this patient about this drug? "If the product slides out of position more than 4 h before the next dose, replace it with a new system." The nurse provides teaching to a man who will begin using an Androderm testosterone patch.
Which statement by the patient indicates understanding of the teaching? "I should apply this to any skin other than the scrotum or bony areas."
A man who has been using androgen therapy tells the nurse that he and his wife wish to conceive a pregnancy. The nurse will tell this patient that it may take 3 months after cessation of androgen therapy to conceive. The oral antiandrogen drug flutamide (Eulexin) is used to treat which condition? Metastatic prostate cancer A patient will begin taking finasteride (Propecia) to treat benign prostatic hypertrophy (BPH)
and asks the nurse how long the medication will be necessary. The nurse will tell the patient that he will need to take this medication for how long? Indefinitely A 14-year-old male is being evaluated for delayed puberty. Which finding indicates delayed puberty in this child? Androgen deficiency A male patient wants to begin taking tadalafil (Cialis) to treat erectile dysfunction. Which aspect of this patient's history would be of concern? Angina pectoris
A patient will begin using sildenafil citrate (Viagra) to treat erectile dysfunction. The nurse will instruct the patient to take the medication 30 min-4 h before sexual activity The nurse is preparing to administer a medication to a 6-month-old infant. The nurse will monitor closely
for signs of drug toxicity based on the knowledge that, compared to adults, infants have immature hepatic and renal function. The parent is concerned about giving a child medication because of the lack of knowledge about the effects of drugs on
children. The nurse discusses legislation passed in 2012 about pediatric pharmacology. Which is true about this law? It requires drug manufacturers to study pediatric medication use. The provider has ordered that vitamin D drops be given to a newborn. Based on the knowledge of drug distribution in infants, the nurse understands that the infant may need a lower dose. The
nurse is preparing to give a 7-year-old child a bitter-tasting oral medication. The child asks the nurse if the medicine tastes bad. To help the child take this medication, which action will the nurse take? Tell the child that it tastes bad and offer a choice of beverages to drink afterward. The nurse is preparing to administer an oral liquid medication to an 11-month-old child who is fussy and uncooperative. Which action will the nurse take to facilitate giving this medication? Using a syringe and allowing the parent to give the medication A 2-year-old child will receive several doses of an intramuscular medication. The nurse caring for this child will use which intervention to help the child cope with this regimen? Allowing the child to give "pretend" shots to a doll with an empty syringe The nurse is preparing to administer an intramuscular medication to a 4-year-old child who starts to cry and screams,
"I don't want a shot!" What is the nurse's next action? Engage the child in a conversation about preschool and favorite activities. A
14-year-old female who has type 1 diabetes mellitus that has been well controlled for several years is admitted to the hospital for treatment of severe hyperglycemia. The patient's lab values indicate poor glycemic control for the past 3 months. The nurse caring for this patient will suspect which cause for the change in diabetic control? Hormonal fluctuations The nurse is teaching a 15-year-old female patient and her parents about an antibiotic the adolescent will begin taking. The drug is known to decrease the effectiveness of oral contraceptive pills (OCPs). The nurse will tell her privately that the medication may decrease the effectiveness of OCPs. What is NOT a challenge associated with over-the-counter (OTC) medication and the pediatric client? ... The nurse is caring for an older adult patient who is receiving multiple medications. When monitoring this patient for potential drug toxicity, the nurse should review which lab values closely? ... An older patient who reports a 2- to 3-year history of upper gastrointestinal (GI) symptoms will begin taking ranitidine (Zantac) to treat this disorder. The patient has completed a health history form. The nurse notes that the patient answered "no" when asked if
any medications were being taken. Which action will the nurse take next? ... To assist an older, confused patient to adhere to a multidrug regimen, the nurse will
provide which recommendation? ... The nurse is caring for an older patient who is taking 25 mg per day of hydrochlorothiazide. The nurse will closely monitor which lab value in this
patient? ... The nurse is caring for an 80-year-old patient who is taking warfarin (Coumadin). Which action does the nurse understand is important when caring for this patient? ... A 75-year-old patient will be discharged home with a prescription for an opioid analgesic. To help the patient minimize adverse effects, what will the nurse recommend for this patient? ... A 75-year-old patient is readmitted to the hospital to treat recurrent pneumonia. The patient had been discharged home with a prescription for antibiotics 5 days prior. The nurse admitting this patient will take which initial action? ... The nurse is performing an admission assessment on an 80-year-old patient who has frequent hospital admissions. The patient appears more disoriented and confused than usual. Which action by the nurse is correct? ... The nurse provides teaching about the sedative side effects of a medication ordered to be given at 8:00 PM daily. The patient works a 7:00 PM to 7:00 AM shift. The nurse explores options including taking the medication at 8:00 AM instead of in the evening. Which Quality and Safety Education for Nurses (QSEN) competency do the nurse's actions best demonstrate? ... The nurse learns that a patient cannot afford a prescribed medication and enlists the assistance of the social worker and an outside agency to provide medications at a lower cost. Which QSEN competency do the nurse's actions best demonstrate? ... The nurse is preparing to administer a medication and reviews the patient's chart for drug allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse's actions are reflective of which phase of the nursing process? ... A patient who is hospitalized for chronic obstructive pulmonary disease wants to
