Pharmacology Test 4 - Reproductive and Genitourinary Systems

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Questions and Answers

What is the primary action of dinoprostone when administered prior to labor?

Increases blood flow to the uterus

Stabilizes heart rate during contractions

Reduces prostate size

Prepares the cervix for delivery (correct)

Which condition represents the highest risk factor for erectile dysfunction?

Hypertension

Diabetes (correct)

Anxiety disorders

Chronic stress

What medication is typically administered for urinary obstruction due to an enlarged prostate?

Sildenafil

Finasteride

Oxytocin

Tamsulosin (correct)

Which of the following contraceptive methods does not require self-administration by the client?

IUD Signup and view all the answers

When educating a client about finasteride, which safety measure should be emphasized?

Wear protective clothing and sunscreen Signup and view all the answers

What drug is contraindicated for use with sildenafil?

Nitroglycerin Signup and view all the answers

What should a client be advised to do if they miss a dose of an oral contraceptive?

Take the missed dose as soon as possible Signup and view all the answers

Which side effect is associated with hormone-based contraceptive therapy?

Increased risk for blood clots Signup and view all the answers

What is the primary action of thiazolidinedione in managing type 2 diabetes?

Increases insulin sensitivity Signup and view all the answers

Which type of insulin is appropriate for correcting a high blood sugar?

Lispro (Humalog) Signup and view all the answers

What should a nurse monitor closely when a client is taking glipizide?

Blood glucose levels Signup and view all the answers

How should a nurse mix two types of insulins in a syringe?

Draw up regular insulin first, then NPH Signup and view all the answers

What is the correct storage duration for opened insulin vials stored at room temperature?

30 days Signup and view all the answers

Which of the following is a common adverse reaction of exenatide (Byetta)?

Pancreatitis Signup and view all the answers

What is a necessary instruction for administering sustained release glipizide?

Take 30 minutes before a meal Signup and view all the answers

What is the primary reason for rotating insulin injection sites?

To prevent skin irritation and lipohypertrophy Signup and view all the answers

How is the medication dinoprostone administered and what is its action?

It is inserted into the vagina and prepares the cervix for delivery while stimulating labor by starting uterine contractions. Signup and view all the answers

What is the highest risk factor for erectile dysfunction?

Diabetes Signup and view all the answers

What medication is administered for the diagnosis of BPH?

Finasteride (Propecia, Proscar) Signup and view all the answers

Which contraceptive therapy does a client not have to self-administer?

Implantable rods Signup and view all the answers

What are contraindications to oxytocin therapy?

Not for use with clients who have cephalopelvic disproportion Signup and view all the answers

In which clients should combination oral contraceptives be used cautiously?

Clients with diabetes and heart disease Signup and view all the answers

What client education is recommended for finasteride?

Wear protective clothing and sunscreen Signup and view all the answers

Which drug is contraindicated for use with sildenafil?

Nitroglycerin for chest pain Signup and view all the answers

What medication is administered for urinary obstruction due to enlarged prostate?

Tamsulosin (Flomax) Signup and view all the answers

What should clients do if they miss a dose of an oral contraceptive?

Take missed doses as soon as possible Signup and view all the answers

What should the nurse monitor for in a client receiving terbutaline?

Heart rate and respiratory status Signup and view all the answers

What client safety education is recommended for the medication tamsulosin?

Change positions slowly Signup and view all the answers

What dietary education should clients follow while taking sildenafil?

Do not take the drug with high-fat foods Signup and view all the answers

What are side effects of hormone-based contraceptive therapy?

Increase risk for blood clot Signup and view all the answers

What nursing care is associated with the administration of magnesium sulfate for a pregnant woman?

Monitor cardiac status, monitor VS frequently, strict I&O, monitor serum magnesium Signup and view all the answers

What is the administration protocol for Lantus insulin?

Long-acting with sustained blood glucose control, administered every 24 hours Signup and view all the answers

What type of insulin is used to correct a high blood sugar?

