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

Explanation

The correct answer is choice B. The client should start taking oral contraceptives (OCs) on day one of their menstrual cycle, which is the first day of their period.This way, they will be protected from pregnancy right away and do not need to use a back-up contraceptive method.

Choice A is wrong because starting OCs on Sunday after the period begins may leave a gap of several days when the client is not protected from pregnancy.They would need to use a back-up method for the first seven days of taking OCs.

Choice C is wrong because starting OCs on day five of the menstrual cycle may also leave a gap of unprotected days.The client would need to use a back-up method for the first seven days of taking OCs.

Choice D is wrong because starting OCs on day fourteen of the menstrual cycle is too late and may not prevent ovulation.The client would need to use a back-up method for the first seven days of taking OCs.

A. "I know I should use condoms to protect against STIs.". B. "I understand that I may experience irregular and unpredictable menstruation.". C. "I know that the implant can be inserted immediately after childbirth.". D. "I won't have to worry about pregnancy for three years with this method.".

Correct Answer is C

Explanation

The correct answer is choice C. The patient needs further teaching if they think that the implant can be inserted immediately after childbirth.According to Mayo Clinic, the implant should not be inserted until at least 21 days after giving birth, or until the milk supply is well established if breastfeeding.

Inserting the implant too soon may increase the risk of blood clots or decrease milk production.

Choice A is correct because condoms are still needed to protect against STIs, even if using the implant as a birth control method.Choice B is correct because irregular and unpredictable menstruation is a common side effect of the implant.Choice D is correct because the implant can prevent pregnancy for up to three years.

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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 providing teaching to a client who has a new prescription for oral contraceptives (OCs). Which of the following statements by the client indicates an understanding of how to initiate OCs?

Correct Answer is B

Explanation

A nurse is providing education to a patient about implantable progestin. Which of the following statements made by the patient indicates a need for further teaching?

Correct Answer is C

Explanation

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 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?

A nurse is providing education to a patient about the use of intrauterine devices (IUDs). Which of the following statements made by the patient indicates a need for further teaching?

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?