A nurse is conducting health promotion education regarding contraindications to combination oral contraceptive use to a group of women. Which of the following conditions should the nurse include in the teaching?
Fibromyalgia
Fibrocystic breast disease
Renal calculi
Hypertension.
The Correct Answer is D
A. Fibromyalgia is not a contraindication for combination oral contraceptives.
B. Fibrocystic breast disease is not a contraindication, though it may require monitoring.
C. Renal calculi are not a contraindication for oral contraceptive use.
D. Hypertension is a contraindication because it increases the risk of cardiovascular complications when using combination oral contraceptives.
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Related Questions
Correct Answer is C
Explanation
A. While discussing measures is important, identifying factors contributing to infections should be done first.
B. Staff training is crucial, but identifying the root causes should precede it to ensure the training is focused on the specific problems identified.
C. Identifying precipitating factors is the most immediate and practical step in addressing the issue, as it allows for targeted interventions.
D. Revising the policy may be necessary but should be based on the findings from identifying the root causes.
Correct Answer is B
Explanation
A. Penicillin G is not related to sulfa drugs, so checking for a sulfa allergy is not necessary. The nurse should, however, assess for penicillin allergies.
B. Diarrhea can indicate an adverse reaction such as antibiotic-associated colitis (e.g., Clostridium difficile infection), so the client should be instructed to report this symptom.
C. Penicillin G is typically infused over 30 to 60 minutes, not 10 minutes. Infusing it too quickly could increase the risk of side effects.
D. Penicillin G should be stored according to the manufacturer's instructions, but refrigeration is not always necessary. The nurse should check the specific instructions.
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