The physician has prescribed the medication Clomid (clomiphene citrate) for a client with infertility. The nurse's instructions to the woman should be:

1. "Have sexual intercourse every day for 1 week, starting 5 days after completion of medication."
2. "Take a pregnancy test before restarting medication."
3. "Contact the doctor if visual disturbances occur."
4. "Discontinue the medication if hot flashes occur."


3
Rationale:
1. Sexual intercourse should occur every other day.
2. If a woman does not have a period, she must be checked for the possibility of pregnancy.
3. Contact the doctor if visual disturbances occur, because the medication might have to be discontinued.
4. If hot flashes occur, relief can be obtained without discontinuing medication.

Nursing

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What reason is acceptable for withholding or decreasing pain medication in a client with end-stage cancer who is experiencing severe pain?

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A child weighing 44 lbs. is prescribed acetaminophen (Tylenol) 10 mg/kg oral suspension q 6 hours. The medication available is 120 mg/5 mL. How many mL of the medication will the nurse provide for each dose?

1. 4.4 mL 2. 6.8 mL 3. 8.3 mL 4. 9.2 mL

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Which laboratory test abnormality in a client with a disabling condition alerts a nurse to an increased risk for skin breakdown?

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