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 B
Explanation
A. Hot flashes: Hot flashes are not a typical adverse effect of terbutaline. Hot flashes are more commonly associated with hormonal changes, such as those that occur during menopause.
B. Heart palpitations: This is the correct answer. Terbutaline can stimulate beta-2 receptors in the heart, leading to increased heart rate and palpitations. Clients receiving terbutaline should be monitored for cardiac side effects.
C. Shortness of breath: While terbutaline is used to relax smooth muscles, it can also affect beta-2 receptors in the respiratory system. However, shortness of breath is not a common adverse effect and may indicate other respiratory issues.
D. Bradycardia: Bradycardia, or a slow heart rate, is not a typical adverse effect of terbutaline. The medication is more likely to increase heart rate due to its beta-2 adrenergic agonist properties.
Correct Answer is B
Explanation
A. Hypertension: Hypertension is not typically associated with abruptio placentae. In fact, abruptio placentae is often linked to conditions such as chronic hypertension, but the presentation is more commonly associated with symptoms like uterine tenderness, bleeding, and fetal distress.
B. Uterine tenderness: This is the correct answer. Uterine tenderness is a common clinical finding in abruptio placentae. It results from the separation of the placenta from the uterine wall, leading to blood accumulation in the uterine musculature.
C. Leukorrhea: Leukorrhea, a white or yellowish discharge from the vagina, is not a typical finding in abruptio placentae. The condition is characterized by vaginal bleeding and uterine tenderness.
D. Fetal tachycardia: Fetal distress, including fetal tachycardia, is a potential complication of abruptio placentae. However, uterine tenderness is a more immediate and direct finding associated with the separation of the placenta.
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