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A nurse is caring for a client who is taking an oral contraceptive.
What findings should the client report to the provider immediately?

A.

Breast tenderness

B.

Pain during intercourse

C.

Unusual vaginal discharge

D.

Severe abdominal pain

Answer and Explanation

The Correct Answer is D

Choice A rationale
While breast tenderness can be a side effect of oral contraceptives, it is not typically a sign of a serious problem. It may occur as the body adjusts to the hormones in the medication.
However, if the tenderness is severe or persists, the client should consult their healthcare provider.
Choice B rationale
Pain during intercourse is not typically associated with the use of oral contraceptives. If a client experiences this symptom, it may be due to other causes such as infection, inflammation, or certain medical conditions. It’s important to seek medical advice if this symptom occurs.
Choice C rationale
Unusual vaginal discharge can be a side effect of oral contraceptives, but it is not typically a sign of a serious problem. Changes in the color, consistency, or smell of vaginal discharge could indicate an infection or other medical condition and should be evaluated by a healthcare provider.
Choice D rationale
 

Severe abdominal pain is a symptom that the client should report to the provider immediately. This could be a sign of a serious problem such as a blood clot or liver disease. It’s important to seek immediate medical attention if this symptom occurs.
 


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Related Questions

Correct Answer is B

Explanation

Choice A rationale
Preparing the client to receive a plasma expander is not the first action the nurse should take. While it may be necessary in severe cases of hemorrhage, the first action should be to ensure the client’s oxygenation.
Choice B rationale
Administering oxygen via face mask at 10 L/min is the first action the nurse should take. This is because a client who is saturating perineal pads every 10 to 15 minutes is likely experiencing a significant blood loss, which can lead to hypoxia.
Choice C rationale
Inserting an indwelling urinary catheter may be necessary in some cases, but it is not the first action the nurse should take.
Choice D rationale
Collecting hemoglobin and hematocrit levels is important to assess the extent of blood loss, but it is not the first action the nurse should take.

Correct Answer is C

Explanation

Choice A rationale
Intramuscular injection in the right deltoid is not the preferred route for administering phytonadione to a newborn.
Choice B rationale
Subcutaneous injection in the right deltoid is not the preferred route for administering phytonadione to a newborn.
Choice C rationale
Intramuscular injection in the left vastus lateralis is the preferred route for administering phytonadione to a newborn. This muscle in the thigh is large enough to absorb the medication effectively.
Choice D rationale
Subcutaneous injection in the left vastus lateralis is not the preferred route for administering phytonadione to a newborn.

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