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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C.“I can start the injections right after I give birth if I am not breastfeeding.” This statement indicates a need for further teaching because medroxyprogesterone injections should not be started until at leastsix weeksafter giving birth if the woman is not breastfeeding.Starting the injections earlier may increase the risk ofbleeding,blood clotsanddecreased milk production.
Choice A is correct because medroxyprogesterone injections are given every12 to 13 weeksfor contraception.
Choice B is correct because medroxyprogesterone injections may causebone lossover time, and calcium supplements may help prevent this.
Choice D is correct because medroxyprogesterone injections often reduce or stop menstrual bleeding by suppressing ovulation and thinning the lining of the uterus.
Correct Answer is A
Explanation
The correct answer is choice A.COCs prevent pregnancy byinhibiting the production of follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which are responsible for ovulation.
By suppressing ovulation, COCs prevent the release of a mature egg that can be fertilized by sperm.
Choice B is wrong because COCs do not increase the production of prostaglandins that cause uterine contractions.
Prostaglandins are involved in inflammation and pain, and are not directly related to contraception.
Choice C is wrong because COCs do not decrease the permeability of the fallopian tubes to sperm and egg.
The fallopian tubes are the site of fertilization, and COCs do not affect their function.
Choice D is partially correct but not the best answer.COCs do suppress ovulation, but they also have other mechanisms of action, such asthickening cervical mucusandaltering the uterine lining.
These effects make it harder for sperm to reach the egg and for a fertilized egg to implant in the uterus.
Therefore, choice D does not capture the full mechanism of action of COCs.
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