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:
Desiring privacy with the newborn is not specific to the taking-in phase.
Choice B rationale:
Taking charge of all mothering tasks is more indicative of the taking-hold phase.
Choice C rationale:
Putting personal needs aside is not specific to the taking-in phase.
Choice D rationale:
Reviewing the birth experience with others is characteristic of the taking-in phase.

A. Use fingers to exert upward pressure on the presenting part. B. Administer a tocolytic medication. C. Apply oxygen via facemask to the client. D. Wrap the cord in a sterile towel and moisten with warm sterile normal saline.

Correct Answer is A

Explanation

Choice A rationale:
The nurse should use fingers to exert upward pressure on the presenting part to relieve cord compression, which is the immediate priority in this emergency situation.
Choice B rationale:
Administering a tocolytic medication is not the immediate priority. It may be done later to inhibit uterine contractions.
Choice C rationale:
Applying oxygen to the client is important, but it’s not the first action. The nurse needs to relieve cord compression first.
Choice D rationale:
Wrapping the cord in a sterile towel and moistening with warm sterile normal saline is important, but it’s not the first action. The nurse needs to relieve cord compression first.

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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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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?