A client with dysfunctional uterine bleeding is prescribed progestin. How should the nurse instruct the client to take progestin?
1. Starting the day of the onset of menses and continuing for 28 days
2. Every other day for 3 months
3. Starting 5 days after the onset of menses and continuing for the next 20 days
4. Starting the last day of the menstrual period and continuing for 14 days
Correct Answer: 3
Rationale 1: Starting the day of the onset of menses and continuing for 28 days is incorrect. It should be taken starting 5 days after the onset of menses and continuing for the next 20 days.
Rationale 2: Every other day for 3 months is incorrect. It should be taken starting 5 days after the onset of menses and continuing for the next 20 days.
Rationale 3: Administration of a progestin in a pattern starting 5 days after the onset of menses and continuing for the next 20 days can sometimes help to establish a normal, monthly cyclic pattern.
Rationale 4: Starting the last day of the menstrual period and continuing for 14 days is incorrect. It should be taken starting 5 days after the onset of menses and continuing for the next 20 days.
Global Rationale: Administration of a progestin in a pattern starting 5 days after the onset of menses and continuing for the next 20 days can sometimes help to establish a normal, monthly cyclic pattern. Starting the day of the onset of menses and continuing for 28 days is incorrect. It should be taken starting 5 days after the onset of menses and continuing for the next 20 days. Every other day for 3 months is incorrect. It should be taken starting 5 days after the onset of menses and continuing for the next 20 days. Starting the last day of the menstrual period and continuing for 14 days is incorrect. It should be taken starting 5 days after the onset of menses and continuing for the next 20 days.
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