A nurse is assessing a client who is taking combination oral contraceptives. Which of the following findings should the nurse report to the provider immediately?

Leg tenderness

Cramps

Nausea

Abdominal bloating

Answer and Explanation

The Correct Answer is A

A.   Leg tenderness: Leg tenderness can be a sign of deep vein thrombosis (DVT), a rare but serious complication associated with oral contraceptives. Therefore, the nurse should report this finding immediately for further evaluation and management to prevent complications such as pulmonary embolism.

B.   Cramps: Mild cramps are a common side effect of oral contraceptives and do not typically require immediate reporting unless they are severe or persistent.
C.   Nausea: Nausea is a common side effect of oral contraceptives, especially during the initial weeks of use. It usually improves over time and does not typically require immediate reporting unless it is severe or persistent.
D.   Abdominal bloating: Abdominal bloating is a common side effect of oral contraceptives and is usually mild and self-limiting. It does not typically require immediate reporting unless it is severe or persistent.

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Correct Answer is C

Explanation

A. This statement is incorrect. While it’s essential not to exceed the recommended dose, the

maximum daily limit for nicotine gum is 24 pieces, not 40. Using more than the recommended amount can lead to adverse effects
B. This information is not accurate. Nicotine gum is typically used for a shorter duration. The

treatment plan varies, but it’s essential to follow the recommended dosing and gradually reduce usage over time. The goal is to quit smoking successfully, not to use the gum for 9 months
C. This advice is correct. Nicotine gum is not used like ordinary chewing gum. You should chew it a few times and then “park” it between your cheek and the space below your teeth. The nicotine is absorbed mostly in your mouth. Chewing it slowly over 30 minutes allows for
effective absorption and helps control withdrawal symptoms

D. Drinking water before chewing nicotine gum is not a necessary instruction for its use.

A. Nitroglycerin B. Albuterol C. Furosemide D. Indomethacin

Correct Answer is A

Explanation

A. Nitroglycerin is a contraindication for sildenafil because both medications can cause a significant drop in blood pressure when taken together, leading to hypotension and potentially life-threatening complications.
B. Albuterol, a bronchodilator, is not a contraindication for sildenafil.

C. Furosemide, a diuretic, is not a contraindication for sildenafil.

D. Indomethacin, a nonsteroidal anti-inflammatory drug (NSAID), is not a contraindication for sildenafil.

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A nurse is assessing a client who is taking combination oral contraceptives. Which of the following findings should the nurse report to the provider immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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