A woman will begin taking a combination oral contraceptive (COC) that has a higher estrogenic activity than her previous COC. When teaching this woman about the new product, the nurse will explain that she may experience which effect(s)?
a. Cyclic breast changes and chloasma
b. Decreased dysmenorrhea and menorrhagia
c. Decreased libido
d. Weight gain and fatigue
ANS: A
Increased estrogenic activity may include side effects such as cyclic breast changes and chloasma as well as increased dysmenorrhea and menorrhagia. Increased progestin causes decreased libido, weight gain, and fatigue.
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After teaching a client with irritable bowel syndrome (IBS), a nurse assesses the client's understanding. Which menu selection indicates that the client correctly understands the dietary teaching?
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Lead I is perpendicular to lead _____
a. II b. III c. aVF d. aVL
The nurse is caring for a client with Wernicke's aphasia. The nurse plans care knowing that the client has which of the following changes in communication patterns?
1. impaired auditory comprehension 2. intact comprehension of written and spoken words 3. telegraphic speech 4. impairment in the volume, quality, or pitch of the voice