A nurse is reviewing the medical record of a client who is requesting an oral contraceptive. Which of the following findings is a contraindication for the use of oral contraceptives?
Anxiety disorder
History of deep-vein thrombosis
Ovarian cysts
client age of 36 years
The Correct Answer is B
A. Anxiety disorder: Anxiety disorder is generally not a contraindication for the use of oral contraceptives. However, it's essential to consider the overall health of the individual and potential interactions with medications used to manage anxiety.
B. History of deep-vein thrombosis (Correct Answer): A history of deep-vein thrombosis (DVT) is a significant contraindication to the use of oral contraceptives. Estrogen-containing contraceptives can increase the risk of blood clot formation, and individuals with a history of DVT are at an elevated risk for thrombotic events.
C. Ovarian cysts: Ovarian cysts alone are not a contraindication for oral contraceptives. In fact, oral contraceptives are sometimes prescribed to help regulate menstrual cycles and prevent the formation of certain types of ovarian cysts.
D. Client age of 36 years: Age alone is not a strict contraindication for oral contraceptives. However, as women age, especially beyond 35 years, healthcare providers may consider other risk factors such as smoking, hypertension, and cardiovascular health when prescribing oral contraceptives.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Infiltration:
Infiltration refers to the inadvertent administration of a non-vesicant solution into the surrounding tissue. It is characterized by swelling, pallor, and coolness at the infusion site, but redness and inflammation along the vein are not typical signs of infiltration.
B. Extravasation:
Extravasation occurs when a vesicant solution (a substance that can cause tissue damage) infiltrates into the surrounding tissue. It can cause tissue damage and necrosis. While inflammation is a concern with extravasation, it is not the primary sign, and redness may occur later.
C. Venous spasm:
Venous spasm involves the constriction of the blood vessel, leading to decreased blood flow. It is not typically associated with redness and inflammation along the vein.
D. Phlebitis:
This is the correct answer. Phlebitis refers to inflammation of a vein, and it is characterized by redness, warmth, and tenderness along the course of the vein. Phlebitis can be caused by various factors, including irritants in the infused solution, mechanical trauma, or infection.
Correct Answer is D
Explanation
A. Potassium chloride 10 mEq/hr:
While potassium replacement is crucial in DKA, initiating it before fluid resuscitation can lead to further complications. Insulin administration can drive potassium back into cells, potentially causing hypokalemia. Fluid resuscitation helps address dehydration and electrolyte imbalances.
B. Bicarbonate by IV infusion:
Bicarbonate therapy is generally reserved for severe cases of acidosis, and its use in DKA is controversial. In this scenario, the blood glucose level is not significantly elevated, and the focus should be on fluid resuscitation and insulin administration.
C. Subcutaneous insulin injections:
While insulin is a critical component of DKA management, it should be administered intravenously for faster and more precise control of blood glucose levels. Subcutaneous insulin injections are not the initial route of administration in DKA.
D. 0.9% sodium chloride 15 mL/kg/hr:
This is the correct answer. The first step in DKA management is fluid resuscitation with isotonic saline (0.9% sodium chloride). The goal is to address dehydration, restore intravascular volume, and improve perfusion. Insulin therapy and other interventions follow fluid resuscitation.
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