The nurse is caring for a client who is taking an oral contraceptive. What should the nurse advise this client during medication instruction?(Select all that apply.)

Question

1. Exercise if leg pain is present
2. Stop smoking
3. Periodic laboratory tests may be needed
4. Schedule annual Pap smears
5. Perform breast self-exams

Answer 1

2, 3, 4, 5

Rationale 1: This could indicate a DVT.
Rationale 2: Smoking increases the risk of blood clots.
Rationale 3:Oral contraceptives need follow up with liver function tests, lipid profile studies, and thyroid studies.
Rationale 4:Annual Pap smears should be included.
Rationale 5: Performing breast self-exams (BSEs) monthly should be encouraged.

Global Rationale: Smoking increases the risk of blood clots. Leg pain could indicate a DVT and would require further intervention. Periodic laboratory test, yearly Pap exams, and monthly breast self-exams should be included in the plan of care.