Nokea
The nurse instructs a woman taking oral contraceptives to report which possible side effects? (Select all that apply.)
- A. Abdominal pain
- B. Weight gain
- C. Headache
- D. Eye or visual problems
- E. Speech disturbances
Correct Answer: A,C,D,E
Rationale: The memory aid ACHES is helpful: abdominal pain, chest pain, headaches, eye problems, and speech disturbances. Weight gain is an expected side effect of oral contraceptives.
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What will the nurse advise when a woman asks what she can do to reduce the discomfort of hot flashes?
- A. Aerobic exercise helps control hot flashes.'
- B. Increase the amount of calcium and vitamin D in your diet.'
- C. Dress in layers of cotton clothing.'
- D. Drink plenty of fluids, particularly caffeinated beverages.'
Correct Answer: C
Rationale: Cotton allows easier passage of air than synthetic fabrics. Layering allows the woman to take off or put on clothes when symptoms occur.
The nurse cautions that women with a history of which disorders are not candidates for HRT? (Select all that apply.)
- A. Melanoma
- B. Estrogen-dependent breast cancer
- C. Hepatitis C
- D. Thromboembolic disease
- E. Hyperthyroidism
Correct Answer: A,B,C,D
Rationale: Persons who are absolutely restricted from HRT are those with melanoma, estrogen-dependent breast cancers, chronic liver disorders, thromboembolic disease, and seizure disorders.
What statement by a man considering a vasectomy indicates a need for further information?
- A. Sterility does not occur immediately after the procedure.'
- B. We will need to use some form of birth control for about a month afterward.'
- C. The procedure involves the use of local anesthesia.'
- D. I'll need to remain in the hospital for a few days.'
Correct Answer: D
Rationale: A vasectomy takes about 20 minutes and is performed on an outpatient basis under local anesthesia.
The nurse is providing an informational session on oral contraceptives. Which of the following decrease effectiveness of oral contraceptives?
- A. Antihistamines for seasonal allergies
- B. Iron preparations for treatment of anemia
- C. Appetite suppressants for weight reduction
- D. Anticonvulsants for treatment of epilepsy
Correct Answer: D
Rationale: Anticonvulsants decrease the effectiveness of oral contraceptives.
What should a woman expect after insertion of an intrauterine device (IUD)?
- A. Menstrual flow will be lighter.
- B. Menstrual cramps will be eliminated.
- C. A string should be felt in the vagina.
- D. The device should be changed every 2 years.
Correct Answer: C
Rationale: A woman should feel for the string periodically, especially after her period, to confirm the presence of the IUD.