A nurse is caring for a client receiving norethindrone for ...

[cmoore54]

A nurse is caring for a client receiving norethindrone for endometriosis. After administering the drug, the nurse would assess the client for which of the following? Select all that apply.
 
  A) Breast tenderness
  B) Edema
  C) Somnolence
  D) Hyperglycemia
  E) Thinning hair

Question 2

A client taking oral contraceptive drugs complains of occasional bloating of the abdomen. Which of the following instructions should the nurse offer the client to help alleviate the condition?
 
  A) Limit fluid intake with meals.
  B) Take the drug along with food.
  C) Decrease the intake of salt.
  D) Elevate the legs when sitting.

[jessofishing]

Answer to Question 1

Ans: A, B
Feedback:
Adverse reactions associated with norethindrone, a progestin, include breast tenderness, edema, insomnia, breakthrough bleeding, weight changes, and acne. Hyperglycemia and thinning hair are not associated with norethindrone.

Answer to Question 2

Ans: A
Feedback:
The nurse should instruct the client to limit fluid intake with meals if she experiences bloating of the abdomen after oral contraceptive use. Light to moderate exercise also may be helpful. Taking the drug with food alleviates nausea and GI irritation, and not the bloating of the abdomen. A decrease in salt intake causes a decrease in the intake of sodium, which may be beneficial when there is an excess fluid volume, and not when there is bloating of the abdomen. Elevating the legs when sitting prevents thromboembolism seen with oral contraceptive use. It does not prevent bloating of the abdomen.

[cmoore54]

Thanks for the timely response, appreciate it

[ttt030911]

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