A client who is prescribed progestin is experiencing hip joint pain. What does this new finding suggest to the nurse?
Standard Text: Select all that apply.
1. The client could be experiencing bone demineralization.
2. The route of medication administration might need to be changed.
3. The dose needs to be increased.
4. The client needs to be prescribed penicillin.
5. The client needs an antidepressant medication.
Correct Answer: 1,2
Rationale 1: Progestins are associated with an increased risk of loss of bone density. Bone density may need to be monitored.
Rationale 2: The occurrence of bone or musculoskeletal pain is higher in clients taking injectable progestins.
Rationale 3: Increasing the dose may make the joint pain worse.
Rationale 4: Penicillin can alter the effectiveness of progestin.
Rationale 5: Antidepressant medication can alter the effectiveness of progestin.
Global Rationale: Progestins are associated with an increased risk of loss of bone density. Bone density may need to be monitored. The occurrence of bone or musculoskeletal pain is higher in clients taking injectable progestins. Increasing the dose may make the joint pain worse. Penicillin and antidepressant medications can alter the effectiveness of progestin.
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