The physician has prescribed the medication clomiphene citrate (Clomid) for a client with infertility. What should the nurse's instructions to the woman include?
1. "Have intercourse every day of 1 week, starting 5 days after completion of medication."
2. "This medication is administered intravenously."
3. "Contact the doctor if visual disturbances occur."
4. "A contraindication is kidney disease."
3
Explanation: 3. Side effects of clomiphene citrate include visual symptoms such as spots and flashes.
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The nurse is having lunch with colleagues from a medical-surgical unit. One of the medical-surgical nurses states, "I don't know how you can work with psych patients! They scare the heck out of me." How should the nurse respond?
1. "It's not that bad, and most of the clients are not that scary." 2. "The clients I work with have physical disorders just like the clients you work with." 3. "I don't know; sometimes I wonder what I am doing." 4. "I must have better nursing skills than you do."
Which of the following characteristics is associated with acanthosis nigricans?
a. Accentuated skin markings b. Episodes of bedwetting c. Diarrhea d. Weight loss
A nurse would be correct to assume that which of the following are adverse effects of alpha blockade? (Select all that apply.)
a. Hypertension b. Reflex tachycardia c. Nasal congestion d. Ejaculation e. Hypernatremia
The client is receiving phenobarbital (Luminal) for control of seizures. The client tells the nurse she plans to become pregnant. What is the best response of the nurse?
1. "Your medication dose will need to be increased during your pregnancy.". 2. "Please talk to your doctor; this drug is contraindicated in pregnancy.". 3. "Your medication dose will need to be decreased during your pregnancy.". 4. "Please talk to your doctor; you will need a safer drug like valproic acid (Depakene).".