Nokea
A nurse educating a client on Ortho Tri-Cyclen Lo should strongly caution the client not to smoke because smoking increases the risk of which of the following adverse events? Select all that apply
- A. Venous thromboembolism
- B. Arterial thromboembolism
- C. Hemorrhagic stroke
- D. Myocardial infarction
- E. Thrombotic stroke
Correct Answer: A,B,C,D,E
Rationale: Smoking while taking oral contraceptives, like Ortho Tri-Cyclen Lo, increases a client's risk for venous and arterial thromboembolism, myocardial infarction, and thrombotic and hemorrhagic stroke.
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When completing the ongoing assessment of clients receiving estrogen, progestin, or combination products, which of the following would the nurse include? Select all that apply.
- A. Blood pressure
- B. Pulse
- C. Respiratory rate
- D. Temperature
- E. Therapeutic effects
Correct Answer: A,B,C,E
Rationale: The nurse's ongoing assessment of clients receiving estrogen, progestin, or combination products should include blood pressure, pulse, respiratory rate, weight, and questioning about adverse effects and therapeutic effects.
A nurse is conducting a presentation for a young adult women's group about oral contraceptives and the risks. Which of the following would the nurse include as an increased risk?
- A. Fibrocystic breast disease
- B. Ovarian cysts
- C. Endometrial cancer
- D. Hepatic adenoma
Correct Answer: D
Rationale: The risks of hepatic adenoma may be increased with the use of oral contraceptives. Oral contraceptives also increase the risk of cardiovascular diseases, thromboembolic disorders, strokes, visual disturbances, gallbladder disease, hypertension, and fetal abnormalities. The risks of fibrocystic breast disease, ovarian cysts, and endometrial cancer are decreased, not increased, with the use of oral contraceptives.
A client taking oral contraceptive drugs complains of occasional bloating of the abdomen. Which of the following instructions should the nurse offer the client to help alleviate the condition?
- A. Limit fluid intake with meals.
- B. Take the drug along with food.
- C. Decrease the intake of salt.
- D. Elevate the legs when sitting.
Correct Answer: A
Rationale: The nurse should instruct the client to limit fluid intake with meals if she experiences bloating of the abdomen after oral contraceptive use. Light to moderate exercise also may be helpful. Taking the drug with food alleviates nausea and GI irritation, and not the bloating of the abdomen. A decrease in salt intake causes a decrease in the intake of sodium, which may be beneficial when there is an excess fluid volume, and not when there is bloating of the abdomen. Elevating the legs when sitting prevents thromboembolism seen with oral contraceptive use. It does not prevent bloating of the abdomen.
A female client receiving fluoxymesterone for metastatic breast cancer is disturbed by the physical changes seen in her body. The nurse provides support to the client based on assessment of which of the following features the client is experiencing related to this therapy?
- A. Deepening of the voice
- B. Hypopigmentation of the skin
- C. Decrease in clitoris size
- D. Increase in body weight
Correct Answer: A
Rationale: Deepening of the voice may be seen as a feature of virilization following male hormone therapy in a female client. Virilization is the acquisition of male characteristics in the female. Other features of virilization include pigmentation, and not hypopigmentation, of the skin and an increase, not a decrease, in the size of the clitoris. An increase in body weight is not a sign of virilization. It may occur due to impaired nutrition of the body.
A nurse's preadministration assessment for a client about the receive oxymetholone (Anadrol-50) should include which of the following? Select all that apply.
- A. Weight
- B. Blood glucose
- C. Serum lipid levels
- D. Hepatic function tests
- E. Pain assessment
Correct Answer: A,C,D
Rationale: A nurse's preadministration assessment for a client about the receive oxymetholone (Anadrol-50) should include weight, blood pressure, pulse, respiratory rate, complete blood count, hepatic function tests, serum electrolytes, and serum lipid levels.