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?
Irregular menses
Vaginal yeast infection
Hypertension
History of ectopic pregnancy
The Correct Answer is C
Choice A Reason:
A. Irregular menses is incorrect. Oral contraceptives are often prescribed to regulate menstrual cycles and can be a suitable option for clients with irregular menses.
Choice B Reason:
Vaginal yeast infection is incorrect. Vaginal yeast infections do not generally contraindicate the use of oral contraceptives.
Choice C Reason:
Hypertension (high blood pressure) is a contraindication for the use of oral contraceptives. Women with hypertension are at an increased risk of cardiovascular complications when taking hormonal contraceptives. It is important to assess and manage blood pressure before considering the use of oral contraceptives. If a client has hypertension, alternative methods of contraception should be discussed with the healthcare provider.
Choice D Reason:
History of ectopic pregnancy is incorrect. A history of ectopic pregnancy may not be a contraindication for oral contraceptives, but it is essential for the healthcare provider to assess the client's individual medical history and discuss the risks and benefits.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
Encourage the client to be assertive. One of the goals in managing a client with dependent personality disorder is to gradually increase their independence and self-confidence. Encouraging the client to be more assertive and make decisions for themselves, with appropriate guidance and support, can be beneficial in their long-term recovery. However, it should be done gradually and with the assistance of therapy and counseling. The other options are not appropriate:
Choice B Reason:
Assuming responsibility for making the client’s, decisions would not help the client develop independence and could perpetuate their dependency.
Choice C Reason:
Maintaining a verbal no-harm contract is not specifically related to managing dependent personality disorder. It might be relevant for clients with suicidal ideation or self-harm tendencies, but it's not a primary intervention for this condition.
Choice D Reason:
Limiting the client's social interactions is not a recommended approach. Encouraging healthy social interactions and relationships can be beneficial for clients with dependent personality disorder, as long as they are appropriate and not reinforcing dependency. Explanation
Correct Answer is ["A","D","E","F"]
Explanation
To decrease the risks for a urinary tract infection for this client, the nurse should take several actions. The nurse should encourage the client to drink 3,000 mL of fluid daily to help flush bacteria out of the urinary tract¹. The nurse should also empty the drainage bag when it is half-full to prevent bacterial growth¹.
Additionally, the nurse should review the need for the indwelling urinary catheter daily and use soap and water to provide perineal care¹.
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