A nurse is preparing to administer a vaginal cream to a client. The nurse should instruct the client to lie in which of the following positions while in bed?

Prone

Orthopneic

Sims' position

Dorsal recumbent

Answer and Explanation

The Correct Answer is D

A. Prone position (lying face down) is not appropriate for administering vaginal cream.

B.   Orthopneic position (sitting up and leaning slightly forward) is not conducive to administering vaginal cream.

C.   Sims' position (lying on the left side with the right knee drawn up and the left arm drawn behind, often used for rectal examinations) is not typically used for administering vaginal cream.
D.   The dorsal recumbent position, lying on the back with knees flexed and soles of feet flat on the bed, is typically recommended for administering vaginal cream. This position allows for easier insertion and retention of the medication.

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Correct Answer is B

Explanation

A. It is generally advised to use additional forms of contraception or abstain from sexual activity for the first 7 days of the initial cycle.
B. If a pill is missed, the client should follow the specific instructions provided by the healthcare provider or the information leaflet, which typically involves taking the missed pill as soon as remembered and then continuing with the next dose at the regular time. Missed pills should be taken as soon as remembered, even if it means taking two pills in one day, and additional contraceptive measures may be necessary.
C. Increasing the dosage of an estrogen-progestin combination contraceptive for breakthrough bleeding is not a standard recommendation as this could lead to an increased risk of side effects. Breakthrough bleeding may occur, especially during the first few cycles of use, but it typically resolves on its own without the need for dosage adjustment.
D. There's no specific requirement to take combination contraceptives on an empty stomach. They can be taken with or without food, according to individual preference, but should be taken consistently at the same time each day to maximize effectiveness.

A. Elevated blood pressure B. Increased triglyceride level C. Decreased blood glucose level D. Weight loss

Correct Answer is B

Explanation

A. While risperidone can cause orthostatic hypotension, which may result in decreased blood pressure, it is not typically associated with elevated blood pressure.
B. Risperidone has been associated with metabolic side effects such as weight gain, dyslipidemia, and increased triglyceride levels, which can contribute to cardiovascular risk.
C. Risperidone is not typically associated with hypoglycemia; instead, it may lead to hyperglycemia or exacerbate existing diabetes.
D. Weight gain is a more common adverse effect of risperidone rather than weight loss.

Monitoring for weight gain is essential due to its association with metabolic syndrome and cardiovascular risk factors.

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A nurse is preparing to administer a vaginal cream to a client. The nurse should instruct the client to lie in which of the following positions while in bed?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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