Nokea
The nurse is providing teaching for a patient who is to receive progestin therapy. Which statement is correct to include in the teaching session?
- A. If you miss a dose, double-up on the next dose.
- B. There's no need to be concerned about breast lumps or bumps that occur.
- C. Be sure to report any weight gain of 5 pounds or more per week.
- D. Take the medication on an empty stomach to enhance absorption.
Correct Answer: C
Rationale: Significant weight gain (5 pounds or more per week) during progestin therapy may indicate fluid retention or other adverse effects, requiring medical evaluation. Doubling doses, ignoring breast lumps, or taking on an empty stomach are incorrect.
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A patient is receiving oxytocin to induce labor. During administration of this medication, the nurse will also implement which action?
- A. Giving magnesium sulfate along with the oxytocin
- B. Administering the medication in an intravenous (IV) bolus
- C. Administering the medication with an IV infusion pump
- D. Monitoring fetal heart rate and maternal vital signs every 2 hours
Correct Answer: C
Rationale: Oxytocin is administered via an IV infusion pump to ensure controlled delivery and prevent overdose. Magnesium sulfate is not co-administered, bolus administration is unsafe, and monitoring should be continuous, not every 2 hours.
The nurse is providing patient teaching about the oral bisphosphonate alendronate (Fosamax). Which statement by the patient indicates a good understanding of when this drug should be taken?
- A. I will take it in the evening just before bedtime.
- B. I will take it in the morning with an 8-ounce glass of water.
- C. I will take it with the first bite of the morning meal.
- D. I will take it between meals on an empty stomach.
Correct Answer: B
Rationale: Alendronate must be taken in the morning with 6â??8 ounces of water, followed by staying upright for 30 minutes, to prevent esophageal irritation. Taking it with food or at other times is incorrect.
A patient is to receive medroxyprogesterone (Depo-Provera) 700 mg weekly, intramuscularly, as part of palliative therapy for endometrial cancer. The medication is available in vials of 400 mg/mL. Identify how many milliliters will the nurse draw up and administer with each injection. (record answer using one decimal place)
Correct Answer: 1.8 mL
Rationale: To calculate: 400 mg/1 mL = 700 mg/x mL. Cross-multiply: (400 * x) = (1 * 700); 400x = 700; x = 700/400 = 1.75 mL, rounded to 1.8 mL.
When considering the various types of contraceptive drugs, the nurse is aware that which type most closely duplicates the normal hormonal levels of the female menstrual cycle?
- A. Monophasic
- B. Biphasic
- C. Triphasic
- D. Short acting
Correct Answer: C
Rationale: Triphasic contraceptives mimic the natural hormonal fluctuations of the menstrual cycle by varying estrogen and progestin doses in three phases, unlike monophasic or biphasic forms.
The nurse is preparing to administer the contraceptive form of medroxyprogesterone. What route is appropriate?
- A. Subcutaneous
- B. Intramuscular
- C. Vaginal
- D. Transdermal
Correct Answer: B
Rationale: Medroxyprogesterone (Depo-Provera) as a contraceptive is administered intramuscularly for sustained release. Other routes are not appropriate for this formulation.