A patient is being treated for infertility. An examination reveals cervical mucus that is scant, thick, and sticky. The nurse suspects that the patient has been taking which medication?
a. Clomiphene (Clomid)
b. Estrogen
c. Follicle-stimulating hormone (FSH)
d. Progesterone
ANS: A
Because clomiphene has antiestrogenic actions, it can force the production of scant and viscous cervical mucus, which interferes with conception. Estrogen is given to create a favorable cervical mucous environment that is more hospitable to sperm. FSH and progesterone do not alter cervical mucus in this way.
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Which statement, if made by parents of a child with cystic fibrosis, indicates that they understood the nurse's teaching on pancreatic enzyme replacement?
a. "Enzymes will improve my child's breathing." b. "I should give the enzymes 1 hour after meals." c. "Enzymes should be given with meals and snacks." d. "The enzymes are stopped if my child begins wheezing."
The nurse can prevent medication errors by following which principles? (Select all that apply.)
a. Assess for allergies after giving medica-tions. b. Use two patient identifiers before giving medications. c. Do not give a medication that another nurse has drawn up in a syringe. d. Minimize the use of verbal and telephone orders. e. Use trade names instead of generic names to avoid confusion.
A female patient sobs uncontrollably when talking about the recent death of a pet. Which response should the nurse implement to best provide for her immediate needs?
a. Sit with the patient quietly and allow her to cry. b. Provide tissues and promise to come back later. c. Ask why the patient is upset over the pet's death. d. Encourage her to describe the day she got her pet.
An IV piggyback containing 120 mg of tobramycin sulfate (Nebcin) in 50 mL of D5W is to be infused over a 30-minute period. The IV administration set is calibrated to deliver 15 gtt/mL. How many drops per minute should be administered?
a. 8 gtt/min c. 40 gtt/min b. 25 gtt/min d. 150 gtt/min