The nurse in the community clinic instructs a patient starting on an oral contraceptive that she must immediately report: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Only four withdrawal bleeds per year.
2. Cholecystitis symptoms.
3. Breakthrough bleeding.
4. Blood pressure of 126/84.
5. New lumps in her breast.
2,5
Rationale 1: Some oral contraceptives have the expected effect of only four withdrawal bleeds per year.
Rationale 2: Cholecystitis is a contraindication for taking oral contraceptives.
Rationale 3: Very-low-dose pills can result in weaker cycle control, which leads to more irregular or "breakthrough" bleeding, and does not need immediate attention.
Rationale 4: Hypertension is a complication of oral contraception. This blood pressure is within normal limits.
Rationale 5: The woman using oral contraceptives should contact her healthcare provider if she develops a breast lump.
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