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: ABecause clomiphene has antiestrogenic actions, it can force the production of scant andviscous cervical mucus, which interferes with conception. Estrogen is given to create afavorable cervical mucous environment that is more hospitable to sperm. FSH andprogesterone do not alter cervical mucus in this way.DIF:Cognitive Level: ApplicationREF:Unfavorable Cervical Mucous | Clomiphene | Adverse EffectsTOP:Nursing Process: EvaluationMSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
2.An infertile patient has received two 5-day courses of clomiphene (Clomid) to help herconceive. An ultrasound 1 week after the last dose reveals that follicular maturation hasoccurred 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: AWhen treatment with clomiphene has failed to produce ovulation after two courses, hCG isused to promote ovulation after follicular maturation has occurred. Cabergoline is used to treathyperprolactinemia when excessive prolactin secretion occurs. Ovarian and pituitary functionshould be evaluated before a patient begins treatment with clomiphene. If ovulation hadoccurred, another cycle of clomiphene would be indicated.DIF:Cognitive Level: ApplicationREF:Drugs Used to Treat Female Infertility | Drugs for Controlled Ovarian Stimulation | Clomiphene| Human Chorionic Gonadotropin | Therapeutic Use | Dopamine Agonists for Hyperprolactinemia |CabergolineTOP:Nursing Process: EvaluationMSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
3.A patient who has endometriosis has been unable to conceive.
She asks the nurse aboutmedications to treat the condition. What will the nurse tell the patient?
a.Combination oral contraceptives are effective for improving fertility.
b.Gonadotropin-releasing hormone agonists are used for long-term treatment.
c.Nonsteroidal anti-inflammatory drugs are second-line agents for treating pain.
d.Pharmacologic agents used to treat endometriosis do not enhance fertility.
ANS: DSurgery reduces symptoms of endometriosis and improves fertility; drugs used to treatendometriosis only reduce discomfort. Combination oral contraceptives only treat symptoms;they do not improve fertility. Gonadotropin-releasing hormone agonists cannot be used long
Introducing our Online Essay Writing Services Agency, where you can confidently place orders for a wide range of academic assignments. Our reputable homework writing company specializes in crafting essays, term papers, research papers, capstone projects, movie reviews, presentations, annotated bibliographies, reaction papers, research proposals, discussions, and various other assignments. Rest assured, our content is guaranteed to be 100% original, as every piece is meticulously written from scratch. Say goodbye to concerns about plagiarism and trust us to deliver authentic and high-quality work.
WRITE MY ESSAY NOWWRITE THIS ESSAY FOR ME
Tell us about your assignment and we will find the best writer for your paper.
Get Help Now!
WRITE THIS ESSAY FOR ME
Tell us about your assignment and we will find the best writer for your paper.
Get Help Now!