A nurse is providing teaching to a female client who is taking conjugated equine estrogens (Premarin). Which of the following clients are contraindicated for conjugated equine estrogens (Premarin)? (Select All That Apply).
A client with a history of thromboembolic disease,
A client within story of hypertension
A client with history of depression
A client with atypical vaginal bleeding that is not diagnose
Correct Answer : A,D
A. A client with a history of thromboembolic disease: Estrogen therapy is contraindicated in clients with a history of thromboembolic disease due to the increased risk of blood clots.
B. A client with a history of hypertension: Hypertension is a relative contraindication, but it may still be prescribed with caution.
C. A client with a history of depression: Depression is not a contraindication to estrogen therapy.
D. A client with atypical vaginal bleeding that is not diagnosed: Unexplained vaginal bleeding should be investigated before administering estrogen therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
A. Urinary output of 80 mL/hour is not concerning and indicates adequate renal function.
B. Urinary output of 12 mL/hour is very low and may indicate renal insufficiency or dehydration, requiring immediate intervention.
C. A blood potassium level of 2.5 mEq/L is critically low and requires discontinuation of the diuretic to prevent life-threatening arrhythmias.
D. A blood potassium level of 2.9 mEq/L is also low and would be concerning, though not as critical as
2.5 mEq/L. It may still necessitate withholding the medication and addressing electrolyte imbalances.
Correct Answer is B
Explanation
A. Morphine is an opioid agonist, not an antagonist. It binds to the mu and kappa receptors to produce its analgesic effects.
B. Morphine sulfate is an opioid analgesic that works by binding to the mu and kappa receptors in the brain and spinal cord, which produces pain relief.
C. This statement is not accurate. Morphine sulfate typically has a stronger analgesic effect than butorphanol, a partial opioid agonist.
D. Morphine sulfate has a high potential for abuse due to its euphoric effects and is classified as a controlled substance.
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