The nurse is teaching a transgender client about the medication ...

[kwoodring]

The nurse is teaching a transgender client about the medication goserelin (Zoladex). What action by the client indicates good understanding?
 
  a. Takes a manual blood pressure
  b. Administers a subcutaneous injection
  c. Prepares an implanted port for IV insertion
  d. States that the axillary area will be clothed

Question 2

A transgender client taking spironolactone (Aldactone) is in the internal medicine clinic reporting heart palpitations. What action by the nurse takes priority?
 
  a. Draw blood to test serum potassium.
  b. Have the client lie down.
  c. Obtain a STAT electrocardiogram (ECG).
  d. Take a set of vital signs.

[reversalruiz]

Answer to Question 1

ANS: B
Goserelin is administered via subcutaneous injection. The other actions are not related to self-management while on this medication.

Answer to Question 2

ANS: C
Spironolactone is a potassium-sparing diuretic, and hyperkalemia can cause cardiac dysrhythmias. The nurse's priority is to obtain an ECG, then to facilitate a serum potassium level being drawn. Having the client lie down and obtaining vital signs are also important care measures, but do not take priority.