A patient who has been using "the pill" has returned to the clinic to try an alternative birth control method. The prescriber orders medroxyprogesterone acetate (Depo-Provera) after the patient's pregnancy test shows a negative result

The nurse prepares to administer medroxyprogesterone acetate (Depo-Provera); how should the patient be prepped for administration of this drug?
a. She should be sitting up and should be given a glass of water.
b. A clean, dry area should be exposed for the patch.
c. The patient should assume the Sims position.
d. The injection site should be swabbed with alcohol.


ANS: D
The nurse should swab the site with alcohol and administer the injection via the intramuscular route.
There is no reason to have the patient sit up, drink a glass of water, or assume the Sims position.
Medroxyprogesterone is not administered in patch form.

Nursing

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A 15-year-old adolescent tells the school nurse that he is busy preparing for a forensics competition and would like to be a lawyer one day. According to Piaget's stages of development, the adolescent is in which stage of cognitive development?

A. Concrete operational stage B. Formal operational stage C. Preoperational stage D. Sensorimotor stage

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During a hiring interview, which response by a nursing applicant should indicate that the applicant operates from an ethical egoism framework?

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Order: Irrigate decubitus ulcer (wound irrigation) with 500 mL of a 70% hydrogen peroxide solution q6h. The amount of water to be added to the hydrogen peroxide solution is ______________

a. 150 mL b. 350 mL c. 250 mL d. 714 mL

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A patient on a medical-surgical floor is preparing for discharge. The nurse realizes through her teaching that the patient is not able to read the medication bottles. The nurse appropriately intervenes by:

A) Asking the social worker to investigate nursing home placement B) Asking the social worker to investigate community support agencies C) Informing that patient that surgery will correct the vision problem D) Informing the patient that she will need to go to a rehabilitation facility for vision training

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