A nurse is teaching a client who has a new prescription for estradiol. For which of the following adverse effects of this medication should the nurse instruct the client to monitor and report to the provider?

Hypotension

Bruising

Headaches

Oliguria

Answer and Explanation

The Correct Answer is B

A. Hypotension is not a common adverse effect of estradiol; instead, it may cause hypertension.

B. Bruising can indicate thrombocytopenia or other clotting issues, which are serious adverse effects of estradiol and should be reported immediately.

C. Headaches are a common side effect of estradiol but are usually not severe; they typically do not require reporting unless they are persistent or severe.

D. Oliguria is not a known adverse effect of estradiol and may indicate other underlying issues that are unrelated to this medication.

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Correct Answer is B

Explanation

A. Withholding the next dose of warfarin is incorrect. Warfarin takes several days to reach therapeutic levels, and the INR of 1.8 is below the target range (typically 2.0–3.0 for PE treatment). Stopping warfarin is unnecessary.
B. Withholding the heparin infusion is correct. The aPTT is significantly elevated at 98 seconds (therapeutic range: 60–80 seconds for PE treatment), increasing the risk of bleeding. The nurse should pause the heparin infusion and notify the provider for dose adjustment.
C. Preparing to administer vitamin K is incorrect. Vitamin K reverses warfarin effects, but the INR of 1.8 is not dangerously high and does not require reversal.
D. Preparing to administer alteplase is incorrect. Alteplase (a thrombolytic) is used for massive PE with hemodynamic instability, not for a patient already receiving anticoagulation therapy.

A. Provide interpretation services over the telephone. B. Use exaggerated lip movements when speaking. C. Provide written material at an 8th-grade reading level. D. Reduce environmental stimuli.

Correct Answer is D

Explanation

A. Providing interpretation services over the telephone is not effective for clients with hearing loss who may benefit more from in-person or visual communication.

B. Exaggerated lip movements can be distracting and may not aid understanding; clear and natural speech is more effective.

C. While providing written materials is helpful, ensuring the client can understand the material is key; using an appropriate reading level is essential but secondary to direct communication strategies.

D. Reducing environmental stimuli helps minimize distractions, making it easier for the client to focus on the nurse's speech or lip movements and improving overall communication.

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A nurse is teaching a client who has a new prescription for estradiol. For which of the following adverse effects of this medication should the nurse instruct the client to monitor and report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is caring for a client who has hearing loss. Which of the following actions should the nurse take to improve communication?

Correct Answer is D

Explanation

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A nurse is teaching a client who has a new prescription for estradiol. For which of the following adverse effects of this medication should the nurse instruct the client to monitor and report to the provider?

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