A nurse is reviewing laboratory results for a female client who takes oral contraceptives (OCs).
Which of the following findings should indicate to the nurse that OCs are having an adverse effect on this client?
Decreased serum glucose level
Increased serum potassium level
Decreased serum triglyceride level
Increased serum protein level
The Correct Answer is B
The correct answer is choice B. Increased serum potassium level. Oral contraceptives can affect the levels of various electrolytes in the blood, such as sodium, potassium, calcium and magnesium. According to one study, oral contraceptives can increase the levels of serum copper, iron, calcium and cadmium, and decrease the levels of serum zinc, selenium, phosphorus and magnesium.
Therefore, a high serum potassium level can indicate an adverse effect of oral contraceptives on this client.
Choice A is wrong because oral contraceptives do not decrease serum glucose level. In fact, they can increase the plasma glucose level and insulin response, which can impair glucose tolerance and increase the risk of diabetes.
Choice C is wrong because oral contraceptives do not decrease serum triglyceride level. On the contrary, they can increase the fasting triglyceride level by 13 to 75 percent, which can elevate the risk of cardiovascular disease.
Choice D is wrong because oral contraceptives do not increase serum protein level. They can increase the levels of some apolipoproteins, such as A-I, A-II and B, but these are not the same as total protein.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B. The client should start taking oral contraceptives (OCs) on day one of their menstrual cycle, which is the first day of their period.This way, they will be protected from pregnancy right away and do not need to use a back-up contraceptive method.
Choice A is wrong because starting OCs on Sunday after the period begins may leave a gap of several days when the client is not protected from pregnancy.They would need to use a back-up method for the first seven days of taking OCs.
Choice C is wrong because starting OCs on day five of the menstrual cycle may also leave a gap of unprotected days.The client would need to use a back-up method for the first seven days of taking OCs.
Choice D is wrong because starting OCs on day fourteen of the menstrual cycle is too late and may not prevent ovulation.The client would need to use a back-up method for the first seven days of taking OCs.
Correct Answer is C
Explanation
The correct answer is choice C. Increased risk of HIV transmission.According to some sources, spermicide that contains nonoxynol-9 (N-9) can irritate sensitive genital tissues, especially if used several times a day.
This irritation can increase the risk of HIV and other sexually transmitted infections by giving infections an easy pathway into the body.
Choice A is wrong because vaginal dryness is not a common side effect of spermicide.
Choice B is wrong because bacterial vaginosis is not directly linked to spermicide use.
Choice D is wrong because cervical cancer is not caused by spermicide use.
Spermicide is a type of contraceptive that works by stopping sperm from reaching an egg.
It comes in different forms such as gels, creams, foams, films or suppositories.It needs to be inserted into the vagina before sex and used correctly every time for it to be effective.
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