A 34-year-old woman has presented to the clinic for the first time, and the nurse learns that she has been taking Depo Provera for the past 13 years. This aspect of the woman's medical history should prompt what assessment?
A) Cardiac stress testing
B) Renal ultrasound
C) Bone density testing
D) Evaluation of triglyceride levels
C
Feedback:
There is a black box warning regarding the use of Depo Provera and Depo-SubQ Provera that relates to its being associated with the loss of stored calcium from bones, which increases the risk of broken bones and osteoporosis, especially after menopause. There is a greater risk of bone loss with long-term use. Consequently, bone density testing may be warranted. There is no particular indication for this patient to undergo stress testing, renal ultrasound, or triglyceride testing.
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