The nurse is caring for a patient at the clinic who is taking ...

[theo]

The nurse is caring for a patient at the clinic who is taking Repronex. Which clinical manifestations related to adverse effects of Repronex would require immediate intervention?
 
  a. The patient complains of leg pain.
  b. The patient has a positive fluid wave test.
  c. The patient complains of dyspepsia.
  d. The patient complains of breast tenderness.

Question 2

A couple is beginning treatment with menotropin therapy. What education should the nurse offer to enhance the therapeutic effects of the medication? Advise the patients to have intercourse
 
  a. before hCG injection and on the following 2 to 3 days.
  b. the morning of the hCG injection and later that evening.
  c. the evening of the injection and on the following day.
  d. the evening of the injection and on the following morning.

[31809pancho]

Answer to Question 1

ANS: B
The greatest concern for a patient taking a menotropin is ovarian hyperstimulation syndrome. The syndrome is characterized by sudden enlargement of the ovaries, which may be accompanied by ascites (fluid wave test), pleural effusion, and considerable pain.
Leg pain, dyspepsia, and breast tenderness are not likely to occur when taking Repronex.

Answer to Question 2

ANS: A
The nurse should advise the patients to have intercourse the evening before the injection and on the following 2 to 3 days (during the probable period of ovulation).
Having intercourse the morning of the hCG injection and later that evening will not enhance the effects of menotropin.
Avoiding intercourse the evening of the injection and on the following day will not enhance the effects of menotropin.
Having intercourse the evening of the injection and on the following morning will not enhance the effects of menotropin.

[theo]

Excellent

[okolip]

TYSM