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 pa-tient's pregnancy test shows a negative result

The nurse prepares to administer medroxyproge-sterone 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.


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 patient with a spinal cord injury has experienced several hypotensive episodes. How can the nurse best address the patient's risk for orthostatic hypotension?

A) Administer an IV bolus of normal saline prior to repositioning. B) Maintain bed rest until normal BP regulation returns. C) Monitor the patient's BP before and during position changes. D) Allow the patient to initiate repositioning.

Nursing

A nurse discovers a patient lying on the floor. When completing an incident report, the nurse should write:

1. "Patient fell out of bed onto the floor." 2. "Heard patient fall from the bed to the floor." 3. "Patient accidentally fell out of bed onto the floor." 4. "Found patient lying facedown on the floor beside the bed."

Nursing

The nurse checks the coagulation studies on a client who is not receiving any type of anticoagulant therapy. Which of the following findings should be reported to the physician?

A) INR is 2.5. B) APPT is 25 seconds. C) Platelet count is 250,000 mm3. D) Prothrombin time is 20 seconds.

Nursing

When thrombophlebitis is suspected in a client receiving antimicrobial agents, the nurse should:

a. check for venous backflow. c. restart the infusion in a different site. b. discontinue the infusion. d. apply warm, moist packs to the skin.

Nursing