Nokea
A nurse is collecting data from a client who is taking an oral contraceptive. Which of the following findings is a contraindication for the use of oral contraceptives?
- A. Headaches with aura
- B. History of mononucleosis 1 year ago.
- C. Irregular menstrual cycles
- D. Gastroesophageal reflux disease.
Correct Answer: A
Rationale: Headaches with aura is correct. Headaches with aura, a warning sign that can precede a migraine, are a contraindication for the use of oral contraceptives. This is because oral contraceptives increase the risk of stroke, especially in women who experience migraines with aura.
You may also like to solve these questions
A nurse is caring for a client who has a new prescription for spironolactone. Which of the following laboratory values should the nurse monitor?
- A. Potassium
- B. Hemoglobin
- C. Cholesterol
- D. Albumin
Correct Answer: A
Rationale: Spironolactone, a potassium-sparing diuretic, can cause hyperkalemia, so monitoring potassium levels is critical.
A nurse is reinforcing teaching with a client who has a new prescription for an albuterol inhaler. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will shake the inhaler before each use.
- B. I will use the inhaler every 2 hours.
- C. I will hold my breath for 5 seconds after inhaling.
- D. I will clean the inhaler with soap and water daily.
Correct Answer: A
Rationale: Shaking the inhaler before each use ensures the medication is properly mixed for effective delivery.
A nurse is reinforcing teaching with a client who has a new prescription for atorvastatin. Which of the following adverse effects should the nurse include?
- A. Muscle pain
- B. Weight gain
- C. Hypoglycemia
- D. Tinnitus
Correct Answer: A
Rationale: Atorvastatin, a statin, can cause muscle pain (myalgia), a common side effect that may indicate myopathy.
A nurse is caring for a client who has a new prescription for valsartan. Which of the following adverse effects should the nurse monitor for?
- A. Hyperkalemia
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Valsartan, an ARB, can cause hyperkalemia by affecting potassium excretion in the kidneys.
A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following findings should indicate to the nurse that the client is developing a thyroid storm?
- A. Decreased body temperature
- B. Increased incisional drainage
- C. Hypertension
- D. Bradycardia
Correct Answer: C
Rationale: Hypertension is correct. Thyroid storm is a severe, acute exacerbation of hyperthyroidism, and it is associated with hypertension, tachycardia, fever, and other symptoms of sympathetic nervous system overactivity.