A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?

Breast tenderness

Chills

Tinnitus

Urinary frequency

Answer and Explanation

The Correct Answer is A

Rationale:

A. Breast tenderness:

Correct answer. Clomiphene citrate, a medication used to induce ovulation, can cause breast tenderness as a common adverse effect due to its estrogenic effects.

B. Chills: Chills are not a common adverse effect of clomiphene citrate.

C. Tinnitus: Tinnitus, or ringing in the ears, is not typically associated with clomiphene citrate use.

D. Urinary frequency: Urinary frequency is not a common adverse effect of clomiphene citrate.

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Correct Answer is D

Explanation

Rationale:

A. Taking daily hot baths is not typically recommended as a fertility treatment and may even have adverse effects on sperm production.

B. While using a lubricant during intercourse may help with comfort, certain lubricants can interfere with sperm motility and should be used cautiously when trying to conceive.

C. Drinking herbal tea may have some health benefits, but there is limited evidence to support its effectiveness in improving fertility.

D. Maintaining a healthy weight is important for both men and women when trying to conceive, as being underweight or overweight can affect fertility and reproductive health.

A. WBC count 11,000/mm3 (5,000 to 10,000/mm3) B. Hematocrit 37% (37% to 47%) C. Fasting blood glucose 180 mg/dL (74 to 106 mg/dL) D. Creatinine 0.9 mg/dL (0.5 to 1 mg/dL)

Correct Answer is C

Explanation

Rationale:

A. A WBC count of 11,000/mm3 is slightly elevated but may be within normal limits, as the normal range for WBC count can vary slightly depending on the laboratory. It is not typically concerning during pregnancy.

B. A hematocrit of 37% is within the normal range for pregnancy (37% to 47%) and does not require immediate reporting to the provider.

C. A fasting blood glucose level of 180 mg/dL is significantly elevated and indicates hyperglycemia, which may be indicative of gestational diabetes mellitus or pre-existing diabetes. This finding should be reported to the provider for further evaluation and management.

D. A creatinine level of 0.9 mg/dL is within the normal range (0.5 to 1 mg/dL) and does not require immediate reporting to the provider.

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A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?

Nursing Test Bank

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