The physician ordered that the medication Depo-Provera 500 mg be administered to a client be-ing treated for a pedophilia. Which finding is directly related to this medication?
1. Increased testosterone levels
2. Elevated diastolic blood pressure
3. Loss of appetite and weight loss
4. Increased motor activity
ANS: 2
Blood pressure may become elevated with this therapy. For this reason, BP is routinely taken be-fore the drug is administered. If the diastolic BP is over 100, the medication is withheld and the physician notified. 1. The opposite is expected. 3. Clients frequently report weight gain. 4. Activ-ity and energy level usually decrease.
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The nurse is watching a new graduate nurse perform auscultation of a patient's abdomen. Which statement by the new graduate shows a correct understanding of the reason auscultation precedes percussion and palpation of the abdomen?
a. "We need to determine the areas of tenderness before using percussion and palpation." b. "Auscultation prevents distortion of bowel sounds that might occur after percussion and palpation." c. "Auscultation allows the patient more time to relax and therefore be more comfortable with the physical examination." d. "Auscultation prevents distortion of vascular sounds, such as bruits and hums, that might occur after percussion and palpation."
Parents of a newborn infant are concerned that their baby may have sickle cell disease. The nurse reviews the medical record and finds that both parents have the sickle cell trait. Which is the best response for the nurse to give the parents?
A) "Since neither of you actually has sickle cell disease, your baby is not at risk." B) "Your baby has the disease, as you both carry the trait." C) "As you both have the sickle cell trait, your baby will be tested for the disease." D) "Have you talked to a genetic counselor about your concerns?"
A pregnant client confides to the nurse that she is eating laundry starch daily. The nurse should assess the client for:
1. Alopecia. 2. Weight loss. 3. Iron-deficiency anemia. 4. Fecal impaction.
Which theorist developed a theory based on his work with depressed patients?
A) Skinner B) Beck C) Erickson D) Ellis