A nurse is reviewing the laboratory results of a client who is taking medroxyprogesterone injections for contraception.

Which of the following findings should the nurse report to the provider?

Elevated liver enzymes

Decreased hemoglobin

Increased platelets

Decreased potassium

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. Elevated liver enzymes. Medroxyprogesterone injections can cause liver damage and impair its function. Elevated liver enzymes are a sign of liver injury and should be reported to the provider immediately.

Choice B is wrong because decreased hemoglobin is not a common side effect of medroxyprogesterone injections.

Decreased hemoglobin can indicate anemia, which can have many causes unrelated to medroxyprogesterone injections.

Choice C is wrong because increased platelets are not a common side effect of medroxyprogesterone injections.

Increased platelets can indicate inflammation, infection, or cancer, which can have many causes unrelated to medroxyprogesterone injections.

Choice D is wrong because decreased potassium is not a common side effect of medroxyprogesterone injections.

Decreased potassium can indicate dehydration, diarrhea, vomiting, or diuretic use, which can have many causes unrelated to medroxyprogesterone injections.

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Correct Answer is ["B","E"]

Explanation

The correct answer is choice B and E.Bilateral tubal ligation (BTL) is a permanent form of contraception that involves cutting, tying or blocking the fallopian tubes to prevent pregnancy.It can be performed within 24 hours following childbirthand it is immediately effective.

Choice A is wrong because BTL does not provide protection against sexually transmitted infections (STIs).

People who have BTL should still use condoms to prevent STIs.

Choice C is wrong because BTL does not increase the risk for an ectopic pregnancy.

An ectopic pregnancy is when a fertilized egg implants outside the uterus, usually in the fallopian tube.

BTL prevents fertilization by blocking the passage of eggs and sperm.

Choice D is wrong because BTL does not require abdominal surgery with general anesthesia.

BTL can be done using different methods, such as laparoscopy, minilaparotomy, or hysteroscopy.

These methods use small incisions or no incisions at all and can be done with local or regional anesthesia.

A. History of migraine headaches with aura B. History of dysmenorrhea and menorrhagia C. History of acne vulgaris and hirsutism D. History of iron-deficiency anemia and fatigue

Correct Answer is A

Explanation

The correct answer is choice A.History of migraine headaches with aura is a contraindication for using COCs because it increases the risk of stroke.

Some possible explanations for the other choices are:

Choice B is wrong because history of dysmenorrhea and menorrhagia is not a contraindication for using COCs.In fact, COCs may help reduce menstrual pain and bleeding.
Choice C is wrong because history of acne vulgaris and hirsutism is not a contraindication for using COCs.In fact, COCs may help improve acne and hirsutism by reducing androgen levels.
Choice D is wrong because history of iron-deficiency anemia and fatigue is not a contraindication for using COCs.In fact, COCs may help prevent iron-deficiency anemia by reducing menstrual blood loss.

Normal ranges for relevant parameters are:

Blood pressure: <140/90 mmHg
Body mass index: 18.5–24.9 kg/m
Hemoglobin: 12–16 g/dL for women

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A nurse is reviewing the laboratory results of a client who is taking medroxyprogesterone injections for contraception. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who requests information about female sterilization (bilateral tubal ligation). Which of the following statements by the nurse is appropriate? (Select all that apply.).

Correct Answer is ["B","E"]

Explanation

A nurse is reviewing the medical history of a client who is considering using COCs as a method of contraception. The nurse should identify that which of the following conditions is a contraindication for using COCs?

Correct Answer is A

Explanation

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A nurse is reinforcing teaching with a client who is considering a progestin-releasing IUD for contraception. Which of the following benefits should the nurse include in the teaching?

A nurse is caring for a patient who is using an intrauterine device (IUD) for contraception. Which of the following symptoms is a potential adverse effect of the copper IUD?

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A nurse is reviewing the laboratory results of a client who is taking medroxyprogesterone injections for contraception.

Which of the following findings should the nurse report to the provider?