The nurse is completing the health assessment of a client who is interested in taking oral contraceptives. Which set of data would indicate that the client should consider another form of birth control?
1. Height 5 feet, 7 inches; weight 156 pounds; P-87; R-18; B/P-128/78
2. Height 5 feet, 2 inches; weight 102 pounds; P-80; R-14; B/P-121/74
3. Height 5 feet, 6 inches; weight 140 pounds; P-86; R-16; B/P-112/79
4. Height 5 feet, 3 inches; weight 187 pounds; P-88; R-18; B/P-142/87
Correct Answer: 4
Rationale 1: This client's weight is within normal limits. The blood pressure is slightly elevated, but does not indicate hypertension.
Rationale 2: This client's weight and vital signs are within normal range.
Rationale 3: This client's weight and vital signs are all within normal range.
Rationale 4: This client is overweight, and blood pressure is elevated. This client should consider using another form of birth control.
Global Rationale: Being overweight and having high blood pressure can complicate contraception with oral contraceptives. The patient who is 5 feet 3 inches tall, weighs 187 pounds and whose blood pressure is 142/87 should consider an alternative birth control method. The other patients have vital signs and weights within normal range.
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