A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?

Breast tenderness

Chills

Tinnitus

Urinary frequency

Answer and Explanation

The Correct Answer is A

Rationale:

A. Breast tenderness:

Correct answer. Clomiphene citrate, a medication used to induce ovulation, can cause breast tenderness as a common adverse effect due to its estrogenic effects.

B. Chills: Chills are not a common adverse effect of clomiphene citrate.

C. Tinnitus: Tinnitus, or ringing in the ears, is not typically associated with clomiphene citrate use.

D. Urinary frequency: Urinary frequency is not a common adverse effect of clomiphene citrate.

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Correct Answer is B

Explanation

Rationale:

A. Epigastric discomfort is not typically associated with pyelonephritis. It may be a symptom of other conditions such as gastrointestinal issues or preeclampsia.

B. Flank pain is a common manifestation of pyelonephritis, which is an infection of the kidneys.

Clients with pyelonephritis often experience pain in the flank area, which is located between the lower ribs and the pelvis, on one or both sides of the body.

C. A temperature of 37.7°C (99.8°F) may indicate a low-grade fever, which can be present in pyelonephritis due to the body's immune response to infection.

D. Abdominal cramping may occur with various conditions during pregnancy but is not specific to pyelonephritis.

A. "Your provider will schedule a chorionic villus sampling to determine the sex of your baby." B. "This procedure determines if your baby has genetic or congenital disorders." C. "We can schedule the procedure for later today if you'd like." D. "You cannot have an amniocentesis until you are at least 35 years of age."

Correct Answer is B

Explanation

Rationale:

A. "Your provider will schedule a chorionic villus sampling to determine the sex of your baby." Chorionic villus sampling (CVS) is a different prenatal test that involves taking a sample of chorionic villi for genetic testing, not determining the sex of the fetus.

B. "This procedure determines if your baby has genetic or congenital disorders."

Correct answer.

Amniocentesis is a prenatal test used to diagnose genetic disorders or chromosomal abnormalities, not to determine the sex of the fetus.

C. "We can schedule the procedure for later today if you'd like." Amniocentesis is not typically scheduled on the same day as requested. It requires prior preparation and scheduling.

D. "You cannot have an amniocentesis until you are at least 35 years of age." There's no age restriction for amniocentesis based solely on maternal age. It's typically recommended for women at higher risk for genetic conditions, regardless of age.

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A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is at 30 weeks of gestation. Which of the following findings should the nurse identify as a manifestation of pyelonephritis?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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