An adult female client wishes to begin taking oral contraceptives. The medical history indicates that the client had a deep vein thrombosis three years ago
After reviewing the objectives set forth in Healthy People 2020, which response by the nurse is the most appropriate?
1. "We can have the healthcare provider write you a prescription today."
2. "You will also have to take blood thinners."
3. "I need to perform a Homan's test on you."
4. "Taking oral contraceptives increases your risk of developing clots."
Correct Answer: 4
This client has a history of deep vein thrombosis. Her history and oral contraceptive use increases her risk for developing another thrombosis. It would be better for this client to avoid using oral contraceptives and use another method of birth control. "Blood thinners'' have significant side effects. There is no information to indicate the client currently has a deep vein thrombosis so Homan's test is not appropriate.
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