Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
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?
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.
B. Decreased hemoglobin
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.
C. Increased platelets
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.
D. Decreased potassium
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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Full Explanation
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.
Similar Questions
A nurse is providing discharge instructions to a client who has just received her first medroxyprogesterone injection for contraception.
Which of the following information should the nurse include in the teaching?
A. "You may experience weight gain as a side effect of the injection.".
"You may experience weight gain as a side effect of the injection."
B. "You should use a barrier method of contraception for the first week after the injection.".
You do not need to use a barrier method of contraception for the first week after the injection.Medroxyprogesterone injection provides contraception for three months and works mainly by stopping the release of an egg from the ovary (ovulation).
C. "You should massage the injection site to promote absorption of the medication.".
You should not massage the injection site to promote absorption of the medication. Massaging the injection site may cause irritation or pain.You should also avoid rubbing or scratching the injection site for a few days after receiving the injection.
D. "You may resume fertility as soon as you stop the injections.".
You may not resume fertility as soon as you stop the injections. There may be a delay in your return to normal fertility after you finish using medroxyprogesterone injection.It might take 10 months or more before you begin ovulating again.
Full Explanation
The correct answer is choice A. "You may experience weight gain as a side effect of the injection."
Choice B is wrong because you do not need to use a barrier method of contraception for the first week after the injection. Medroxyprogesterone injection provides contraception for three months and works mainly by stopping the release of an egg from the ovary (ovulation).
Choice C is wrong because you should not massage the injection site to promote absorption of the medication.
Massaging the injection site may cause irritation or pain. You should also avoid rubbing or scratching the injection site for a few days after receiving the injection.
Choice D is wrong because you may not resume fertility as soon as you stop the injections.
There may be a delay in your return to normal fertility after you finish using medroxyprogesterone injection. It might take 10 months or more before you begin ovulating again.
A nurse is counseling a client who is breastfeeding and wants to use medroxyprogesterone injections for contraception.
Which of the following statements should the nurse make?
A. "You can start the injections immediately after delivery.".
Starting the injections immediately after delivery could interfere with the exclusivity or duration of lactation, and could affect the newborn infant adversely because of slower metabolism of the drug than older infants.
B. "You should wait until your baby is 6 months old before starting the injections.".
Waiting until the baby is 6 months old is unnecessary and could expose the mother to a higher risk of unintended pregnancy.
C. "You may notice a decrease in your milk supply while using the injections.".
Medroxyprogesterone has not been known to cause any decrease in milk supply while using the injections
D. "You should wait until your baby is 6 weeks old before starting the injections.".
Medroxyprogesterone may pass into breast milk and cause side effects in a child who is breastfed.The product labeling states that it should be started no sooner than 6 weeks postpartum, based on data submitted for product approval. The World Health Organization also recommends that injectable depot medroxyprogesterone acetate should not be used before 6 weeks postpartum.
Full Explanation
The correct answer is choice D. “You should wait until your baby is 6 weeks old before starting the injections.” This is because medroxyprogesterone may pass into breast milk and cause side effects in a child who is breastfed. The product labeling states that it should be started no sooner than 6 weeks postpartum, based on data submitted for product approval.
The World Health Organization also recommends that injectable depot medroxyprogesterone acetate should not be used before 6 weeks postpartum.
Choice A is wrong because starting the injections immediately after delivery could interfere with the exclusivity or duration of lactation, and could affect the newborn infant adversely because of slower metabolism of the drug than older infants .
Choice B is wrong because waiting until the baby is 6 months old is unnecessary and could expose the mother to a higher risk of unintended pregnancy.
Choice C is wrong because medroxyprogesterone has not been known to cause any decrease in milk supply while using the injections
Here are some possible ATI nursing school MCQ questions with a long stem of at least 15 words, from the text you provided:.
A nurse is caring for a client who has a copper IUD for contraception.
The nurse should instruct the client to report which of the following signs of a possible complication?
A. Increased menstrual pain and bleeding
Increased menstrual pain and bleeding are common side effects of copper IUDs, especially in the first 3-6 months after insertion. They are not necessarily signs of a complication.
B. Irregular spotting or bleeding
Irregular spotting or bleeding are also common side effects of copper IUDs. They are not necessarily signs of a complication.
C. Foul-smelling vaginal discharge
Foul-smelling vaginal discharge is a sign of a possible infection, which can be a complication of using a copper IUD. The nurse should instruct the client to report this symptom and seek medical attention.
D. Change in string length
A change in string length is not a sign of a complication. The string length may vary depending on the position of the cervix and uterus.The client should check the string length regularly and report any missing or protruding strings, which could indicate displacement of the IUD.
Full Explanation
The correct answer is choice C. Foul-smelling vaginal discharge is a sign of a possible infection, which can be a complication of using a copper IUD.
The nurse should instruct the client to report this symptom and seek medical attention.
Choice A is wrong because increased menstrual pain and bleeding are common side effects of copper IUDs, especially in the first 3-6 months after insertion.
They are not necessarily signs of a complication.
Choice B is wrong because irregular spotting or bleeding are also common side effects of copper IUDs.
They are not necessarily signs of a complication.
Choice D is wrong because a change in string length is not a sign of a complication.
The string length may vary depending on the position of the cervix and uterus. The client should check the string length regularly and report any missing or protruding strings, which could indicate displacement of the IUD.