Author Question: The nurse is reviewing the indications for the use of clomiphene (Clomid) with couples seeking ... (Read 32 times)

RRMR · **on:** Jul 23, 2018

The nurse is reviewing the indications for the use of clomiphene (Clomid) with couples seeking infertility treatment. Which statement concerning clomiphene (Clomid) does not accurately represent this medication?

1. Women who take clomiphene often experience a small weight gain.
2. Clomiphene may be given to males to increase the motility of the sperm.
3. A woman who takes clomiphene has a small chance (5 or less) of having a pregnancy with multiple gestations.
4. Clomiphene is used to induce ovulation in a woman who does not ovulate on a regular basis.

Question 2

A client reports taking Premarin for many years. The nurse asks follow-up questions to determine the reasons the client is taking this medication, which may include:

Standard Text: Select all that apply.
1. contraception.
2. treatment of menopausal symptoms.
3. treatment of breast cancer.
4. treatment of vaginal bleeding.
5. treatment of cardiovascular disease.

shayla · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: The most common adverse effects of clomiphene are weight gain, symptoms of PMS, hot flashes, allergic dermatitis, and urticaria.
Rationale 2: Clomiphene may be given to males to treat low sperm count; it does not increase the motility of sperm.
Rationale 3: Twin pregnancy occurs in about 35 of women who take clomiphene for treatment of infertility.
Rationale 4: The action of clomiphene is to induce ovulation in anovulatory women.
Global Rationale: Clomiphene may be given to males to treat low sperm count; it does not increase the motility of sperm. The most common adverse effects of clomiphene are weight gain, symptoms of PMS, hot flashes, allergic dermatitis, and urticaria. Twin pregnancy occurs in about 35 of women who take clomiphene for treatment of infertility. The action of clomiphene is to induce ovulation in anovulatory women.

Answer to Question 2

Correct Answer:,2,3
Rationale 1: Premarin is not indicated for contraception.
Rationale 2: Premarin can be used to treat menopausal symptoms.
Rationale 3: Premarin can be used to treat breast cancer.
Rationale 4: Premarin is not used in the treatment of vaginal bleeding.
Rationale 5: Premarin is not used to treat cardiovascular disease.
Global Rationale: Premarin's primary use is to alleviate menopausal symptoms. It can also be used to treat some forms of breast cancer. It is not used for contraception, vaginal bleeding, or cardiovascular disease.