A young female client is beginning to use oral contraceptives. What information should be shared with this client that relates to one of the possible adverse effects of these medications?
1. The client should be taught self-examination of the breasts.
2. The client needs to learn how to take her pulse.
3. The client should be instructed to drink 10 glasses of water daily.
4. The client needs to understand how to take the medication correctly.
Correct Answer: 1
Rationale 1: Estrogen can influence the development of breast tumors, and estrogen is one of the drugs most commonly used in oral contraceptives, so the client needs to know how to perform breast self-examination.
Rationale 2: Estrogen is related to the development of cardiovascular problems such as hypertension, so it would be more helpful for the client to learn how to measure blood pressure than pulse.
Rationale 3: Drinking excessive amounts of water will not impact the client's development of breast cancer or other disorders associated with estrogen.
Rationale 4: It is important for the client to take the medication correctly, but it will not change the client's chances of developing estrogen-related disorders.
Global Rationale: Estrogen can influence the development of breast tumors, and estrogen is one of the drugs most commonly used in oral contraceptives, so the client needs to know how to perform breast self-examination. Estrogen is related to the development of cardiovascular problems such as hypertension, so it would be more helpful for the client to learn how to measure blood pressure than pulse. Drinking excessive amounts of water will not impact the client's development of breast cancer or other disorders associated with estrogen. It is important for the client to take the medication correctly, but it will not change the client's chances of developing estrogen-related disorders.
You might also like to view...
The nurse is reviewing the risk factors for venous disease. Which of these situations best describes a person at highest risk for the development of venous disease?
a. Woman in her second month of pregnancy b. Person who has been on bed rest for 4 days c. Person with a 30-year, 1 pack per day smoking habit d. Older adult taking anticoagulant medication
The nurse auscultates a functional systolic murmur, grade II/IV, on a woman in week 30 of her pregnancy. The remainder of her physical assessment is within normal limits. The nurse would:
a. Consider this finding abnormal, and refer her for additional consultation. b. Ask the woman to run briefly in place and then assess for an increase in intensity of the murmur. c. Know that this finding is normal and is a result of the increase in blood volume during pregnancy. d. Ask the woman to restrict her activities and return to the clinic in 1 week for re-evaluation.
A nurse manager has started a dialogue regarding the American Nurses Association (ANA) Code of Ethics for Nurses with Interpretive Statements among staff nurses
Which staff nurse statements would the manager evaluate as indicating poor understanding of this document? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "This document describes nursing's own understanding of its commitments to society." 2. "This document is so out of date, they never revise it." 3. "At least the ANA understood that professional ethics are different in different regions of the country." 4. "It is interesting that the ANA first addressed this code over 50 years ago." 5. "This document has established standards by which we should practice."
To perform the Romberg test, the nurse should instruct Mr. Carpenter to:
A) Stand with feet together and arms at side with eyes open, then closed. B) Walk on the heels, then on the toes. C) Touch thumb of one hand to each finger. D) Run heel of foot down shin of opposite leg.