ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 34 : Women?s Health Drugs Questions
Question 1 of 5
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?
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.
Question 2 of 5
During a follow-up visit, a patient who has been on estrogen therapy admits that she has continued to smoke cigarettes. The nurse will remind the patient that smoking while on estrogen may lead to an increase in which of these conditions?
Correct Answer: B
Rationale: Smoking increases the risk of thrombosis during estrogen therapy due to synergistic effects on coagulation. It does not significantly affect nausea, triglycerides, or menstrual bleeding.
Question 3 of 5
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?
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.
Question 4 of 5
A woman visits a health center requesting oral contraceptives. Which laboratory test is most important for the nurse to assess before the patient begins oral contraceptive therapy?
Correct Answer: D
Rationale: A pregnancy test is critical before starting oral contraceptives, as they are category X and can harm a fetus. Other tests are not routinely required for initiation.
Question 5 of 5
The nurse is providing patient teaching about the oral bisphosphonate alendronate (Fosamax). Which statement by the patient indicates a good understanding of when this drug should be taken?
Correct Answer: B
Rationale: Alendronate must be taken in the morning with 6â??8 ounces of water, followed by staying upright for 30 minutes, to prevent esophageal irritation. Taking it with food or at other times is incorrect.