A nurse is assessing a client who is requesting a combined oral contraceptive (COC). Which of the following findings should indicate to the nurse that the client has a contraindication to COC use?

The client drinks 240 mL (8 oz) of wine per day.

The client is breastfeeding their 4-week-old newborn.

The client weighs 115 kg (254 lb).

The client is 25 years old.

Answer and Explanation

The Correct Answer is B

A. Moderate alcohol intake is not a contraindication to COC use.
B. Breastfeeding in the first 6 weeks postpartum is a contraindication to combined oral contraceptives because estrogen can reduce milk supply and increase the risk of thrombosis.
C. High body weight is not an absolute contraindication, though efficacy may be reduced.
D. Age 25 alone is not a contraindication to COCs.

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Correct Answer is A

Explanation

A. Erb-Duchenne palsy involves injury to the upper brachial plexus, resulting in weakness or paralysis of the affected arm and an absent Moro reflex on that side.
B. Cleft palate is unrelated to Erb-Duchenne palsy.
C. The Babinski reflex is a neurological test of the lower limbs and is not affected by this condition.
D. Difficulty sucking and swallowing is not typical of Erb-Duchenne palsy but may be related to other cranial nerve injuries.

A. Double-flush the toilet with the lid closed. B. Avoid sexual intercourse until the B-hCG level is undetectable. C. Take aspirin as needed for pain. D. Avoid exposure to the sun. E. Expect a transient fever and chills

Correct Answer is ["A","B","D"]

Explanation

A. Double-flush the toilet with the lid closed – Methotrexate is a hazardous medication that is excreted in body fluids. The client should be instructed to double-flush the toilet with the lid closed for 48 hours to prevent exposure to others.

B. Avoid sexual intercourse until the β-hCG level is undetectable – This reduces the risk of rupture or bleeding and prevents confusion with another pregnancy. Abstinence is recommended until the ectopic pregnancy is fully resolved.

C. Take aspirin as needed for pain – Aspirin is contraindicated as it increases the risk of bleeding and can interact adversely with methotrexate, enhancing toxicity.

D. Avoid exposure to the sun – Methotrexate can cause photosensitivity, and the client should use sunscreen and protective clothing when outdoors.

E. Expect a transient fever and chills – Fever and chills are not expected side effects of methotrexate. These symptoms may indicate infection or rupture and should be reported immediately.

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A nurse is assessing a client who is requesting a combined oral contraceptive (COC). Which of the following findings should indicate to the nurse that the client has a contraindication to COC use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a newborn who has Erb-Duchenne palsy. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

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Correct Answer is ["A","B","D"]

Explanation

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