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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. "Report bleeding that saturates the client's dressing.": Excessive or saturating bleeding from a postoperative abdominal incision may indicate hemorrhage or disruption of the surgical site and requires immediate provider notification.
B. "Ensure the client's urinary output is no less than 20 mL per hour.": The expected minimum urinary output for an adult after surgery is at least 30 mL per hour, which reflects adequate renal perfusion and fluid balance. A urine output of 20 mL per hour is too low.
C. "Expect the client to have a palpable distended bladder following surgery.": A distended bladder is not expected postoperatively and may signal urinary retention, a common complication due to anesthesia or opioids.
D. "Maintain the client in a supine position for 24 hours following surgery.": Keeping the client supine for 24 hours increases the risk of respiratory complications, including atelectasis and pneumonia. The nurse should encourage early ambulation and semi-Fowler’s positioning.
Correct Answer is A
Explanation
Rationale:
A. Pain: Persistent or severe pain in a client at the end of life indicates the need for a palliative care consultation. Palliative care focuses on symptom relief, comfort, and quality of life through interdisciplinary management, particularly when standard treatments fail to control pain effectively.
B. Dysphagia: While it requires assessment and dietary modification, it does not independently warrant a palliative consultation unless associated with uncontrolled distress or nutritional compromise.
C. Fatigue: Fatigue is a frequent symptom at the end of life, typically managed through rest, activity pacing, and supportive care. Although it contributes to discomfort, it is not the primary trigger for initiating palliative care unless it severely affects the client’s comfort.
D. Mottling: Mottling is a physical sign of imminent death resulting from decreased circulation. At this stage, palliative or hospice care is often already in place, and new consultation would not alter the course of care.
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