An infertile patient has received two 5-day courses of clomiphene (Clomid) to help her conceive. An ultrasound 1 week after the last dose reveals that follicular maturation has occurred without ovulation
The nurse expects the next step for this patient to be:
a. administration of human chorionic gonadotropin (hCG).
b. an order for cabergoline to be given twice weekly.
c. evaluation of ovarian and pituitary function.
d. repeating clomiphene once daily for 5 days.
ANS: A
When treatment with clomiphene has failed to produce ovulation after two courses, hCG is used to promote ovulation after follicular maturation has occurred. Cabergoline is used to treat hyperprolactinemia when excessive prolactin secretion occurs. Ovarian and pituitary function should be evaluated before a patient begins treatment with clomiphene. If ovulation had occurred, another cycle of clomiphene would be indicated.
You might also like to view...
A systematic process of organization-wide participation and partnership in planning and implementing improvement methods to understand and meet customer needs is called:
a. QI c. QM b. QA d. TM
A client reports interest in holistic health. He voices plans to consume foods that will promote the health of the eyes. Which of the following dietary selections demonstrates the best understanding of foods that promote eye health?
A) Sweet potatoes, spinach, and broccoli B) Whole-wheat bread, eggs, and milk C) Cabbage, eggs, and orange juice D) Lean meats, whole-wheat breads, and blueberries
The nurse is preparing a client for assessment of the urinary system. The nurse would include which of the following assessment techniques in this examination? Standard Text: Select all that apply
1. Inspection 2. Palpation 3. Percussion 4. Auscultation 5. Client interview
The client has a mitral valve prolapse. Which of the following heart sounds should the nurse expect to auscultate with this client?
A. Rumbling apical diastolic murmur B. Midsystolic click and late systolic murmur C. An S3 coupled with a high-pitched systolic murmur D. Continuing, loud diastolic murmur radiating to the left axilla