NURSING 201 Saunders Review Test 2_NURS 201 Saunders Review Test 2 Adult Health Assessment.

⦁ 1.ID: 2 ⦁ The nurse is caring for a woman who is starting medroxyprogesterone injections for birth control. What statements by the client would indicate a need for further teaching? Select all that apply. ⦁ “I may experience some weight gain.” Incorrect ⦁ “I may not have regular periods while taking this medication.” ⦁ “I should return in approximately 6 months for my next injection.” Correct ⦁ “Because it is highly effective, I can use this medication for many years.” Correct ⦁ “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 effects. ⦁ 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: ⦁ Evaluating ⦁ Client Need: ⦁ Health Promotion and Maintenance ⦁ Integrated Process: Teaching and Learning ⦁ Content Area: ⦁ Pharmacology: Reproductive Medications ⦁ Priority Concepts: Client Education, Reproduction ⦁ HESI Concepts: ⦁ 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. ⦁ 2.ID: 8 ⦁ 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?