A patient with endometriosis is prescribed medroxyprogesterone acetate (Provera). What should the nurse include in the patient education?

Correct Answer: A

Rationale: In educating a patient with endometriosis prescribed medroxyprogesterone acetate (Provera), it is crucial to emphasize the importance of taking the medication at the same time each day. Option A is correct because consistent timing helps maintain stable hormone levels, optimizing the drug's effectiveness in managing endometriosis symptoms. Option B is incorrect because while medroxyprogesterone can be taken with or without food, this information is not as critical to the medication's efficacy as consistent timing. Option C is incorrect because discontinuing the medication without consulting a healthcare provider can lead to worsening symptoms or complications associated with endometriosis. Option D is incorrect because medroxyprogesterone acetate is typically taken daily, not weekly, for endometriosis management. In an educational context, patients need to understand the rationale behind medication instructions to ensure treatment success. Consistent timing of medroxyprogesterone helps maintain therapeutic levels in the body, effectively managing endometriosis symptoms and improving overall treatment outcomes. Encouraging patient adherence to dosing schedules empowers them to take an active role in their health management.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Finasteride has been shown to lower the risk of developing prostate cancer. Finasteride is a 5-alpha reductase inhibitor that works by decreasing the conversion of testosterone to dihydrotestosterone, which can stimulate prostate growth. By reducing dihydrotestosterone levels, finasteride can help shrink the prostate gland and lower the risk of developing prostate cancer. Option B) Finasteride does not affect the risk of prostate cancer is incorrect because finasteride does indeed affect the risk by lowering it. Option C) Finasteride may increase the risk of developing prostate cancer, so regular screenings are recommended is incorrect. This statement is inaccurate as finasteride has been shown to decrease the risk of prostate cancer. Option D) Finasteride has no effect on the risk of prostate cancer, so regular screenings are unnecessary is also incorrect. Regular screenings for prostate cancer are important for all males, regardless of finasteride use, but finasteride can actually help lower the risk of developing prostate cancer. Educationally, it is crucial for nurses to understand the pharmacological effects of medications like finasteride to provide accurate information to patients. By explaining the mechanism of action of finasteride and its role in reducing prostate cancer risk, nurses can help alleviate patient concerns and promote informed decision-making regarding their treatment options.

Correct Answer: A

Rationale: The correct answer is A) Taking the medication at the same time each day helps maintain stable hormone levels and ensures effectiveness. This is crucial because oral contraceptives work by suppressing ovulation and altering cervical mucus to prevent pregnancy. Consistency in timing ensures that hormone levels remain stable, which is essential for the contraceptive's efficacy. Option B) is incorrect because breakthrough bleeding is more related to estrogen-progestin balance and individual hormone sensitivity rather than just the timing of medication. Option C) is partially correct but misses the key point about stable hormone levels. Option D) is incorrect as missing doses can reduce the effectiveness of oral contraceptives and increase the risk of pregnancy. Educationally, understanding the importance of adherence to medication schedules is vital for patient safety and achieving desired therapeutic outcomes. Teaching patients about the rationale behind specific medication instructions empowers them to take an active role in their health management. In the case of oral contraceptives, emphasizing the importance of consistent timing can help maximize efficacy and minimize the risk of unintended pregnancy.

Correct Answer: B

Rationale: In this case, the correct term to classify the child is 'Atopic.' Atopic individuals have a genetic predisposition to developing allergic conditions. 'Desensitized' refers to reduced sensitivity to an allergen, 'Hyperactive' relates to an exaggerated response, and 'Autoimmune' involves the immune system attacking its own cells, none of which accurately describe the child's classification based on the provided history.