Lispro (Humalog) and regular insulin Signup and view all the answers

What type of insulin is used as part of a sliding scale insulin protocol?

Lispro (Humalog) and regular insulin Signup and view all the answers

What are priority nursing assessments when a client is taking glipizide?

Monitor blood glucose levels closely Signup and view all the answers

How does the medication thiazolidinedione work on glucose in the body?

Treats type 2 diabetes by increasing insulin sensitivity Signup and view all the answers

What is the storage information for insulin vials?

Insulin opened and left at room temperature is only good for 30 days Signup and view all the answers

What are adverse drug reactions for the medication exenatide (Byetta)?

Pancreatitis and renal failure Signup and view all the answers

What are the administration instructions for sustained release glipizide?

Take once a day, 30 minutes before a meal Signup and view all the answers

How would a nurse evaluate the effectiveness of the medication somatropin (Genotropin)?

Monitor effectiveness by assessing height/weight Signup and view all the answers

What are the administration instructions for the medication pramlintide?

Take medication before meals Signup and view all the answers

Why is it important to rotate insulin injection sites?

To prevent skin irritation and lipohypertrophy and increase absorption of insulin Signup and view all the answers

What are adverse drug reactions for the medication levothyroxine?

Tremors and palpitations (report to provider) Signup and view all the answers

What is the protocol for mixing two insulins together in a syringe?

Draw up regular insulin first, then NPH Signup and view all the answers

What client education is recommended for methotrexate?

Avoid drinking alcohol and report yellowing of the eyes immediately, risk for infection Signup and view all the answers

What is the medication regimen for clients with AIDS?

Enzyme Inhibitors like Retrovir (zidovudine) Signup and view all the answers

What type of immunity includes vaccines?

Active immunity Signup and view all the answers

What are adverse drug reactions for the medication imatinib?

Fluid retention that could lead to pulmonary edema Signup and view all the answers

What HIV medications help prevent transfer to a fetus?

Enzyme Inhibitors such as Retrovir and zidovudine Signup and view all the answers

What are adverse drug reactions for the medication tamoxifen?

Abnormal menstrual bleeding Signup and view all the answers

What are recommended immunizations for individuals aged 50 years or older?

Herpes zoster vaccine and tetanus booster every 10 years Signup and view all the answers

What are recommended immunizations for birth through 6 years of age?

Haemophilus influenzae type B (Hib) Signup and view all the answers

What are adverse drug reactions for the medication vincristine?

Weak hand grasps Signup and view all the answers

What laboratory values should be monitored and reported when a client is taking zidovudine?

Monitor hemoglobin level for anemia Signup and view all the answers

Study Notes

Pharmacology Test 4 Study Guide - Module 9: Reproductive and Genitourinary Systems

Dinoprostone is administered vaginally to stimulate labor contractions.
Diabetes is the leading risk factor for erectile dysfunction.
Finasteride (Proscar/Propecia) reduces prostate size and is used for BPH.
Intrauterine devices (IUDs) and implantable rods are contraceptive methods that clients do not have to self-administer.
Oxytocin therapy is contraindicated for clients with cephalopelvic disproportion.
Combination oral contraceptives (like ethinylestradiol/drospirenone) should be used cautiously in clients with diabetes or heart disease.
Client education for finasteride includes wearing protective clothing and using sunscreen.
Nitroglycerin is contraindicated with sildenafil.
Tamsulosin (Flomax) relaxes prostate and bladder muscles to treat urinary obstruction due to prostate enlargement.
Missed oral contraceptive doses should be taken as soon as possible.
Monitor heart rate and respiratory status in clients receiving terbutaline.
Clients taking tamsulosin should change positions slowly.
Clients taking sildenafil should avoid high-fat foods.
Hormone-based contraceptives can increase risk of blood clots, mood swings, or breast tenderness.
Monitor cardiac status, vital signs (VS), intake and output (I&O), and serum magnesium levels in pregnant women receiving magnesium sulfate.
Monitor/assess as necessary when administering cervical ripening agents as part of the nursing care.

