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. Surgical asepsis (sterile technique) should be used for suctioning to prevent infection, not medical asepsis.

B. Applying suction for no longer than 10 seconds is appropriate to prevent hypoxia and trauma to the airway.

C. Advancing the catheter 2 cm after resistance is met is not advised; the catheter should not be forced beyond resistance to avoid injury.

D. The catheter should not be withdrawn if the client begins coughing; instead, it indicates the need for suctioning. If coughing occurs, the nurse should ensure the patient can breathe and may need to suction carefully.

A. Select a quiet location to talk to the client while remaining visible to staff members. B. Give the client several clear options. C. Observe the client and the situation. D. Respect the client's personal space.

Correct Answer is C

Explanation

A. Selecting a quiet location is important, but first, it is essential to assess the client's current state and the surrounding environment.

B. Providing options can help empower the client, but it is best to first observe the client to gauge their level of agitation and determine the appropriate response.

C. Observing the client and the situation allows the nurse to understand the severity of the agitation and the context, which is critical for making informed decisions about the next steps.

D. Respecting personal space is important, but it should follow an assessment of the situation to ensure safety for both the client and staff.

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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

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Explanation

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Correct Answer is C

Explanation

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