A nurse is teaching a client who has a new prescription for estradiol. For which of the following adverse effects of this medication should the nurse instruct the client to monitor and report to the provider?
Hypotension
Bruising
Headaches
Oliguria
The Correct Answer is B
A. Hypotension is not a common adverse effect of estradiol; instead, it may cause hypertension.
B. Bruising can indicate thrombocytopenia or other clotting issues, which are serious adverse effects of estradiol and should be reported immediately.
C. Headaches are a common side effect of estradiol but are usually not severe; they typically do not require reporting unless they are persistent or severe.
D. Oliguria is not a known adverse effect of estradiol and may indicate other underlying issues that are unrelated to this medication.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Elevating the affected leg is an important intervention for reducing swelling and promoting venous return, which can help alleviate discomfort and prevent further complications.
B. Placing cold compresses on the edematous area may provide temporary relief but is not a standard intervention for deep-vein thrombosis and could potentially harm tissue if applied for too long.
C. Restricting the client to 1 L of fluid per day is inappropriate, as adequate hydration is essential for maintaining good venous health and preventing further complications.
D. Maintaining the client on bed rest is not necessary; while rest is important, early ambulation is encouraged to promote circulation and prevent further clot formation unless contraindicated.
Correct Answer is C
Explanation
A. The reason for the medication error should not be documented in the client's medical record due to potential legal implications; such information belongs in the incident report instead.
B. Documentation of notification to the pharmacist is relevant for the incident report but is not appropriate for the client's medical record.
C. The time the medication was given is an important detail that should be documented in the client's medical record as it affects the client's treatment and future medication administration.
D. Documenting the completion of the incident report should be done in the facility's quality assurance system, not in the client’s medical record.
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