A nurse is conducting a health promotion class about the use of oral contraceptives. Which of the following disorders is a contraindication for oral contraceptive use?
Fibrocystic breast condition
Hypertension
Asthma
Fibromyalgia
The Correct Answer is B
Rationale:
A. Fibrocystic breast condition: Fibrocystic breast changes are benign and do not contraindicate oral contraceptive use. Oral contraceptives may sometimes improve symptoms, but this condition alone is not a reason to avoid them.
B. Hypertension: Oral contraceptives can elevate blood pressure and increase the risk of cardiovascular complications. Clients with uncontrolled or severe hypertension are at higher risk and should avoid combined estrogen-progestin contraceptives, making this a significant contraindication.
C. Asthma: Asthma is not a contraindication for oral contraceptive use. Hormonal contraceptives generally do not exacerbate asthma, and clients with well-controlled asthma can safely use these medications.
D. Fibromyalgia: Fibromyalgia is a chronic musculoskeletal pain disorder that does not affect cardiovascular or thrombotic risk. It is not a contraindication for oral contraceptives, and use is generally safe in these clients.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Beneficence: Beneficence involves promoting the well-being of clients. While both clients’ needs are important, the issue here is unequal access to resources, not the nurse’s intent to benefit them.
B. Autonomy: Autonomy relates to the client’s right to make informed decisions about their own care. The situation does not interfere with either client’s ability to make choices.
C. Nonmaleficence: Nonmaleficence means avoiding harm. Although delayed access to supplies could indirectly cause harm, the primary ethical concern is the fairness in distribution, not direct harm by action.
D. Justice: Justice involves fairness and equitable treatment. Providing supplies to one client based on insurance status while requiring the other to obtain them elsewhere reflects unequal treatment and a breach of the principle of justice.
Correct Answer is A
Explanation
Rationale:
A. A health care surrogate makes health care decisions when the client is no longer able: A health care surrogate, also called a health care proxy, is designated by the client to make medical decisions on their behalf if they become incapacitated.
B. Advance directives cannot be changed once implemented: Advance directives are legally binding but can be revised or revoked by the client at any time while they are competent. Flexibility allows clients to update their preferences as their health status or values change.
C. Assigning a health care surrogate requires legal consultation: While consulting an attorney can be helpful, it is not required to designate a health care surrogate. Most states allow clients to assign a surrogate using standardized forms provided by healthcare facilities or state agencies.
D. A client must create a do-not-resuscitate order when completing advance directives: Creating a DNR order is optional and only applicable if the client wishes to limit resuscitation. Advance directives encompass broader healthcare decisions beyond resuscitation preferences.
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