NURSING 201 Saunders Review Test 2.1.ID: 9476801282
The nurse is caring for a woman who is starting medroxyprogesterone injections
for birth control. Wha... [Show More] t statements by the client would indicate a need for
further teaching? Select all that apply.
A. “I may experience some weight gain.” Incorrect
B. “I may not have regular periods while taking this medication.”
C. “I should return in approximately 6 months for my next injection.”
D. “Because it is highly effective, I can use this medication for many
E. “Depression is a side effect, and I should let my doctor know if I
experience any mood changes.” Incorrect
Rationale: Medroxyprogesterone is an injectable progestin given every 3
months to prevent ovulation and pregnancy. It suppresses ovulation for 15
weeks, and therefore, timing of the next injection is very important and should
be no longer than exactly 3 months. Although medroxyprogesterone is highly
effective, it should not be taken for more than 2 years due to the risk of
osteoporosis. Weight gain, irregular periods, and depression are all known side
Test-Taking Strategy: Note the strategic words, “need for further teaching.”
These words indicate a negative event query and the need to select the
incorrect client statements. Specific knowledge about this medication is needed
to answer correctly. Remember that it needs to be given every 3 months and
should not be taken for more than 2 years due to the risk of osteoporosis.
Review: medroxyprogesterone injections
Level of Cognitive Ability:
Health Promotion and Maintenance
Integrated Process: Teaching and Learning
Pharmacology: Reproductive Medications
Priority Concepts: Client Education, Reproduction
Sexuality/Reproduction, Teaching and Learning/Patient Education
Reference: Rosenjack Burchum, Rosenthal (2016), pp. 760-761.Awarded -1.0 points out of 2.0 possible points.
Following thyroid surgery, the nurse notes this response (refer to figure) when
taking the client’s blood pressure. On further assessment, which laboratory
finding would the nurse expect to find?
A. Serum calcium of 8.4 mg/dL (2.1 mmol/L)
C. Sodium level of 138 mEq/L (138 mmol/L)
D. Serum potassium of 5.1 mEq/L (5.1 mmol/L)
F. Thyroid Stimulating Hormone (TSH) of 1.5 mU/L Incorrect
Rationale: Hypocalcemia is characterized by tetany, or sustained muscle
contractions. Chvostek’s sign is facial contractions seen after a light tap of the
facial nerve in front of the ear. Trousseau’s sign is carpal contraction when a
blood pressure cuff is inflated. These two signs are observed in hypocalcemia.
Test-Taking Strategy: Focus on the subject, thyroid surgery and the signs of
hypocalcemia. Use knowledge of signs of muscle contractions and its
association with a low calcium level. Note that hypocalcemia is a known
complication after thyroid surgery and serum calcium levels should be closely
monitored. Review: hypocalcemia.
Level of Cognitive Ability:
Integrated Process: Nursing Process/Analyzing
Fundamentals of Care: Fluids & ElectrolytesPriority Concepts: Cellular Regulation, Fluid and Electrolytes
Cellular Regulation, Fluids and Electrolytes
Reference: Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014).
Medical-surgical nursing: Assessment and management of clinical problems
ed., pp. 298-299). St. Louis: Mosby.
Awarded 0.0 points out of 1.0 possible points [Show Less]