A nurse is teaching a patient about the possible adverse effects of oral contraceptives. The nurse evaluates that the patient understands this teaching if which statement is made?

Question

1. "I may experience increased acne while on oral contraceptives."
2. "If I experience chest pain, I will call the clinic immediately."
3. "If I begin to lose more hair than is normal, my dose may need to be adjusted."
4. "Any blurry vision or loss of vision should be reported immediately."
5. "If I notice swelling in my feet, hands, or face, I will notify the clinic."

Answer 1

1,2,4,5
Rationale 1: Oral contraceptive use may result in an increase in acne.
Rationale 2: Chest pain is a serious symptom and should be reported.
Rationale 3: Hirsutism, not hair loss, may occur as an adverse effect of oral contraceptive use.
Rationale 4: Blurry vision can be associated with glucose elevation, hypertension, or other adverse effects of oral contraceptive use.
Rationale 5: Edema is a common effect of oral contraceptive use.
Global Rationale: Oral contraceptive use may result in an increase in acne. Chest pain is a serious symptom and should be reported. Blurry vision can be associated with glucose elevation, hypertension, or other adverse effects of oral contraceptive use. Edema is a common effect of oral contraceptive use. Hirsutism, not hair loss, may occur as an adverse effect of oral contraceptive use.