A patient is taking medroxyprogesterone acetate (Provera) for the treatment of endometriosis. What should the nurse teach the patient about this medication?- Skildor

Question 1 of 5

A patient is taking medroxyprogesterone acetate (Provera) for the treatment of endometriosis. What should the nurse teach the patient about this medication?

A. Medroxyprogesterone should be taken with food to prevent nausea. B. Medroxyprogesterone should be taken at the same time each day to maintain consistent hormone levels. C. Medroxyprogesterone can be taken intermittently when symptoms worsen. D. Medroxyprogesterone should be stopped if side effects occur.

Correct Answer: B

Rationale: The correct answer is B. Medroxyprogesterone should be taken at the same time each day to maintain consistent hormone levels and effectiveness. Choice A is incorrect because medroxyprogesterone does not necessarily need to be taken with food. Choice C is incorrect as it is typically prescribed continuously rather than intermittently. Choice D is incorrect because patients should not stop the medication if side effects occur without consulting their healthcare provider.

Question 2 of 5

A patient has been diagnosed with a fungal infection and is to be treated with itraconazole (Sporanox). Prior to administration, the nurse notes that the patient is taking carbamazepine (Tegretol) for a seizure disorder. Based on this medication regime, which of the following will be true regarding the medications?

A. The serum level of carbamazepine will be increased. B. The patient's carbamazepine should be discontinued. C. The patient's antiseizure medication should be changed. D. The patient will require a higher dosage of itraconazole (Sporanox).

Correct Answer: A

Rationale: When itraconazole is administered with carbamazepine, itraconazole may increase the serum levels of carbamazepine, potentially leading to toxicity. Therefore, choice A is correct. Discontinuing carbamazepine (choice B) or changing the antiseizure medication (choice C) is not necessary unless advised by a healthcare provider. Choice D, requiring a higher dosage of itraconazole, is not accurate in this scenario.

Question 3 of 5

A nurse on a postsurgical unit is providing care for a 76-year-old female client who is two days post-hemiarthroplasty (hip replacement) and who states that her pain has been out of control for the last several hours, though she is not exhibiting signs of pain. Which guideline should the nurse use for short-term and long-term treatment of the client's pain?

A. Pain is what the client says it is, even if she is not exhibiting outward signs. B. Pain should be treated only when it is associated with observable symptoms. C. Long-term opioid use is generally safe for elderly clients in a hospital setting. D. The client's pain should be reassessed after every dose of pain medication.

Correct Answer: A

Rationale: Pain is a subjective experience, and the client's report of pain should be taken seriously even if there are no outward signs. Choice B is incorrect because pain can be present without observable symptoms, and waiting for observable signs may delay appropriate pain management. Choice C is incorrect because the safety of long-term opioid use in elderly clients is a complex issue and should be carefully evaluated due to the risk of adverse effects. Choice D is incorrect because while pain reassessment is important, it should not be limited to just after medication administration but should occur regularly to ensure adequate pain control.

Question 4 of 5

A patient presents with a rash from poison ivy. The nurse knows that this is which type of hypersensitivity?

A. Type I B. Type II C. Type III D. Type IV

Correct Answer: D

Rationale: A rash from poison ivy is an example of a type IV hypersensitivity reaction. Type IV hypersensitivity reactions are delayed cell-mediated immune responses involving T cells. This type of reaction is characterized by a delayed onset, typically occurring 48-72 hours after exposure to the antigen. Choice A, Type I hypersensitivity reactions, are immediate hypersensitivity reactions mediated by IgE antibodies. Choices B and C, Type II and Type III hypersensitivity reactions, involve antibody-mediated cytotoxicity and immune complex deposition, respectively, which are not characteristic of poison ivy-induced rashes.

Question 5 of 5

A patient with breast cancer is prescribed tamoxifen (Nolvadex). What important information should the nurse provide during patient education?

A. Tamoxifen may increase the risk of venous thromboembolism, so patients should be educated about the signs and symptoms of blood clots. B. Tamoxifen may cause weight gain, so patients should monitor their diet. C. Tamoxifen may decrease the risk of osteoporosis, so patients should ensure adequate calcium intake. D. Tamoxifen may increase the risk of breast cancer, so regular mammograms are essential.

Correct Answer: A

Rationale: The correct answer is A. Tamoxifen increases the risk of venous thromboembolism, a serious side effect, so patients should be educated about the signs and symptoms of blood clots. This information is crucial as early recognition and prompt treatment of blood clots can prevent complications. Choices B, C, and D are incorrect because tamoxifen is not associated with causing weight gain, decreasing the risk of osteoporosis, or increasing the risk of breast cancer. Providing accurate information is essential for patient safety and understanding.

ATI Pathophysiology Final Exam

Skildor

ATI RN

ATI RN

ATI Pathophysiology Final Exam Questions

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