A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for contraception.
Which of the following statements by the client indicates an understanding of the teaching?
"I should increase my calcium intake while taking this medication.”
"I should discontinue this medication if I experience spotting.”
"I will need to return to the clinic in 8 weeks for my next injection.”
"I will get two shots each time I receive this medication.”
"I will get two shots each time I receive this medication.”
The Correct Answer is A
“I should increase my calcium intake while taking this medication.” A client who is receiving medroxyprogesterone IM for contraception should increase their calcium intake while taking this medication .
Medroxyprogesterone can cause loss of bone mineral density which can increase the risk of osteoporosis. Increasing calcium intake can help maintain bone health.

Choice B, “I should discontinue this medication if I experience spotting,” is not an answer because spotting is a common side effect of medroxyprogesterone and does not require discontinuation of the medication.
Choice C, “I will need to return to the clinic in 8 weeks for my next injection,” is not an answer because medroxyprogesterone IM is given every 3 months, not every 8 weeks.
Choice D, “I will get two shots each time I receive this medication,” is not an answer because only one injection is given at a time.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Baked chicken is a food that the nurse should recommend for a client who is at
32 weeks of gestation and has cholelithiasis to include in her diet.
Eating healthy fats, like those found in lean meats such as chicken, can help the gallbladder contract and empty on a regular basis.

Choice B is incorrect because French fries are not a food that the nurse should recommend for a client who is at 32 weeks of gestation and has cholelithiasis to include in her diet.
Unhealthy fats, like those often found in fried foods, should be avoided.
Choice C is incorrect because whole milk is not a food that the nurse should recommend for a client who is at 32 weeks of gestation and has cholelithiasis to include in her diet.
Unhealthy fats, like those often found in whole milk, should be avoided.
Choice D is incorrect because a bacon cheeseburger is not a food that the nurse should recommend for a client who is at 32 weeks of gestation and has cholelithiasis to include in her diet.
Unhealthy fats, like those often found in bacon and cheeseburgers, should be avoided.
Correct Answer is D
Explanation
A nurse caring for a client who is receiving prenatal care and is at her 24-week appointment should plan to conduct a one-hour glucose tolerance test.
This test is done to screen for gestational diabetes that can develop during pregnancy.
Choice A, Group B strep culture, is not an answer because it is a test usually done between 35-37 weeks of pregnancy to check for the presence of Group B streptococcus bacteria.
Choice B, Rubella titer, is not an answer because it is a blood test usually done early in pregnancy to check for immunity to rubella.
Choice C, Blood type and Rh, is not an answer because it is a blood test usually done early in pregnancy to determine the mother’s blood type and Rh factor.
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