Pharmacology Chapter 20 – Flashcards

1. The LPN is talking to her sister about various birth control methods. Her sister says, "Bill and I just got married and we don't want to start a family for quite a while. Isn't there something that works long term but isn't permanent?" Which of the following methods of birth control would the nurse suggest? A. Ethinyl estradiol and etonogestrel (NuvaRing) B. Nonoxynol-9 containing spermicide (Encare) C. Transdermal patches (Ortho Evra) D. Levonorgestrel intrauterine device (Mirena)

2. The LPN is assisting in the care of the client who wants to discuss hormone replacement therapy (HRT) for menopause. The client states, "My mother died of breast cancer so I want to avoid anything that increases my chances of getting that." The nurse would base a response on which of the following principles? A. There is no link between HRT and breast cancer. B. HRT increases the risk of breast cancer development. C. HRT decreases the risk of breast cancer development. D. Studies involving HRT and breast cancer development have not been done.

3. A woman at 42 weeks gestation is in for an appointment with the gynecologist. The woman reports inconsistent contractions on and off for 3 days and it is determined the cervix is not dilated at this time. The doctor informs the woman that they would like to provide dinoprostene (Prepidil). The nurse would help the woman understand this medication by stating which of the following? A. "It is given in IV form and is designed to stimulate labor within a few minutes." B. "It is a gel placed on the cervix to help soften it and should allow labor to start in 6 hours or less." C. "It is a cream inserted into the vagina to help prevent cervical dilation and postpone delivery." D. "It is an intramuscular injection given to help reduce muscle tension and stop contractions."

4. An LPN working at an obstetrics office is talking to a woman who says, "I just hope I don't have to have any pitocin. My sister had that when she was in labor and she said it was awful." The nurse's response would be based on which of the following principles? A. If pitocin is used during delivery there is increased risk of uterine cancer later in life. B. Pitocin is given in the physician's office to initiate labor. C. Women who use pitocin are being prepared for a cesarean section. D. Pitocin is a synthetic oxytocin used to encourage uterine contractions.

5. The LPN is working in an OB/GYN office and determines which of the following individuals is most likely to be taking terbutaline (Brethine)? A. A 28-year-old patient with symptoms of pre-eclampsia B. A 31-year-old patient in preterm labor C. A 38-year-old patient at 39 weeks gestation who is experiencing regular contractions D. A 19-year-old patient who has decided to terminate a possible pregnancy after unprotected sex 1 week ago

6. An LPN working in a fertility clinic notes that teaching has been effective if the client taking menotropin (Humegon) states which of the following? A. "I will swallow this pill every day to help start the ovulation process." B. "My husband can learn to give me the shots so an egg will ripen and be released." C. "There are no risks associated with fertility medications." D. "My husband will need to get the same shots to help increase our chances of becoming pregnant."

7. An LPN working at a community health fair recognizes which of the following individuals is at highest risk for erectile dysfunction? A. A 44-year-old man with a history of inguinal hernia B. A 50-year-old man with a history of asthma C. A 48-year-old man with a history of diabetes D. A 52-year-old man with a history of cholecystitis

8. The LPN who works in a urology clinic would be most concerned if sildenafil (Viagra) were prescribed for which of the following individuals? A. A 52-year-old patient with a history of hypertension B. A 65-year-old patient with a history of migraine headaches C. A 69-year-old patient with a history of benign prostatic hypertrophy D. A 74-year-old patient with a history of gastroesophageal reflux disease

9. An LPN is talking to a friend who states, "My husband is visiting the doctor today to talk about getting a prescription for tadalifil (Cialis). He saw it on a commercial and thinks it may help. What do you know about this medication?" Which of the following responses is best? A. "Men take it half an hour to an hour before sexual activity to help attain and maintain an erection." B. "I know you can only safely take it once a week or less." C. "It's placed inside the urethral shaft to stimulate erection within a couple of minutes." D. "As long as he doesn't have a history of kidney disease, he should be able to take it."

10. While visiting a friend who has recently been diagnosed with a brain tumor, the LPN notes the patient is receiving IV mannitol (Osmitrol). Which of the following will the nurse conclude based on the provision of this medication? A. The medication is being given to increase sedation in preparation for brain surgery. B. The client is at increased risk for liver dysfunction due to this medication. C. The client may experience hypertension while on this medication. D. The medication is being given to decrease swelling in the brain caused by the tumor.

11. An LPN is caring for a client at the long term care facility who has a history of heart failure and routinely takes furosemide (Lasix). The nurse will be most concerned by which of the following assessment findings? A. The client has a urinary output of 1,900 mL in 24 hours. B. The client's blood pressure is 124/68 mmHg. C. The client's apical pulse is irregular. D. The client has gained 3 pounds in 2 weeks.

