A patient receiving oestrogen therapy develops unilateral calf swelling and tenderness. Which action should the nurse take first?
Correct answer: C. Report the finding promptly
- A. Massage the affected calf gently
- B. Encourage vigorous walking
- C. Report the finding promptly
- D. Apply a tight elastic bandage
Explanation
Unilateral calf swelling and tenderness may indicate deep vein thrombosis, a serious thromboembolic complication associated with oestrogen therapy. The nurse should report it promptly and avoid massage, which may dislodge a clot.
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About Endocrine and Diabetes Drugs
Endocrine pharmacology includes insulin preparations, oral antidiabetic drugs, thyroid and antithyroid medicines, corticosteroids, sex hormones and drugs affecting calcium balance. Questions address onset and duration, administration, monitoring, hypoglycaemia, steroid adverse effects and the difference between replacing a deficient hormone and suppressing excessive hormone activity.
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