Author Question: The nurse performs a history on a woman who will begin taking clomiphene citrate (Clomid) to induce ... (Read 59 times)

dakota nelson · **on:** Jul 23, 2018

The nurse performs a history on a woman who will begin taking clomiphene citrate (Clomid) to induce ovulation. Which aspect of this patient's history is of concern?

a. Anovulation
b. Dysmenorrhea
c. Sexually transmitted infection
d. Uterine fibroids

Question 2

A woman who is 6 weeks pregnant develops a vaginal yeast infection and asks the nurse what she can use to treat it. The nurse will make which recommendation?

a. Apply over-the-counter Gyne-Lotrimin cream.
b. Ask her provider about nystatin vaginal tablets.
c. Request a prescription for oral fluconazole (Diflucan).
d. Use over-the-counter Monistat-3 suppositories.

tashiedavis420 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
Patients with a history of uterine fibroids should not take clomiphene. Anovulation is the indication for clomiphene. Dysmenorrhea and sexually transmitted infections are not contraindications.

Answer to Question 2

ANS: B
Nystatin vaginal tablets are the safest to use during pregnancy. Monistat-3 is contraindicated during the first trimester of pregnancy. Oral fluconazole will have systemic side effects and is pregnancy category C or D.