Women's Health NCLEXN-315 Exam 3- 2022/2023 with complete solution

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Which statement, made by the patient, indicates an understanding of discharge teaching regarding alendronate (Fosamax)? A. "I need to decrease my intake of dairy products so as to prevent hypercalc... emia." B. "I need to take this medication with food to prevent damage to my esophagus." C. "I will take the medication first thing in the morning with 8 ounces of water and remain upright for 30 minutes." D. "This medication will help relieve the bone pain I have from my osteoporosis." - ANSWER C. "I will take the medication first thing in the morning with 8 ounces of water and remain upright for 30 minutes." R: Alendronate can cause erosive esophagitis. To prevent this side effect, it is important to take the medication first thing in the morning on an empty stomach without any other medications and maintain an upright position for 30 minutes. These actions facilitate rapid absorption and prevent reflux into the esophagus. The addition of continuous administration of progestin to an estrogen regimen reduces the risk of which cancer? A. Ovarian cancer B. Endometrial cancer C. Breast cancer D. Vaginal cancer - ANSWER B. Endometrial cancer R: Estrogen, given alone, has been associated with an increased risk of endometrial hyperplasia, which can lead to endometrial cancer. Progestin reduces the incidence of endometrial hyperplasia. The nurse would question the order for estrogen replacement therapy in a patient with a history of which condition? A. Deep vein thrombosis B. Vaginal bleeding C. Weight loss D. Dysmenorrhea - ANSWER A. Deep vein thrombosis R: Increased coagulation and risk of deep vein thrombosis are side effects of hormone replacement therapy During a postpartum assessment, the nurse notes a boggy uterus and increased vaginal bleeding. Based upon this assessment and standing physician orders, the nurse prepares to administer which medication? A. prostaglandin E B. oxytocin (Pitocin) C. terbutaline (Brethine) D. clomiphene (Clomid) - ANSWER B. oxytocin (Pitocin) R: Oxytocin is a uterine stimulant that causes uterine contractions, which would decrease the vaginal bleeding. Which laboratory test would the nurse expect to be ordered to monitor a patient for adverse effects related to progestin medications? A. Cardiac enzymes B. Liver function tests C. BUN and creatinine D. Complete blood count - ANSWER B. Liver function tests R: One of the most serious undesirable adverse effects of progestins is liver dysfunction, which would be assessed by monitoring liver enzymes. [Show More]

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