The nurse at a fertility clinic determines the risk factors for clients using oral contraceptives. Which of the following clients would be at highest risk for heart attack or stoke related to use of these contraceptives?
A) A 15-year-old with a previous miscarriage
B) A 22-year-old woman who drinks alcohol
C) A 38-year-old woman who smokes
D) A 32-year-old woman who has asthma
C
Feedback:
Rare but serious health problems can occur with BCPs. Blood clots, myocardial infarctions (heart attacks), and cerebrovascular accidents (strokes) can occur. Women older than 35 years who smoke are at the highest risk for these serious conditions.
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A client is prescribed clozapine. The nurse instructs the client on the need for weekly laboratory testing for which of the following?
A) Serum lithium B) WBC count C) Blood glucose D) pH level
The physician has ordered clindamycin (Cleocin phosphate) 900 mg in 75 mL over 30 minutes with a drop factor of 15 gtt/mL. What is the correct IV flow rate in gtt/min?
A) 37 B) 38 C) 75 D) 150
A patient who takes a traditional antipsychotic medication says, "I feel shaky and very warm." The patient is diaphoretic. What is the nurse's best first action?
a. Take the patient's vital signs. b. Position the patient in the semi-Fowler's position. c. Begin oxygen by nasal cannula at 2 L/min. d. Place the patient on one-to-one supervision.
The newly licensed nurse is preparing to administer a high dose of androgen to the female client. The nurse manager asks for the rationale. What is the best response by the new nurse?
1. "My client wants to improve athletic performance." 2. "My client has breast cancer." 3. "My client has brain cancer." 4. "My client is planning on sexual reassignment surgery."