12. The nurse is caring for a

12. The nurse is caring for a client who recently started taking conjugated estrogen for menopausal symptoms. The nurse recognizes the client is at risk for which condition with use of this medication? A. Coronary artery disease B. Bone fractures C. Colon cancer D. Thrombophlebitis 21. A client has high blood pressure, prostate enlargement, and penile erectile dysfunction. He asks the nurse if he could try tadalafil (Cialis)after seeing an advertisement on television. What client factor should the nurse prioritize for follow-up? A. The client takes propranolol and furosemide for the treatment of hypertension B. The client’s body mass index is 31 kg/m2 (obese) C. The client takes tamsulosin for the treatment of benign prostatic hyperplasia D. The client job involves shift work, and he has erratic sleep habits 22. A 9-year-old boy is taking testosterone injections for treatment of hypogonadism. What should the nurse include in this client’s long-term plan of care? A. Annual influenza vaccinations B. Thyroid hormone levels every 3 months for the first year C. Annual vision testing and optometric assessments D. Hand and wrist radiographs every 6 months 24.When fluoxymesterone is administered to a 14-year-old boy for hypogonadism, what is the expected result? A. Enlarged sex organs B. Decreased skin thickness C. Increased protein metabolism D. Increased sperm production 29. A 68-year-old male client tells the nurse that he has been unable to maintain an erection for the past 6 months, and he guesses his sex life is over. The provider orders diagnostic testing to determine whether sildenafil is appropriate for the client. What is the most appropriate nursing diagnosis for this client? A. Sexual dysfunction B. Disturbed body image C. Ineffective sexuality pattern D. Disturbed tactile sensory perception 31. What does the liver produce that is important in the digestive process? A. Bile B. Glucagon C. Ammonia D. Bilirubin 33. Water is primarily absorbed in which portion of the gastrointestinal tract? A. Duodenum B. Jejunum C. Ileum D. Colon 34. The nurse, caring for a client about to undergo gastric bypass surgery, explains that the majority of nutrients are absorbed where? A. Sigmoid colon B. Stomach C. Small intestine D. Ascending colon 39. The primary action of Estradiol and Norethindrone (OCP) is the inhibition of: A. luteinizing hormone B. follicle stimulating hormone C. implantation at the uterine wall D. follicle stimulating hormone and luteinizing hormone 40. The nurse is teaching a client about her new prescription for estradiol. What is a priority the nurse should ask the client? A. “Do you smoke cigarettes?” B. “Do you have asthma?” C. “Do you take acetaminophen?” D. “Do you drink grapefruit juice?” 41. A postmenopausal woman asks the nurse why her conjugated estrogen (Premarin) is being discontinued by the provider. Which is the best statement by the nurse? A. “Premarin is associated with increased risk of adult acne” B. “Premarin can cause fluid and electrolyte imbalances.” C. “Premarin has been associated with a higher incidence of uterine cancer.” D. “Premarin increases the risk of cardiovascular disease.” 42. A patient diagnosed with benign prostatic hyperplasia is being treated with a 5-reductase inhibitor. An example of this type of drug is: A. acebutolol B. finasteride C. doxazosin D. clonidine 43. Which of the following teachings is correct about the use of testosterone gel? A. Avoid exposing women to the gel, or areas of skin where the gel was applied. B. The gel should be applied to the perineal area daily. C. Avoid showering or swimming for at least 12 hours after gel application. D. Report any weight gain over 2kg in a 1-month period. 44. A patient diagnosed with benign prostatic hyperplasia is being treated with an alpha-adrenergic blocker. An example of an alpha-adrenergic blocker is: A. acebutolol B. finasteride C. tamsulosin D. clonidine 45. Which of the following patient conditions is a contraindication for the use of estrogen-containing contraceptives? A. Acne B. Endometriosis C. Hypermenorrhea D. Thromboembolic disorders 46. The Black Box Warning for estradiol and norethindrone focuses on: A. Off label uses for the treatment of acne B. Antibiotics and the need for alternative forms of contraception C. Endometriosis and the increased incidence of hypermenorrhea D. Cigarette smoking and the increased risk of serious cardiovascular adverse effects 47. During a nursing admission history, a client tells the nurse that he has benign prostatic hypertrophy. The client states that he frequently uses over the counter cold medications that contain diphenhydramine. What is the nurse’s priority action? A. Document the client’s statements in the record B. Advise the client to stop using the medicine C. Collect a urine specimen and culture D. Ask the client if he has a history of glaucoma 53. All the following are contraindications for the use of calcium salts, except for: Select all that apply. A. Hypercalcemia B. Osteomalacia C. Patients with ventricular fibrillation D. Renal calculi E. Metastatic bone cancer 54. A nurse is caring for a client with severe osteoporosis. The nurse is knowledgeable about functions of parathyroid hormone (PTH) when reporting which statements? A. Increased calcium reabsorption from the kidneys B. Release of calcium from the bones C. Addition of calcium to bones D. Increased calcium reabsorption in the small intestine E. Decreased calcium reabsorption in the small intestine 55. Which of the following hormones participate in the homeostasis process of calcium in the body? Select all that apply. A. Parathyroid hormone (PTH) B. Vitamin D C. Tumoral necrosis factor (TNF) D. Calcitonin E. T3 and T4 56. A 44-year-old alcoholic man is diagnosed with Gout. The nurse knows the pathophysiology of this disease consists of: A. A form of acute arthritis caused by a buildup of uric acid. B. Progressive degenerative, age-onset disease, wearing away of cartilage at articular joint surfaces. C. Systemic autoimmune disorder with disfigurement and inflammation of multiple joints D. Bone deterioration in which bone resorption outpaces bone deposition. 58. A client has been diagnosed with severe rheumatoid arthritis and sodium hyaluronate has been ordered. What is the nurse’s best action? A. Teach the client that an intra-articular injection will be required. B. Establish intravenous access. C. Assess the client’s deltoid and ventrogluteal injection sites. D. Contact the healthcare provider to the order. 59. The active form of Vitamin D is: A. Calcitonin B. Calcitriol C. Cholecalciferol D. Calcifediol 60. What pharmacologic combination is needed to treat Chron’s disease? Select all that apply. A. Corticoid (Prednisone) B. Bismuth subsalicylates (Pepto-Bismol) C. Probiotic supplements (Lactobacillus) D. Sulfasalazine (Azulfidine) E. Methotrexate (MTX) 61. The nurse is caring for a 29-year-old client who is diagnoses with IBS. What is the drug of choice for this client? A. Loperamide (Imodium) B. Metoclopramide (Reglan) C. Sulfazalasine (Azulfidine) D. Dizyclomine (Bentil) 64. What symptoms would the nurse find to be consistent with a diagnosis of a stomach peptic ulcer that differentiates it from duodenal ulcers? A. Abdominal pain worsens after eating B. Constipation C. Explosive diarrhea within 1 hour of eating D. Abdominal pain decreases after eating 65. The clinic nurse is caring for a 78-year-old client who was diagnosed with GI bleeding and is taking a proton pump inhibitor. What assessment should the nurse perform when monitoring for conditions that this client risks developing? A. Pain level B. Respiratory rate and oxygen saturation C. Hemoglobin and hematocrit D. Folate levels SCIENCE HEALTH SCIENCE NURSING MEDICAL ASSISTANT 2060

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