A 34-year-old woman has presented to the clinic for the first ...

[panfilo]

A 34-year-old woman has presented to the clinic for the first time, and the nurse learns that she has been taking Depo Provera for the past 13 years. This aspect of the woman's medical history should prompt what assessment?
 
  A) Cardiac stress testing
  B) Renal ultrasound
  C) Bone density testing
  D) Evaluation of triglyceride levels

Question 2

A nurse is teaching a patient how to take Imitrex in the home setting in order to maximize therapeutic benefit while reducing the risk of adverse effects. The nurse should teach the patient to take Imitrex
 
  A) before breakfast each day.
  B) on days when migraines may be anticipated.
  C) as soon as the earliest symptoms of migraine are sensed.
  D) when the pain of a migraine becomes too much to bear.

[bob]

Answer to Question 1

C
Feedback:
There is a black box warning regarding the use of Depo Provera and Depo-SubQ Provera that relates to its being associated with the loss of stored calcium from bones, which increases the risk of broken bones and osteoporosis, especially after menopause. There is a greater risk of bone loss with long-term use. Consequently, bone density testing may be warranted. There is no particular indication for this patient to undergo stress testing, renal ultrasound, or triglyceride testing.

Answer to Question 2

C
Feedback:
It is important to administer sumatriptan at the onset of migraine symptoms. The drug is not taken on a daily, scheduled basis and is not used as a preventative treatment.

[panfilo]

Excellent

[Alyson.hiatt@yahoo.com]

Gracias!