A nurse at a family practice clinic receives a call from a client who is prescribed oral contraceptives but forgot to take one dose. The client reports she is in the first week of a 28-day cycle pack. Which of the following instructions should the nurse provide?

“Stop taking the pills and switch to a different contraceptive method”

"Take a home pregnancy test.

"Do not have vaginal intercourse until after your next period."

"Take the missed dose now, then continue the medication as ordered."

Answer and Explanation

The Correct Answer is D

During the first week or last week of a 28-day cycle pack of oral contraceptives increases the risk of contraceptive failure. However, the client should take the missed dose as soon as they remember, even if it means taking two pills in one day. After taking the missed dose, the client should continue taking the remaining pills in the pack at the usual time, one pill per day. Due to increased risk of failure, client should use an emergency pill or condom for the next 7 days
A -stopping the pills and switching to a different contraceptive method is not necessary after missing one dose
B –missing a pill does not automatically indicate pregnancy. Testing can be considered in presence of typical signs and symptoms of pregnancy
C- abstaining from vaginal intercourse until after the next period is not necessary. Risk of pregnancy can be addressed by use of back up contraception like condoms.

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Correct Answer is C

Explanation

Warfarin is a coumarin anticoagulant that has potential to increase the risk of bleeding. When taken during pregnancy, warfarin causes fetal bleeding. Warfarin is also teratogenic and it causes various birth defects including skeletal abnormalities, hypoplastic nose, intellectual disabilities and deafness hence it's contraindicated. Pregnant women who require anticoagulation are put of heparin in the place of warfarin to prevent these complications.
A. B, D - are not contraindications for warfarin use.

A. On the nonoperative side B. Sims. C. Semi-Fowler's D. Prone

Correct Answer is A

Explanation

After a pneumonectomy, positioning the client on the nonoperative side helps maximize ventilation to the remaining lung and facilitates drainage of secretions. Placing the client on the nonoperative side allows for better perfusion and ventilation of the remaining lung, which can improve oxygenation and respiratory function.

B-sims position is used during insertion of suppository of a rectal exam

C -Semi-Fowler's position is used in clients with heart failure and pulmonary edema to promoted ventilation in the upper lungs

D-Prone position is used during surgical procedures involving the back in the operating room

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A nurse at a family practice clinic receives a call from a client who is prescribed oral contraceptives but forgot to take one dose. The client reports she is in the first week of a 28-day cycle pack. Which of the following instructions should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a group of clients about the contraindications of warfarin therapy. Which of the following statements should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse in a critical care unit is caring for a client who is postoperative following a right pneumonectomy. After extubation from the ventilator, in which of the following positions should the client be placed?

Correct Answer is A

Explanation

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