Author Question: A client who is prescribed progestin is experiencing hip joint pain. What does this new finding ... (Read 26 times)

silviawilliams41 · **on:** Jul 23, 2018

A client who is prescribed progestin is experiencing hip joint pain. What does this new finding suggest to the nurse?

Standard Text: Select all that apply.
1. The client could be experiencing bone demineralization.
2. The route of medication administration might need to be changed.
3. The dose needs to be increased.
4. The client needs to be prescribed penicillin.
5. The client needs an antidepressant medication.

Question 2

During a health history, a client who is taking Premarin tells the nurse about using a variety of herbal supplements. For which supplements should the nurse assess the client?

Standard Text: Select all that apply.
1. St. John's wort
2. Red clover
3. Black cohosh
4. Ginseng
5. Garlic

matt · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2
Rationale 1: Progestins are associated with an increased risk of loss of bone density. Bone density may need to be monitored.
Rationale 2: The occurrence of bone or musculoskeletal pain is higher in clients taking injectable progestins.
Rationale 3: Increasing the dose may make the joint pain worse.
Rationale 4: Penicillin can alter the effectiveness of progestin.
Rationale 5: Antidepressant medication can alter the effectiveness of progestin.
Global Rationale: Progestins are associated with an increased risk of loss of bone density. Bone density may need to be monitored. The occurrence of bone or musculoskeletal pain is higher in clients taking injectable progestins. Increasing the dose may make the joint pain worse. Penicillin and antidepressant medications can alter the effectiveness of progestin.

Answer to Question 2

Correct Answer: 1,2,3,4
Rationale 1: St. John's wort may interfere with estrogen therapy.
Rationale 2: Red clover may interfere with estrogen therapy.
Rationale 3: Black cohosh may interfere with estrogen therapy.
Rationale 4: Ginseng may enhance the effects of estrogen.
Rationale 5: Garlic has no effect on estrogen.
Global Rationale: St. John's wort, red clover, black cohosh, and ginseng may all interfere with or enhance the effects of estrogen. Garlic has no such effect.