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
Explanation
A. Insomnia is not a serious adverse effect of ethinyl estradiol and drospirenone (Yasmin). Common side effects may include nausea or headaches, but insomnia is not a red flag.
B. This could indicate deep vein thrombosis (DVT), a serious complication associated with hormonal contraceptives like Yasmin. The nurse should educate the patient to report these symptoms immediately.
C. Sedation is not a common or serious adverse effect of Yasmin. Side effects are more commonly related to gastrointestinal or cardiovascular systems.
D. Indigestion is not typically associated with a serious complication of Yasmin. Some mild gastrointestinal discomfort may occur, but it is not a major concern unless it is severe.
Correct Answer is ["B","C"]
Explanation
A. Aspirin is not indicated for the treatment of hypoglycemia.
B. Aspirin is commonly used for inflammation suppression, especially in conditions like arthritis.
C. Aspirin is also used to treat dysmenorrhea (painful menstruation) by reducing inflammation and pain.
D. Aspirin is not indicated for the treatment of hypokalemia.
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