A nurse is collecting data from a female client who reports she wants to begin taking oral contraceptives. Which of the following findings is a contraindication for this client?

Choice A Reason:

Pain sensation is incorrect. While assessing pain is important, it's generally secondary to addressing the life-threatening cardiac issues in hypothermia. Pain assessment can be done once the client's core temperature is stabilized.

Choice B Reason:

Urinary output is incorrect. Monitoring urinary output is essential for assessing kidney function and fluid balance, but it is not as immediately critical as assessing and addressing cardiac concerns.

In a client with hypothermia, the priority for the nurse to monitor is:

Choice C Reason:

Heart rhythm is correct. Hypothermia can affect the electrical conductivity of the heart, potentially leading to life-threatening arrhythmias. Monitoring the client's heart rhythm is essential to detect any abnormalities and intervene promptly if necessary. While all the listed parameters are important, the cardiac status takes precedence due to the immediate threat it poses to the client's life.

Choice D Reason:

- Muscle strength is incorrect. Monitoring muscle strength is important to assess the client's overall neurological status, but it's not the top priority when there is a risk of life-threatening arrhythmias due to hypothermia.

Choice A Reason:

Flossing between a 12-month-old's teeth is not typically necessary, as most children do not have enough teeth for flossing at this age. Flossing becomes more important as a child's dentition develops.

Choice B Reason:

Positioning the toothbrush bristles at a 90-degree angle is not appropriate for a 12-month-old child. Parents should use a gentle, circular brushing motion, as this is more effective and less likely to cause discomfort or injury to the child's gums and teeth.

Choice C Reason:

Cleaning the teeth with a small, soft-bristled toothbrush is correct. When teaching a parent about preventing dental caries in a 12-month-old toddler, it's important to provide appropriate guidance for oral care. Using a small, soft-bristled toothbrush is recommended for young children because it is gentle on their gums and teeth. Here's why the other options are not suitable:

Choice D Reason:

Using a 5-inch strip of toothpaste on the toothbrush is excessive for a 12-month-old. The American Academy of Pediatrics recommends using only a small smear or grain-sized amount of fluoride toothpaste for children under 3 years old to minimize the risk of swallowing too much fluoride.