A nurse is assessing a female client who is taking progestins. What assessment finding requires the nurse to notify the provider immediately?

a. Irregular menses
b. Edema in the lower extremities
c. Ongoing breast tenderness
d. Red, warm, swollen calf


ANS: D
All clients receiving progestin therapy are at risk for thromboembolism. A red, warm, swollen calf is a manifestation of deep vein thrombosis and should be reported to the provider. Irregular menses, edema in the lower extremities, and breast tenderness are common side effects of the therapy.

Nursing

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A nursing leader wishes to maintain an image of power on a multidisciplinary committee. In a meeting, a committee member makes a statement that the nurse believes is in error. How should the nurse respond?

1. "I don't think what you are saying is correct." 2. "Would you clarify what you just said?" 3. "What evidence supports that statement as accurate?" 4. Say nothing and research the topic before the next meeting.

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What immediate actions will you take?

What will be an ideal response?

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Community-based nursing requires a strong knowledge base in which of the following? (Select all that apply.)

a. Family theory b. Communication c. Group dynamics d. Focus on the individual e. Cultural diversity

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