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 ["A","B"]
Explanation
A. Hydrochlorothiazide is a thiazide diuretic that works in the distal convoluted tubule of the kidney. It inhibits the reabsorption of sodium and chloride, leading to increased excretion of water, sodium, and chloride.
B. Hydrochlorothiazide is often the first-line treatment for hypertension because it helps reduce blood pressure through diuresis (increased urine output), which reduces fluid volume in the body.
C. Urinary retention is not a known complication of hydrochlorothiazide. Instead, it may cause frequent urination due to its diuretic effect.
D. Hydrochlorothiazide does not interact with opioids in a way that would cause opioid toxicity. It primarily affects sodium and water balance in the body.
Correct Answer is A
Explanation
A. NPH insulin is an intermediate-acting insulin that is administered via the subcutaneous route to manage blood sugar levels in clients with diabetes.
B. Regular insulin is a short-acting insulin that can be administered subcutaneously to control blood glucose levels in clients with type 2 diabetes.
C. This is an oral medication, not a parenteral (injected) medication. It is an oral sulfonylurea used to manage blood glucose in type 2 diabetes.
D. Metformin is also an oral medication used to treat type 2 diabetes and is not administered subcutaneously.
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