Author Question: A woman with hypertension is experiencing infertility. After reviewing her medication list, which ... (Read 51 times)

chads108 · **on:** Jun 28, 2018

A woman with hypertension is experiencing infertility. After reviewing her medication list, which medication does the nurse advise the woman to discuss with her primary care provider?

A.
Atenolol (Tenormin)
B.
Enalapril (Vasotec)
C.
Isosorbide dinitrate (Isordil)
D.
Methyldopa (Aldomet)

Question 2

The nurse has educated a woman about bromocriptine mesylate (Parlodel). Which statement by the patient indicates that she needs more teaching about this drug?

A.
I may get a metallic taste in my mouth when using this drug.
B.
My endometriosis will regress with this medication.
C.
Some side effects include vomiting, headache, and dizziness.
D.
This medication normalizes follicle-stimulating hormone.

olderstudent · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
Methyldopa can cause amenorrhea and possibly interfere with fertility. Beta blockers (atenolol) can cause decreased libido, but that would not physically interfere with fertility. Isordil and enalapril do not affect fertility.

Answer to Question 2

ANS: B
Parlodel improves the release of follicle-stimulating hormone and luteinizing hormone, both of which help restore ovulation. Increased progesterone released by the corpus luteum supports early pregnancy. Side effects include vomiting, headache, dizziness, and a metallic taste in the mouth, among others. GnRh antagonists such as cetrorelix acetate (Cetrotide) reduce the extent of endometriosis.