A client is prescribed an oral contraceptive that has less progestin than her previous prescription. What assessment findings would support the use of a contraceptive with less progestin?
Standard Text: Select all that apply.
1. Increased appetite
2. Weight gain
3. Fatigue
4. Hirsutism
5. Anorexia
Correct Answer: 1,2,3,4
Rationale 1: Increased appetite is a common effect that is often caused by high amounts of progestin.
Rationale 2: Weight gain is a common effect that is often caused by high amounts of progestin.
Rationale 3: Fatigue is a common effect that is often caused by high amounts of progestin.
Rationale 4: Hirsutism is a common effect that is often caused by high amounts of progestin.
Rationale 5: Anorexia is not a common effect of progestin.
Global Rationale: Adverse effects such as increased appetite, weight gain, fatigue, and hirsutism may require lowering of the amount of progestin prescribed. Anorexia is not a common effect of progestin.
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In assessing a client 6 hours after a radical nephrectomy for renal cell carcinoma, the nurse notes that the client's blood pressure has decreased from 134/90 to 100/56 mm Hg and urine output is 20 mL for this past hour
Which is the nurse's best action? a. Position the client so that the remaining kidney is not dependent. b. Measure the specific gravity of the client's urine. c. Document the findings in the client's record. d. Assess the pulse rate and quality, and then notify the provider.
The nurse is analyzing an arterial blood gas of pH, 7.30; PCO2, 50; and HCO3, 29. What result should the nurse document for this blood gas?
a. Fully compensated respiratory acidosis b. Partially compensated respiratory acidosis c. Fully compensated metabolic acidosis d. Partially compensated metabolic acidosis
The best interest standard is established using:
a. living will preferences b. parent wishes c. quality-of-life assessment d. clinical pathways
When caring for a patient who is pancytopenic, which action by unlicensed assistive personnel (UAP) indicates a need for the nurse to intervene?
a. The UAP assists the patient to use dental floss after eating. b. The UAP adds baking soda to the patient's saline oral rinses. c. The UAP puts fluoride toothpaste on the patient's toothbrush. d. The UAP has the patient rinse after meals with a saline solution.