The nurse instructs a woman taking oral contraceptives to report which possible side effects? (Select all that apply.)
Abdominal pain
Speech disturbances
Headache
Weight gain
Eye or visual problems
Correct Answer : A,B,C,E
A. Abdominal pain: Severe abdominal pain can signal hepatic dysfunction, gallbladder disease, or vascular problems (e.g., hepatic vein thrombosis) associated with oral contraceptives and needs prompt evaluation.
B. Speech disturbances: New speech changes can be a sign of stroke or transient ischemic attack -OCPs increase thrombotic risk in some patients, so neurological symptoms must be reported immediately.
C. Headache: Sudden or severe headaches (or new, persistent headaches) may indicate hypertension, migraine with aura, or cerebrovascular events and should be reported.
D. Weight gain: Not typically urgent to report. Weight change is a common side effect of hormonal contraceptives; it should be discussed during follow-up if bothersome, but it is not an immediate warning sign like the others.
E. Eye or visual problems: Visual disturbances (blurry vision, visual loss) may indicate hypertensive crisis, retinal thrombosis, or cerebrovascular events and require immediate evaluation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Dyspnea: Dyspnea means difficulty breathing and is unrelated to sexual pain.
B. Dysmenorrhea: Dysmenorrhea refers to painful menstruation, not painful intercourse.
C. Dyspareunia: Dyspareunia is the medical term for painful sexual intercourse and is the appropriate term to document.
D. Dysrhythmia: Dysrhythmia denotes an abnormal heart rhythm and is unrelated to the symptom described.
Correct Answer is B
Explanation
A. High protein, low fat: A higher-protein, low-fat diet may support general health but is not the dietary pattern most associated with symptom relief for PMDD.
B. High carbohydrate, high fiber: Increasing complex carbohydrates and fiber can help stabilize blood glucose and boost serotonin synthesis, which often reduces mood-related premenstrual symptoms.
C. Low calorie, low fat: Calorie restriction and very low-fat diets do not specifically address PMDD symptoms and may worsen mood in some people.
D. Low carbohydrate, high protein: Reducing carbohydrates could decrease serotonin precursors and may worsen mood symptoms for some individuals with PMDD.
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