Nursing Pharmacology Practice Questions – Men's and Women's Health

Welcome to your Nursing Pharmacology Practice Questions – Men's and Women's Health

Sildenafil ADR

Mr. Jackson is a 55 year old male who has been diagnosed with erectile dysfunction. He is wondering what side effects he should be concerned about with his sildenafil prescription. His current diagnoses include, GERD, hypotension, osteoarthritis, and glaucoma. What would be most important to educate him about?

Risk for exacerbating GERD

Increasing joint pain

Drug interaction with glaucoma medications

Risk of lowering blood pressure

Drug Interaction Tadalafil

As you review Mr. Stevens medication list, you realize that he has many PRN medications. Which one would be of highest concern with regard to drug interactions with tadalafil?

Calcium carbonate (Tums) for GERD

Nitroglycerin for chest pain

Ibuprofen for pain

Diphenhydramine for sleep

Oral Contraceptives and Adverse Effect Risk

Ms. Jones has asked about the risks with regard to her birth control. She informs you that she is taking Loestrin which is a combination of estrogen and progestin. You inform her that it can increase the risk of blood clots. Which part of her history would increase the risk of a blood clot?

1-2 glasses of wine per week

She runs marathons a few times per year

She is currently taking rifampin

She is a smoker

Increased Estrogen Effects in Birth Control

Ms. Linn has recent had the dose of the estrogen component of her birth increased by her provider. What is the likely explanation for this?

Reduce breakthrough bleeding/spotting

Reduce blood clot risk

Improve the nausea adverse effect

Reduce breast tenderness

Drug Interaction Oral Contraceptives

Ms. Nelson is a 34-year-old female with a complex medical history. She was asking about drug interactions in relation to her combination birth control of estrogen and progestin. Which of her medications would be most likely to reduce the effectiveness of her birth control and leave her at risk for unintended pregnancy?

Ibuprofen for rheumatoid arthritis

Carbamazepine for bipolar disorder

Quetiapine for bipolar disorder

Clonazepam for anxiety

Monophasic Birth Control

A patient taking oral contraceptives read on the package that it is "monophasic". What should you tell the patient this means?

She has to take it at the same time everyday and cannot vary

She is getting the same amount of hormone in every pill

She has a lower risk of blood clots with this formulation

She will not have periods with this type of birth control

Depo-Provera Injection

A patient presents to your clinic for their Depo-Provera injection. They receive this injection every three months. Which of the following education should be provided to this patient?

Avoid all alcohol when on this injection and for at least 3 months after stopping

Encourage taking her blood pressure on a weekly basis

Ensure that the patient is taking adequate calcium and vitamin D

Avoid use of acetaminophen while taking this medication

Pregnancy and Medications

You're meeting your patient in the clinic for the first time and she reports that she just took an at-home pregnancy test and it was positive. She reports that she is taking Tums, sertraline, lisinopril, and insulin (type 1 diabetes). Which medication should you have the provider address immediately?

Tums

Sertraline

Lisinopril

Insulin

HRT Risks

What is a potential risk when using estrogen to treat menopausal symptoms like hot flashes?

Osteoporosis

Breast cancer

Bleeding

Vaginal atrophy

Clomiphene Use

A 42-year-old patient who presents to the clinic is taking clomiphene 5 days out of the month. What is this likely being used for?

Improve chances of pregnancy

Reduce hot flashes in a patient with early menopause

Reduce spotting and breakthrough bleeding between cycles

Prevention of multiple births (i.e. twins, triplets, etc.)

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