Pharmacology Test 4 Study Guide - Module 10: Endocrine System

Lantus insulin is a long-acting insulin administered every 24 hours, reducing fluctuations in blood glucose.
Lispro (Humalog) is a rapid-acting insulin used for high blood sugar correction.
Regular insulin is often part of a sliding scale insulin protocol.
Closely monitor blood glucose levels when taking glipizide.
Thiazolidinediones increase insulin sensitivity to treat type 2 diabetes.
Open insulin vials at room temperature are only good for 30 days.
Pancreatitis and renal failure are adverse drug reactions to exenatide (Byetta).
Sustained release glipizide should be taken 30 minutes before meals.
Monitor height and weight to evaluate the effectiveness of somatropin (Genotropin).
Rotate insulin injection sites to prevent skin irritation and lipohypertrophy.
Avoid high-fat foods when taking sildenafil.
Tremors and palpitations may be adverse reactions to levothyroxine, and clients should report these to their provider.
Regular insulin should be drawn up first, followed by NPH insulin when mixing insulins in a syringe.

Pharmacology Test 4 Study Guide - Module 11: Immune System

Avoid alcohol and report jaundice or yellowing of the eyes when taking methotrexate.
Clients with AIDS require multiple medications.
Vaccines induce active immunity.
Fluid retention/pulmonary edema is an adverse reaction in imatinib therapy, requiring close monitoring.
Enzyme inhibitors (like Retrovir/ZDV) are used to prevent HIV transmission to a fetus.
Abnormal menstrual bleeding is an adverse reaction to tamoxifen.
Specific vaccinations are recommended for those aged 50 and older.
Report weak hands or other adverse reactions to vincristine.
Clients should be monitored for anemia during zidovudine/AZT therapy.
Trastuzumab (Herceptin) may be prescribed for metastatic breast cancer with HER2.
Monitor clients taking cisplatin for possible tinnitus, flank pain, sore throat, or paresthesia.

Pharmacology Test 4 Study Guide - Module 12: Pain and Inflammation

Naloxone reverses opioid overdose.
Aspirin may cause petechiae and gastric ulceration.
Monitor serum blood glucose when clients are taking prednisone.
Acetaminophen overdose is treated with acetylcysteine.
Renal dysfunction and chest pain are adverse reactions for celecoxib.
Nonsteroidal anti-inflammatory drugs (NSAIDs) can increase the risk for Reye syndrome.
Avoiding driving or activities requiring alertness is important for allopurinol therapy.
Clients with seizure disorders should not take tramadol.
Clients taking morphine should increase fiber and fluids and rise slowly when they are sitting or standing.

Pharmacology Test 4 Study Guide - Module 13: Infection

Monitor creatinine levels to assess renal function when taking gentamicin (normal range is 0.5-1.5mg/dL).
Obtain cultures before initiating antibiotic therapy.
Tuberculosis treatment involves multiple drugs over 6-12 months.
Tinnitus is an adverse reaction for gentamicin.
Imipenem should be used cautiously in clients with seizure disorders.
Jaundice (liver toxicity) is an adverse reaction to rifampin.
Increase fluid intake when taking acyclovir.
Monitor BUN when taking acyclovir.
Clients with seizure disorders should not use metronidazole.
Vancomycin is used to treat MRSA, and it can also be used in Penicillin-allergic clients.
Aztreonam should be used cautiously in clients with renal dysfunction because it is excreted in the urine.
Cephalosporins are third-generation broad-spectrum antibiotics used to treat bacterial meningitis.
Cardiac dysrhythmias are an adverse reaction to erythromycin.

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Description

This quiz covers essential pharmacology concepts related to reproductive and genitourinary systems, including medications, contraindications, and patient education. Key topics include the use of dinoprostone, finasteride, oxytocin therapy, and contraceptive methods. Prepare to assess your understanding of these critical components in pharmacology.