go home. The nurse and the patient discuss the patient's situation and decide that the patient may go home when able to perform self-care without dyspnea and hypoxia. This is an example of which phase of the nursing process? ... The nurse is developing a plan of care for a patient who has chronic lung disease and hypoxia. The patient has been admitted
for increased oxygen needs above a baseline of 2 L/min. The nurse develops a goal stating, "The patient will have oxygen saturations of >95% on room air at the time of discharge from the hospital." What is wrong with this goal? ... The nurse is developing a teaching plan for an elderly patient who
will begin taking an antihypertensive drug that causes dizziness and orthostatic hypotension. Which nursing diagnosis is appropriate for this patient? ... An older patient must
learn to administer a medication using a device that requires manual dexterity. The patient becomes frustrated and expresses lack of self-confidence in performing this task. Which action will the nurse perform next? ... A school-age child will begin taking a medication to be administered 5 mL three times daily. The child's parent tells the nurse that, with a previous use of the drug, the child repeatedly forgot to bring the medication home from school, resulting in missed evening doses. What will the nurse recommend? ... An adolescent patient who has acne is
given a regimen of topical medications and an oral antibiotic that generally clears up lesions to fewer than 10 within 6 to 8 weeks. At a 2-month follow-up, the patient continues to have more than 25 lesions. The child's parent affirms that the child is using the medications as prescribed. Which evaluation statement is correct for this patient? ... During a home visit, the nurse learns that a patient has not been taking the prescribed medications. The patient reports having no insurance and tells the nurse that the drug is too expensive. After learning that there is no substitute medication, the nurse will perform which action
next? ... A woman is taking a combination oral contraceptive and asks the nurse why progestin is necessary. The nurse will explain that progestin
helps prevent pregnancy by which method? ... A young woman who is taking Ortho-Tri-Cyclen for contraception tells the nurse that her provider has told her it will help
to treat her acne. The nurse explains that this is because this product is ... The nurse is caring for a woman who will begin taking ibuprofen to treat arthritis. The woman tells the nurse that she takes Yasmin for contraception. The nurse will perform which action? ... A 35-year-old woman asks the nurse about oral contraceptives. The nurse learns that the patient smokes and has a family history of venous
thromboembolism (VTE). The nurse will suggest that the patient ... A 45-year-old woman who has not had a period for 15 months reports severe hot flashes and poor sleep. The nurse reviews
information about hormone replacement therapy and tells this woman that hormone therapy ... The parent of a 16-year-old female tells the
nurse that the child has not had a menstrual period in spite of having breast and pubic hair development. The nurse recognizes this as characteristic of which condition? ... A woman is diagnosed with polycystic ovarian disease (PCOS) after being unable to conceive. Her provider has ordered metformin (Glucophage) and clomiphene
citrate (Clomid). The nurse will explain that metformin is given for which purpose? ... A 30-year-old woman describes having periods every 30 days, lasting 8 days, with heavy bleeding. The nurse understands that these are signs of which condition? ... A woman who is infertile has taken 50 mg of clomiphene citrate (Clomid) from days 5 through 9 of a cycle and has not ovulated. The nurse will anticipate that the provider will perform which action? ... The nurse performs a history on a woman who will begin taking clomiphene citrate (Clomid) to induce ovulation. Which aspect of this patient's history is of concern? ...
The nurse is preparing an 80-year-old patient for discharge home from the hospital. The patient will receive several new medications. The patient lives alone but has several family members who stop by every day. Which suggestions will the nurse make for this family? (Select all that apply.) a. Ask the pharmacy for non-childproof medication bottles. b. Ask the patient to record all medications and the times they are taken. c. Place the pills in an organizer container. d. Provide the patient with the drug manufacturer information sheets. e. Put water bottles near pills for convenience. ... Which drug properties are problematic for older patients? (Select all that apply.) ... Students also viewedPharm. practice test 210 terms abry01 Pharm. Ch. 5 - Pediatric Considerations15 terms ah09424 Pharm Ch. 1213 terms Hiphopanonymous_ Fundamentals Exam 258 terms dhenson96 Sets found in the same folderPharmacology Chapter 16: Fluid and Electrolyte Rep…24 terms cat-ld Pharmacology Chapter 52: Antidiabetics Nursing Sch…19 terms Cassie_Hoffarth Pharmacology Chapter 116 terms Cody_Compumasta pharm test 377 terms maddy_denton Other sets by this creatorMed SURG TEST 139 terms DelaineSBarbosa FON - Quiz 816 terms DelaineSBarbosa FON - QUIZ 713 terms DelaineSBarbosa FON Quiz 612 terms DelaineSBarbosa Verified questions
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Which lab values should be monitored when using some testosterone therapy products Quizlet
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