The nurse should question the use of medroxyprogesterone acetate (Provera) in a client who:
1. was hospitalized for depression 3 months ago.
2. has just been diagnosed with anemia.
3. was treated for acute bronchitis 2 weeks ago.
4. had a cyst removed from her kidney 6 months ago.
Correct Answer: 1
Rationale 1: Medroxyprogesterone should be used with caution in clients who have a history of depression; it should be discontinued at the first sign of depression.
Rationale 2: Anemia is not a contraindication to the use of medroxyprogesterone.
Rationale 3: Medroxyprogesterone is not contraindicated in clients with recent infections.
Rationale 4: Medroxyprogesterone is not contraindicated in a client who has had kidney surgery.
Global Rationale: Medroxyprogesterone should be used with caution in clients who have a history of depression; it should be discontinued at the first sign of depression. Anemia, recent infections, and kidney surgery are not contraindications to the use of medroxyprogesterone.
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