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. Triglycerides within the normal range do not indicate a need for additional nutrients.

B. A low albumin level of 2.8 g/dL indicates poor protein status and may suggest that the client requires additional protein in their enteral feeding to help with healing and overall nutrition.

C. A creatinine level of 1.1 mg/dL is within normal limits and does not indicate a need for additional nutrients.

D. Alkaline phosphatase at 118 units/L is within the normal range and does not suggest a deficiency requiring additional nutrients.

A. Take a quick inhalation when pressing the dispenser. B. Take the medication 5 min before playing sports. C. Clean the mouthpiece with warm water every 2 weeks. D. Wait 10 seconds between inhalations.

Correct Answer is B

Explanation

A. Similar to the previous question, a quick inhalation is not recommended; the child should take a slow, deep breath for effective medication delivery.

B. Taking the medication 5 minutes before playing sports is ideal as it allows the medication to work quickly, ensuring better performance and control of asthma symptoms during activity.

C. Cleaning the mouthpiece with warm water every 2 weeks is insufficient; it should be cleaned more frequently, typically after each use, to maintain hygiene.

D. Waiting 10 seconds between inhalations is appropriate, but the focus on the timing before sports is critical for proper management of asthma symptoms.

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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

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