Scenario:
A nurse is caring for a 32-year-old female client who was recently diagnosed with endometriosis. The client is in the clinic for a follow-up visit after beginning nafarelin treatment.
Setting: Clinic
Which of the following manifestations reported by the client should the nurse identify as a therapeutic effect of the nafarelin? (Select all that apply.)
CNS manifestations
Pain level during sexual intercourse
Nasal mucosa changes
Breast changes
Missed previous month's menstrual cycle
Dermatological manifestations
Correct Answer : B,E
Choice A rationale: CNS manifestations such as headaches are not a therapeutic effect of nafarelin. These are side effects of the medication. Nafarelin, a gonadotropin-releasing hormone (GnRH) agonist, works by reducing the production of estrogen in the body. This can lead to a variety of side effects, including headaches. While these side effects can be bothersome, they do not indicate that the medication is effectively treating the endometriosis.
Choice B rationale: The reduction in pain level during sexual intercourse, or dyspareunia, is a therapeutic effect of nafarelin. Endometriosis can cause painful sexual intercourse, and one of the goals of treatment with nafarelin is to reduce this pain. The client’s report of decreased dyspareunia suggests that the nafarelin is effectively treating the endometriosis.
Choice C rationale: Changes in the nasal mucosa, such as irritation, are not a therapeutic effect of nafarelin. These are side effects of the medication. Nafarelin is administered intranasally, which can lead to irritation of the nasal mucosa. While this side effect can be bothersome, it does not indicate that the medication is effectively treating the endometriosis.
Choice D rationale: Changes in breast size are not a therapeutic effect of nafarelin. These are side effects of the medication. Nafarelin can cause a variety of side effects, including changes in breast size. While this side effect can be bothersome, it does not indicate that the medication is effectively treating the endometriosis.
Choice E rationale: The absence of menstruation, or amenorrhea, is a therapeutic effect of nafarelin. Nafarelin works by reducing the production of estrogen in the body, which can lead to a temporary halt in menstruation. This is a therapeutic effect as it can help to reduce the pain and other symptoms associated with endometriosis.
Choice F rationale: Dermatological manifestations such as increased acne are not a therapeutic effect of nafarelin. These are side effects of the medication. Nafarelin can cause a variety of side effects, including increased acne. While this side effect can be bothersome, it does not indicate that the medication is effectively treating the endometriosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Nystagmus, which is involuntary eye movement, is not a common adverse effect of a platelet transfusion.
Choice B rationale
Bradycardia, or a slow heart rate, is not typically associated with platelet transfusions.
Choice C rationale
Chills can be an adverse effect of a platelet transfusion. This could be a sign of a reaction to the transfusion, such as an allergic reaction or a febrile non-hemolytic transfusion reaction.
Choice D rationale
Hypothermia is not a common adverse effect of a platelet transfusion.
Correct Answer is B
Explanation
Choice A rationale
Eyelid swelling is not a common side effect of sumatriptan. If a patient experiences this side effect, they should report it to their healthcare provider.
Choice B rationale
If the headache persists after taking sumatriptan, the patient can repeat the dose in 1 hour. This is a standard instruction for the use of sumatriptan in the treatment of migraine headaches.
Choice C rationale
Sumatriptan is not typically taken daily to prevent headaches. It is used to treat migraines once they have started.
Choice D rationale
Sumatriptan tablets should be swallowed whole, not chewed. Chewing the tablet could result in too much of the drug being released at once.
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