Author Question: A 75-year-old woman is taking medroxyprogesterone (Provera) for treatment of inoperable metastatic ... (Read 62 times)

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

A 75-year-old woman is taking medroxyprogesterone (Provera) for treatment of inoperable metastatic uterine carcinoma. The nurse would immediately collaborate with the prescriber if the patient's family made which statement?

1. Mom seems much more depressed today.
2. Mom's heart rate is faster today.
3. Mom has a runny nose.
4. Mom is more confused today.
5. Mom has diarrhea today.

Question 2

A client has been diagnosed with Parkinson disease. Based on this diagnosis, the nurse knows that there is lack of which neurotransmitter in the brain?

1. Norepinephrine
2. Sodium
3. Dopamine
4. Potassium

ambernicolefink · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

1,4
Rationale 1: Medroxyprogesterone should be used with caution in those with depression.
Rationale 2: Tachycardia is not an effect of medroxyprogesterone .
Rationale 3: Runny nose is not an effect of medroxyprogesterone .
Rationale 4: Women age 65 or older have increased risk for dementia when treated with progestins.
Rationale 5: Diarrhea is not an effect of medroxyprogesterone .

Global Rationale: Medroxyprogesterone should be used with caution in those with depression. Women age 65 or older have increased risk for dementia when treated with progestins. Tachycardia, runny nose, and diarrhea are not effects of medroxyprogesterone .

Answer to Question 2

3

Rationale 1: There is a lack of dopamine in the brain when a client has Parkinson disease.
Rationale 2: There is a lack of dopamine in the brain when a client has Parkinson disease.
Rationale 3:Clients with Parkinson disease have a lack of dopamine in the brain.
Rationale 4: There is a lack of dopamine in the brain when a client has Parkinson disease.

Global Rationale: Clients with Parkinson disease have a lack of dopamine in the brain. This client does not lack norepinephrine, sodium, or potassium.