The nurse is teaching a young woman about birth control pills. For which situation will the patient need to seek immediate follow-up with the health care provider?
a. Breakthrough bleeding
b. Nausea
c. Missed dose
d. Light menstrual flow
ANS: A
Breakthrough bleeding is not an expected adverse effect and should be reported to a health care provider immediately to consider alternatives in therapy. Nausea is an expected adverse effect of contraceptive therapy. Missed doses are common and do not require notification of the provider. Light menstrual flow is common with contraceptive therapy.
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A. Place the bed flat B. Remove all supplemental oxygen sources C. Explain to the client that the respirations are being assessed D. Relax and gently place the client's hand over the upper abdomen