A woman is receiving clomiphene citrate (Clomid). What assessment finding warrants immediate intervention by the nurse?
A.
Chest pain worse with inspiration
B.
Complaints of anxiety and depression
C.
Headache and bilateral eye pain
D.
Increase in blood pressure of 10%
ANS: A
Ovarian hyperstimulation is a serious complication that can occur with ovulation induction (the purpose of giving Clomid). The signs and symptoms include marked ovarian enlargement, ascites with or without pain, and pleural effusion. A common manifestation of pleural effusion is pleuritic chest pain such as described by the patient. The other complaints are not related to Clomid use and, in fact, anxiety, depression, and emotional instability are common to the dramatic hormonal alterations that occur in patients undergoing treatment.
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A client is receiving oxygen at 4 liters per nasal cannula. What comfort measure may the nurse delegate to unlicensed assistive personnel (UAP)?
a. Apply water-soluble ointment to nares and lips. b. Periodically turn the oxygen down or off. c. Remove the tubing from the client's nose. d. Turn the client every 2 hours or as needed.
Patient teaching regarding infection prevention for the patient with an immunodeficiency includes which of the following guidelines?
A) Cook all food thoroughly. B) Refrain from using creams or emollients on skin. C) Maintain contact only with individuals who have recently been vaccinated. D) Take OTC vitamin supplements consistently.
Which antihypertensive drug is considered safe for use during pregnancy or breastfeeding?
a. clonidine (Catapres) b. methyldopa (Aldomet) c. labetalol (Normodyne) d. carvedilol (Coreg)
Shock may cause death.
Answer the following statement true (T) or false (F)