Nokea
A patient has been prescribed an estrogen-progestin oral contraceptive. The nurse should emphasize that the risk of thrombophlebitis is most likely in patients who:
- A. Are diabetic.
- B. Smoke cigarettes.
- C. Have a history of hypertension.
- D. Are older than 40.
Correct Answer: B
Rationale: Smoking is a significant risk factor for thrombophlebitis, particularly when combined with estrogen-progestin contraceptives.
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A male patient with erectile dysfunction has asked for a prescription for sildenafil (Viagra). Before giving this medication, the nurse should assess for which of the following conditions?
- A. History of peptic ulcer disease
- B. Use of nitrates
- C. Recent history of a stroke
- D. History of hypertension
Correct Answer: B
Rationale: Sildenafil should not be used by patients taking nitrates, as the combination can lead to severe hypotension.
A 74-year-old woman states that many of her peers underwent hormone replacement therapy (HRT) in years past. The woman asks the nurse why her primary care provider has not yet proposed this treatment for her. What fact should underlie the nurse's response to the woman?
- A. The risks of stroke and breast cancer are unacceptably high in women taking HRT.
- B. HRT was found to cause mood disturbances in many women who used it long term.
- C. HRT was found to be a significant risk factor for bone fractures and osteoporosis.
- D. The risks of chronic obstructive pulmonary disease were found to be significantly higher in women using HRT.
Correct Answer: A
Rationale: The correct answer is A because the main reason HRT is not recommended for all women is due to the increased risks of stroke and breast cancer associated with its use. Choices B, C, and D are incorrect as they do not address the primary concerns regarding HRT use. HRT can indeed cause mood disturbances and may have effects on bone health, but the main concerns regarding its use revolve around the risks of stroke and breast cancer.
A patient is starting on oral contraceptives. What should the nurse emphasize about the importance of taking the medication at the same time each day?
- A. Taking the medication at the same time each day helps maintain stable hormone levels and ensures effectiveness.
- B. Taking the medication at the same time each day reduces the risk of breakthrough bleeding.
- C. Taking the medication at the same time each day ensures consistent absorption and effectiveness.
- D. Taking the medication at the same time each day is important, but missing a dose occasionally is not a concern.
Correct Answer: A
Rationale: Taking oral contraceptives at the same time each day helps maintain stable hormone levels and ensures their effectiveness in preventing pregnancy.
What action is specific to hormonal contraceptives and should be taught to this woman?
- A. The cervical mucus is made resistant to penetration by sperm.
- B. The release of follicle-stimulating hormone is increased to block fertility.
- C. The maturation of the endometrial lining is activated by the contraceptive.
- D. The pituitary gland increases the synthesis and release of luteinizing hormone.
Correct Answer: A
Rationale: The correct action specific to hormonal contraceptives that should be taught to the woman is that they alter cervical mucus to prevent sperm penetration. This mechanism helps in preventing pregnancy by reducing the chances of sperm reaching the egg. Choices B, C, and D are incorrect. Choice B is inaccurate as hormonal contraceptives work by inhibiting ovulation rather than increasing follicle-stimulating hormone release. Choice C is incorrect as hormonal contraceptives do not activate the maturation of the endometrial lining; instead, they modify it to prevent implantation. Choice D is also incorrect as hormonal contraceptives do not stimulate the pituitary gland to increase luteinizing hormone synthesis and release.
A primiparous woman tells the nurse that she and her partner are highly reluctant to have their infant vaccinated, stating, "We've read that vaccines can potentially cause a lot of harm, so we're not sure we want to take that risk." How should the nurse respond to this family's concerns?
- A. "Vaccinations are not without some risks, but these are far exceeded by the potential
- B. "The potential risks of vaccinations have been investigated and determined to be
- C. "Unfortunately, state laws mandate that your child receive the full schedule of vaccines."
- D. "Vaccines indeed cause several serious adverse effects, but these are usually treated at the
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.