12. An LPN working with the Red Cross determines which of the following individuals will be ineligible to donate blood at this time? A. A 64-year-old patient taking chlorthalidone (Hygroton) B. A 55-year-old patient taking indapamide (Lozol) C. A 61-year-old patient taking dutasteride (Avodart) D. A 58-year-old patient taking chlorothiazide (Diuril)

13. The LPN is providing care for a client in the long term care facility who reports pain with urination and a frequent need to void. The nurse anticipates which of the following medications would be added to the client's treatment regimen? A. Triamterene (Dyrenium) B. Phenazopyridine (Pyridium) C. Alfuzosin (Uroxatral) D. Desmopressin (DDAVP)

14. An LPN working in a rehabilitation center is assisting in the care of a client with a hip replacement that frequently has issues with incontinence. The client is started on oxybutynin (Ditropan). Which of the following statements indicates further teaching is necessary? A. "I'm so glad they have a medication that can help me hold onto my urine longer. It is so embarrassing to lose control." B. "I am much more comfortable now that this medication has reduced my bladder spasms." C. "I seem to get more constipated now that I'm taking this medication." D. "I know this medication might make my urine turn bright orange."

15. The LPN is working at a pediatrician's office is talking to the mother of a 6 year old patient who takes imipramine (Tofranil). The nurse would include which of the following statements in client teaching? A. "Once your child starts taking this medication, her urinary tract infection should improve within a few days." B. "Avoid letting your child drink anything containing caffeine in the evening since it can irritate the bladder and increase bed-wetting." C. "This medication is given in the form of a patch that is changed once a week." D. "This medication acts on the loops of the kidney to alter the way fluid and electrolytes are exchanged."

16. An LPN is advising a friend who newly started taking birth control pills. Which of the following statements should the LPN include in the discussion? (Select all that apply). A. "A barrier method of birth control should still be used to protect you from sexually transmitted diseases." B. "You will need to notify the doctor if you have any bleeding this month." C. "If you have any soreness in your legs or difficulty breathing, report to the physician right away." D. "Birth control pills release a chemical that kills sperm to prevent pregnancy." E. "Some people taking birth control pills have sore breasts and mild weight gain."

17. An LPN working in a campus health center talks to a woman about starting birth control pills. The young woman asks about side effects. Which of the following would be expected with this birth control? (Select all that apply)

18. The LPN working in a physician's office determines which of the following clients would be appropriate for hormone replacement therapy with estrogen? (Select all that apply) A. A 52-year-old woman with vaginal dryness and hot flashes who has a negative surgical history B. A 44-year-old woman s/p robotic hysterectomy for dysmenorrhea C. A 68-year-old man with prostate cancer D. A 28-year-old man with testicular cancer E. A 35-year-old woman seeking oral birth control pills

19. The nurse working on the labor and delivery special care unit is providing care for a woman who has been started on magnesium sulfate. The nurse would anticipate which of the following orders to be initiated as well? (Select all that apply) A. Place client on telemetry B. Monitor vital signs every 2 to 4 hours C. Strict intake and output D. Check serum calcium and magnesium every 6 hours E. Monitor serum amylase daily F. Put patient in reverse isolation

20. The LPN is talking to a friend who is considering infertility treatment with clomiphene (Clomid). The LPN is aware that this medication is associated with which of the following side effects? (Select all that apply) A. Multiple births B. Headache C. Flushing D. Constipation E. Ringing in the ears F. Hypertension

21. An LPN working at a family practice office identifies clients taking which of the medications may experience decreased libido? (Select all that apply) A. Ranitidine (Zantac) B. Diazepam (Valium) C. Dexmethylphenidate (Focalin) D. Clonidine (Catapres) E. Propanolol (Inderal) F. Warfarin (Coumadin)

22. The LPN is aware that diuretic therapy may be included in the treatment plan for which of the following individuals? (Select all that apply) A. A 65-year-old patient with hypertension B. A 40-year-old patient with acute kidney failure C. A 51-year-old patient with bladder cancer D. A 69-year-old patient with heart failure E. A 74-year-old patient with glaucoma F. A 49-year-old patient with diabetes

23. The LPN is aware that potassium supplementation is an important component of treatment for clients taking which of the following? (Select all that apply) A. Spironolactone (Aldactone) B. Furosemide (Lasix) C. Chlorthalidone (Hygroton) D. Bumetanide (Bumex) E. Torsemide (Demadex) F. Indapamide (Lozol)