Spinal anesthesia with morphine is administered to a patient for pain relief during cesarean section. She complains of itching. The nurse prepares to administer which drug?

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Chapter 14 Drugs for the Reproductive System Questions

Question 1 of 5

Spinal anesthesia with morphine is administered to a patient for pain relief during cesarean section. She complains of itching. The nurse prepares to administer which drug?

Correct Answer: A

Rationale: The correct answer is A: Diphenhydramine. Diphenhydramine is an antihistamine that can help alleviate itching, a common side effect of morphine. It works by blocking histamine receptors. Ephedrine sulfate is a sympathomimetic drug used for hypotension, not itching. Butorphanol tartrate is an opioid analgesic, which may worsen itching. Lidocaine is a local anesthetic and does not address itching from systemic morphine. Diphenhydramine is the best choice to address the patient's itching while not interfering with the spinal anesthesia.

Question 2 of 5

The nurse is preparing a teaching plan for combined hormonal

Correct Answer: A

Rationale: Step 1: Including all relevant information in the teaching plan ensures comprehensive education for the patient. Step 2: By selecting all applicable information, the nurse covers a wide range of essential topics related to combined hormonal contraceptives. Step 3: This approach promotes patient understanding, adherence, and empowerment in managing their health. Summary: - Choice B: While important, this option only lists specific symptoms to report, which is not as comprehensive as including all relevant information. - Choice C: Incorrect because combined hormonal contraceptives are generally not recommended for smokers over 35 years due to increased risk of complications. - Choice D: Incorrect as combined hormonal contraceptives do not protect against sexually transmitted infections.

Question 3 of 5

The nurse is instructing a patient on the use of depot

Correct Answer: A

Rationale: The correct answer is A because it allows for multiple correct statements to be selected, which is important when educating patients about depot. Patients may experience changes in their periods, so option B is incorrect. There is no specific need to increase calcium intake related to depot use, making option C incorrect. Patients can indeed expect irregular bleeding initially, making option D incorrect. Overall, option A is the best choice as it covers the variability in potential effects of depot use on the patient.

Question 4 of 5

A patient is receiving the drug somatropin. Which drug action will the nurse anticipate?

Correct Answer: C

Rationale: The correct answer is C: Somatropin stimulates growth in long bones at epiphyseal plates by promoting cell division and growth of cartilage in bones. This drug is a synthetic form of human growth hormone, which plays a crucial role in bone growth during childhood and adolescence. Choices A, B, and D are incorrect because somatropin does not have antiinflammatory properties, does not directly affect metabolic rate and oxygen consumption, and does not promote water reabsorption from the renal tubules.

Question 5 of 5

A patient is diagnosed with type 2 diabetes mellitus. The nurse is aware that which statement is true about this patient?

Correct Answer: C

Rationale: The correct answer is C: Heredity and obesity are major causative factors. Type 2 diabetes mellitus is commonly associated with genetic predisposition and lifestyle factors such as obesity. Genetics play a significant role in the development of type 2 diabetes, and individuals with a family history of the disease are at higher risk. Obesity can lead to insulin resistance, a key factor in the development of type 2 diabetes. Choices A and B are incorrect as type 2 diabetes is more prevalent in adults than in teenagers or young children. Choice D is incorrect as viral infections are not the primary cause of type 2 diabetes.

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