A nurse is reviewing contraception options for four clients.
The nurse should identify which of the following clients as having a contraindication to oral contraceptives.
A client who has a blood pressure of 140/90 mm Hg.
A client who has a menstrual cycle every 14 days.
A client who has a hematocrit of 39%.
A 15-year-old client who has acne.
The Correct Answer is A
A client who has a blood pressure of 140/90 mm Hg. Hypertension is a contraindication to oral contraceptives.
Choice B is incorrect because having a menstrual cycle every 14 days is not a contraindication to oral contraceptives.
Choice C is incorrect because having a hematocrit of 39% is not a contraindication to oral contraceptives.
Choice D is incorrect because being 15 years old and having acne is not a contraindication to oral contraceptives.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse should include in their teaching that the client should increase their folic acid intake during pregnancy.
Choice A is incorrect because a pregnant woman at 8 weeks of gestation does not need to increase her daily calorie intake by 750 calories.
Choice C is incorrect because a pregnant woman should not limit her iron intake during her first trimester.
Choice D is incorrect because a pregnant woman should not stop taking her prenatal vitamin if she experiences nausea.
Correct Answer is A
Explanation
Muscular dystrophies are disorders associated with progressive degeneration of muscles, resulting in relentless and increasing weakness.
This is a general description of muscular dystrophy, a group of genetic diseases that affect different types of muscles and cause various degrees of disability.
Children with muscular dystrophy may experience frequent falls, difficulty walking or running, muscle pain, learning difficulties, and breathing problems.
There is no cure for muscular dystrophy, but treatments can help manage symptoms and slow down the progression of the disease.
Choice B.
The extent of degeneration depends on performing daily physical therapy is incorrect, as physical therapy cannot prevent or reverse the degeneration of muscles caused by muscular dystrophy.
Physical therapy can help maintain muscle strength and flexibility, prevent contractures and deformities, and improve mobility and function.
Choice C.
The child will be able to function normally and require no special accommodations is incorrect, as muscular dystrophy affects the child’s ability to perform daily activities and may require assistive devices, such as braces, wheelchairs, or ventilators.
The child may also need special education services, occupational therapy, speech therapy, or psychological counseling to cope with the disease.
Choice D.
The weakness that the child is currently experiencing will probably not increase incorrectly, as muscular dystrophy is a progressive disease that causes muscle weakness to worsen over time.
The rate and severity of progression may vary depending on the type and subtype of muscular dystrophy.
Therefore, choice A is the best answer to this question.
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