A nurse is caring for a client who is taking an oral contraceptive. The nurse should instruct the client to report which of the following findings to the provider immediately?
Painful intercourse
Vaginal itching
Persistent headaches
Breast tenderness
The Correct Answer is C
A. Painful intercourse: Painful intercourse can have various causes, but it is not typically associated with serious complications related to oral contraceptives. It may be addressed with the healthcare provider during a routine follow-up.
B. Vaginal itching: Vaginal itching may be due to various reasons, including infections, but it is not typically a direct side effect of oral contraceptives. However, if the itching is persistent or severe, the client should report it to the provider for appropriate evaluation.
C. Persistent headaches: Persistent headaches can be a concerning side effect associated with the use of oral contraceptives. It may indicate an increased risk of vascular events, such as stroke or thrombosis. Clients experiencing persistent headaches while on oral contraceptives should report this symptom to the healthcare provider immediately for further evaluation.
D. Breast tenderness: Breast tenderness is a common side effect of hormonal contraceptives, and it is not typically an emergency or a sign of serious complications. However, if the breast tenderness is severe or associated with other concerning symptoms, the client should contact the provider for guidance.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The client will demonstrate proper bathing of the infant: This goal is more appropriate for later phases of postpartum adjustment when the mother becomes more involved in caring for her infant. During the taking-in phase, the focus is on the mother's own recovery.
B. The client will verbalize appropriate car seat safety: This goal is related to the safety and care of the newborn, and it may be more relevant in the taking-hold phase when the mother becomes more actively involved in caring for her baby.
C. The client will have adequate nutritional intake: This is the correct goal. Adequate nutritional intake is important for the mother's recovery, energy levels, and breastfeeding success. The nurse should assess and promote proper nutrition during the taking-in phase.
D. The client will identify individual family member roles: Family roles and dynamics are more commonly addressed in the postpartum adjustment phase known as the let-go phase, which occurs later as the mother becomes more comfortable and accepting of her new role.
Correct Answer is B
Explanation
A. I will receive a series of three immunizations, and each one will be a month apart: This statement is not accurate for rubella immunization. The MMR vaccine is usually administered as a single injection.
B. I should avoid becoming pregnant for at least 1 month following the immunization
Rubella immunization is typically administered as the measles, mumps, and rubella (MMR) vaccine. The statement indicating understanding reflects awareness of the importance of avoiding pregnancy for a certain period after receiving the rubella immunization due to potential risks to the developing fetus.
C. I should avoid breastfeeding for 2 weeks following the immunization: Breastfeeding is not a contraindication after receiving the rubella immunization. In fact, breastfeeding is generally not affected, and mothers can continue to breastfeed.
D. I will report joint pain that develops after the immunization to my provider immediately: Joint pain is a potential side effect of the rubella vaccine. Reporting joint pain to the provider is essential for monitoring and addressing any adverse reactions.
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