A client is prescribed ethinyl estradiol and drospirenone (Yasmin) for to treat postmenopausal vasomotor symptoms. The nurse instructs the client to monitor for which of the following that may indicate a serious adverse complication?
Insomnia
Pain redness and swelling in the calf
Sedation
Indigestion
The Correct Answer is B
A. Insomnia is not a serious adverse effect of ethinyl estradiol and drospirenone (Yasmin). Common side effects may include nausea or headaches, but insomnia is not a red flag.
B. This could indicate deep vein thrombosis (DVT), a serious complication associated with hormonal contraceptives like Yasmin. The nurse should educate the patient to report these symptoms immediately.
C. Sedation is not a common or serious adverse effect of Yasmin. Side effects are more commonly related to gastrointestinal or cardiovascular systems.
D. Indigestion is not typically associated with a serious complication of Yasmin. Some mild gastrointestinal discomfort may occur, but it is not a major concern unless it is severe.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
A. Hydrochlorothiazide is a thiazide diuretic that works in the distal convoluted tubule of the kidney. It inhibits the reabsorption of sodium and chloride, leading to increased excretion of water, sodium, and chloride.
B. Hydrochlorothiazide is often the first-line treatment for hypertension because it helps reduce blood pressure through diuresis (increased urine output), which reduces fluid volume in the body.
C. Urinary retention is not a known complication of hydrochlorothiazide. Instead, it may cause frequent urination due to its diuretic effect.
D. Hydrochlorothiazide does not interact with opioids in a way that would cause opioid toxicity. It primarily affects sodium and water balance in the body.
Correct Answer is C
Explanation
A. Digoxin: This medication is used for heart failure and atrial fibrillation, not for constipation.
B. Sildenafil: This medication is used to treat erectile dysfunction, not constipation.
C. Lactulose: Lactulose is an osmotic laxative commonly used to treat constipation. It works by drawing water into the stool to make bowel movements easier.
D. Spironolactone: Spironolactone is a potassium-sparing diuretic used to treat heart failure and fluid retention, not constipation.
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