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?
Painful intercourse
Vaginal itching
Persistent headaches
Breast tenderness
The Correct Answer is C
A. Painful intercourse: Painful intercourse can have various causes, but it is not typically associated with serious complications related to oral contraceptives. It may be addressed with the healthcare provider during a routine follow-up.
B. Vaginal itching: Vaginal itching may be due to various reasons, including infections, but it is not typically a direct side effect of oral contraceptives. However, if the itching is persistent or severe, the client should report it to the provider for appropriate evaluation.
C. Persistent headaches: Persistent headaches can be a concerning side effect associated with the use of oral contraceptives. It may indicate an increased risk of vascular events, such as stroke or thrombosis. Clients experiencing persistent headaches while on oral contraceptives should report this symptom to the healthcare provider immediately for further evaluation.
D. Breast tenderness: Breast tenderness is a common side effect of hormonal contraceptives, and it is not typically an emergency or a sign of serious complications. However, if the breast tenderness is severe or associated with other concerning symptoms, the client should contact the provider for guidance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Administer oxygen via face mask at 10 L/min: While oxygen administration may be necessary for a client experiencing excessive bleeding, the first action should be to assess the extent of blood loss. Administering oxygen is not the priority at this point.
B. Prepare the client to receive plasma expander: Plasma expanders, such as intravenous fluids, may be part of the treatment for postpartum hemorrhage, but the immediate priority is to assess the client's blood loss and determine the need for blood products. Fluid replacement alone may not address the underlying issue.
C. Collect hemoglobin and hematocrit levels: This is the correct first action. Hemoglobin and hematocrit levels provide crucial information about the extent of blood loss and the need for further interventions, such as blood transfusions. This information helps guide the overall management of the client.
D. Insert an indwelling urinary catheter: While assessing urinary output is important, it is not the first priority when a client is saturating perineal pads every 10 to 15 minutes. The immediate concern is to assess and manage the excessive bleeding, and obtaining hemoglobin and hematocrit levels is a crucial step in this process.
Correct Answer is B
Explanation
A. Weak cry: A weak cry is not a specific manifestation associated with newborns exposed to methadone. Methadone-exposed newborns may show signs of neonatal abstinence syndrome (NAS), but a weak cry is not a primary characteristic.
B. Poor feeding: This is the correct answer. Poor feeding is a common manifestation of neonatal abstinence syndrome (NAS) in newborns exposed to opioids, including methadone. NAS can cause gastrointestinal symptoms, including feeding difficulties.
C. Respiratory rate of 30/min: While respiratory issues can be part of the neonatal abstinence syndrome, a specific respiratory rate of 30/min is not universally characteristic. NAS symptoms can vary among infants.
D. Absent Moro reflex: The Moro reflex is not typically affected in infants exposed to methadone. NAS symptoms often involve central nervous system irritability, but the Moro reflex is a complex primitive reflex that may remain intact.
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