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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A.The nurse should tell the client that if she misses one pill, she should take the missed pill as soon as possible and continue with the next pill at the usual time.This will ensure that she maintains a continuous hormonal exposure and does not extend the hormone-free interval beyond 7 days.She does not need to use extra contraception.
Choice B is wrong because taking two pills at once and skipping the next pill will disrupt the hormonal balance and may cause side effects such as nausea or breakthrough bleeding.Choice C is wrong because discarding the missed pill and taking the next pill at the usual time will shorten the duration of hormonal exposure and increase the risk of ovulation.Choice D is wrong because stopping taking the pills for the rest of the cycle and using a backup method of contraception will expose the client to an unnecessary hormone-free interval and may compromise her contraceptive efficacy.
COCs are combined oral contraceptives that contain synthetic estrogen and progestin hormones that prevent ovulation and thicken cervical mucus to inhibit sperm penetration.The normal range of COCs dosage is 20 to 35 micrograms of estrogen and 0.1 to 3 milligrams of progestin per pill.
Correct Answer is A
Explanation
The correct answer is choice A.The procedure involves inserting flexible agents into your fallopian tubes.These agents cause tissue to grow around them and block the tubes, preventing pregnancy.
Choice B is wrong because the procedure does not require general anesthesia or an operating room.It can be done in an outpatient facility with local anesthesia.
Choice C is wrong because the procedure does not make you sterile immediately after it is done.
It takes about 3 months for the tissue to grow and occlude the tubes.You need to use another form of contraception during this time and have a test to confirm the tubal blockage.
Choice D is wrong because the procedure does not affect your hormone levels or menstrual cycle.It only blocks the fallopian tubes, not the ovaries or uterus.
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