The nurse is preparing to discharge a client newly prescribed a progestin-only pill (POP) for contraceptive prevention. Which contraindication associated with POP would the nurse alert the healthcare provider?

The client has a BMI of >30

The client is currently taking Ginger

The client has a history of hypertension

The client has no intention of conceiving within the year

Answer and Explanation

The Correct Answer is C

A. A BMI greater than 30 is a consideration, but it is not an absolute contraindication for the use of POPs.
B. Ginger does not interact adversely with progestin-only pills and is not a contraindication.
C. A history of hypertension can increase the risk of cardiovascular events, and while POPs are generally safer than combined hormonal contraceptives for women with hypertension, it should still be monitored and reported to the healthcare provider.
D. Having no intention of conceiving is not a contraindication; in fact, it is a common reason for using contraceptive methods like POPs.

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Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}

Explanation

Rationale:

Oxygen administration: This is a critical intervention to improve oxygenation during an acute asthma exacerbation.
Inhaled short-acting beta-2 agonists: These medications rapidly relax the airway smooth muscle, reducing bronchoconstriction and improving airflow.
Inhaled Corticosteroids: These medications reduce inflammation in the airways, preventing further airway narrowing and improving lung function over time.
Oral Decongestants and Expectorants: These medications are not typically used in the acute management of asthma exacerbations. They can have side effects and may not be effective in improving airway function.

A. Pulse oximetry of 92% B. Respiratory rate of 12 C. Pulse of 78 D. History of a myocardial infarction a week ago

Correct Answer is C

Explanation

A. A pulse oximetry of 92% indicates mild hypoxia but does not directly contraindicate the use of verapamil.
B. A respiratory rate of 12 is within the normal range for adults and does not indicate a need to hold the medication.
C. A pulse of 78 is within the normal range but should be assessed in the context of the client’s overall condition; however, if the pulse were significantly lower (e.g., <60 bpm), it would necessitate holding the medication due to the risk of bradycardia.
D. A history of myocardial infarction a week ago would warrant caution but is not an absolute reason to hold verapamil unless other contraindications are present, as verapamil can be beneficial for managing hypertension post-MI.

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The nurse is preparing to discharge a client newly prescribed a progestin-only pill (POP) for contraceptive prevention. Which contraindication associated with POP would the nurse alert the healthcare provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

6 year-old in the emergency department. Exhibits A client presents to the healthcare setting experiencing an acute asthma exacerbation. Which of the following treatments below would the nurse anticipate giving to assist in reduction of symptoms?

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}

Explanation

A client presents to the healthcare setting and is ordered verapamil (Calan) to treat his hypertension. Which assessment finding by the nurse would determine if the medication should be held?

Correct Answer is C

Explanation

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