A nurse is collecting data from a client who has been taking medroxyprogesterone for 6 months. Which of the following statements by the client should the nurse identify as the priority to report?

I have occasional vaginal spotting."

I have developed brown patches on my face."

I have breast tenderness."

I have intermittent calf pain."

Answer and Explanation

The Correct Answer is D

A) I have occasional vaginal spotting: Vaginal spotting can occur as a side effect of medroxyprogesterone, especially in the first few months of use. While this should be monitored, it is not an immediate concern that requires urgent reporting unless the spotting becomes heavy or persistent, which could indicate other issues.

B) I have developed brown patches on my face: The development of brown patches on the face (known as melasma) is a known side effect of hormonal contraceptives, including medroxyprogesterone. Although this is an undesirable cosmetic effect, it is not an urgent medical concern that requires immediate attention.

C) I have breast tenderness: Breast tenderness is a common side effect of medroxyprogesterone and other hormonal medications. It is usually mild and resolves over time. While the client should continue to monitor the tenderness, it does not present an immediate risk or require urgent intervention.

D) I have intermittent calf pain: Intermittent calf pain could be a sign of a more serious complication, such as a deep vein thrombosis (DVT), especially since medroxyprogesterone can increase the risk of blood clots. This symptom should be reported immediately to the healthcare provider, as a DVT could potentially lead to a pulmonary embolism if left untreated, which is a life-threatening condition. Therefore, this is the priority finding to report.

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Correct Answer is A

Explanation

A) Bran muffin:
Bran is high in fiber, which is beneficial for managing constipation. Fiber helps to promote bowel movements by adding bulk to stool and improving gut motility. A bran muffin is an excellent choice for a client with constipation because it is rich in insoluble fiber, which is particularly effective in relieving constipation.

B) Tomato juice:
While tomato juice can provide some vitamins and nutrients, it is low in fiber, which is essential for managing constipation. For constipation relief, it is better to choose foods high in fiber, such as whole grains, fruits, and vegetables.

C) Puffed rice cereal:
Puffed rice cereal is low in fiber, making it an unsuitable choice for someone with constipation. Although it may provide some calories, it does not offer the beneficial fiber that can help relieve constipation.

D) Cottage cheese:
Cottage cheese is low in fiber and high in protein, but it does not contribute to bowel regularity. For constipation management, it is crucial to choose foods that are high in fiber, like fruits, vegetables, and whole grains, rather than low-fiber foods like cottage cheese.

A. Orange juice B. Baked chicken breast C. Sweet potato D. Cantaloupe

Correct Answer is B

Explanation

A) Orange juice:
Orange juice is high in potassium, with one cup containing a significant amount of the nutrient. For clients who need to limit their potassium intake due to an electrolyte imbalance (such as in kidney disease or hyperkalemia), orange juice should be avoided or consumed in limited amounts.

B) Baked chicken breast:
Baked chicken breast is the lowest in potassium among the options provided. While chicken does contain some potassium, it is relatively low compared to fruits and vegetables. This makes it a better choice for clients needing to limit their potassium intake. Lean meats like chicken are often recommended for clients on a restricted potassium diet.

C) Sweet potato:
Sweet potatoes are very high in potassium, especially when compared to many other vegetables. A serving of sweet potato can contain a large amount of potassium, making it unsuitable for clients who need to manage their potassium levels.

D) Cantaloupe:
Cantaloupe is also high in potassium. A single serving can provide a substantial amount of potassium, which can be problematic for clients with electrolyte imbalances who need to limit their potassium intake.

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A nurse is collecting data from a client who has been taking medroxyprogesterone for 6 months. Which of the following statements by the client should the nurse identify as the priority to report?

Nursing Test Bank

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