A nurse is caring for a client who is taking an oral contraceptive.

The nurse should instruct the client to report which of the following findings to the provider immediately?

Breast tenderness.

Persistent headaches.

Vaginal itching.

Painful intercourse.

Answer and Explanation

The Correct Answer is B

Choice A rationale:
Breast tenderness is a common side effect of oral contraceptives and does not need immediate medical attention.
Choice B rationale:
Persistent headaches can be a sign of a serious side effect such as a stroke or blood clot and should be reported immediately.
Choice C rationale:
Vaginal itching could be a sign of a yeast infection, but it’s not typically associated with oral contraceptives.
Choice D rationale:
Painful intercourse could be due to various reasons, but it’s not a common side effect of oral contraceptives.

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Correct Answer is D

Explanation

Choice A rationale:
Evaluating urinary output is important postoperatively, but it does not address the immediate concern of vaginal bleeding.
Choice B rationale:
Replacing the surgical dressing is necessary if it’s saturated, but it does not address the immediate concern of vaginal bleeding.
Choice C rationale:
Applying an ice pack to the incision site can help reduce swelling and pain, but it does not address the immediate concern of vaginal bleeding.
Choice D rationale:
Administering a 500 mL lactated Ringer’s IV bolus can help increase uterine contractility and decrease bleeding. This is the most appropriate action for the nurse to take in this situation.

A. Yellowed sclera. B. Stooling after each breastfeeding. C. Intermittent crossing of eyes. D. Voids eight to ten times per day.

Correct Answer is A

Explanation

Choice A rationale:
Yellowed sclera in a newborn could indicate jaundice, which should be reported to the provider.
Choice B rationale:
Stooling after each breastfeeding is normal for a newborn.
Choice C rationale:
Intermittent crossing of eyes is common in newborns and usually resolves by 3 months of age.
Choice D rationale:
Voiding eight to ten times per day is normal for a newborn.

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A nurse is caring for a client who is taking an oral contraceptive. The nurse should instruct the client to report which of the following findings to the provider immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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A nurse is caring for a client who is taking an oral contraceptive.

The nurse should instruct the client to report which of the following findings to the provider immediately?