A nurse is collecting data from a female client who reports she wants to begin taking oral contraceptives. Which of the following findings is a contraindication for this client?
Irregular menses
Vaginal yeast infection
Hypertension
History of ectopic pregnancy
The Correct Answer is C
Choice A Reason:
A. Irregular menses is incorrect. Oral contraceptives are often prescribed to regulate menstrual cycles and can be a suitable option for clients with irregular menses.
Choice B Reason:
Vaginal yeast infection is incorrect. Vaginal yeast infections do not generally contraindicate the use of oral contraceptives.
Choice C Reason:
Hypertension (high blood pressure) is a contraindication for the use of oral contraceptives. Women with hypertension are at an increased risk of cardiovascular complications when taking hormonal contraceptives. It is important to assess and manage blood pressure before considering the use of oral contraceptives. If a client has hypertension, alternative methods of contraception should be discussed with the healthcare provider.
Choice D Reason:
History of ectopic pregnancy is incorrect. A history of ectopic pregnancy may not be a contraindication for oral contraceptives, but it is essential for the healthcare provider to assess the client's individual medical history and discuss the risks and benefits.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
"Have you tried leaving your house just once per day?" This response assumes a potential solution without fully understanding the client's feelings. It doesn't encourage open discussion or exploration of the client's anxiety.
Choice B Reason:
"Have you thought about moving to a new neighborhood?" This response jumps to a significant life change as a solution without exploring the client's current situation and emotions. It may not be a practical or necessary step.
Choice C Reason:
"Let's discuss how you feel when you leave your house." This response is an open and therapeutic approach that encourages the client to express their feelings and thoughts about the situation. It allows the nurse to gather more information and better understand the client's anxiety related to leaving the house. The other options do not facilitate open communication or exploration of the client's feelings.
Choice D Reason:
"Tell me why you have developed an aversion to leaving your house." While this response is more open-ended, it phrases the question in a somewhat confrontational manner, which might make the client defensive. The previous response ("Let's discuss how you feel when you leave your house") is gentler and inviting.
Correct Answer is C
Explanation
Choice A Reason:
Applying talcum powder daily after bathing is not recommended, as it can pose a risk to the baby's respiratory health if inhaled.
Choice B Reason:
The water for a baby's bath should be comfortably warm, but it should not be as hot as 96 degrees Fahrenheit, as this can scald the baby's delicate skin.
Choice C Reason:
"Perform sponge baths until the baby's umbilical cord falls off." This is because newborns typically receive sponge baths until their umbilical cord stump naturally falls off, which usually occurs within the first few weeks of life. It's important to keep the area around the umbilical cord clean and dry to prevent infection. The other options are not recommended:
Choice D Reason:
Using an alkaline soap is not recommended for newborns, as their skin is sensitive. Mild, fragrance-free, and pH-balanced baby soap is typically recommended for a baby's bath.
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