Which client should not receive progestin therapy for the treatment of dysfunctional uterine bleeding?
1. The client with a history of asthma
2. The client with a history of a blood clot
3. The client with a history of glaucoma
4. The client with a history of hepatitis
Correct Answer: 2
Rationale 1: Progestin therapy is not contraindicated in the client with asthma.
Rationale 2: Progestins are contraindicated in clients who have had thromboembolic disease.
Rationale 3: Progestin therapy is not contraindicated in the client with glaucoma.
Rationale 4: Progestin therapy is not contraindicated in the client with a history of hepatitis.
Global Rationale: Progestins are contraindicated in clients who have had thromboembolic disease. They are not contraindicated for those with asthma, glaucoma, or history of hepatitis.
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When admitting the client diagnosed with toxic shock syndrome, the nurse would question the client about which of the following to gather data related to the cause of the infection? Select all that apply. Standard Text: Select all that apply
1. Recent surgery 2. Use of a diaphragm 3. Use of tampons 4. Presence of IUD 5. Type of underwear worn
When performing the initial assessment on a new client in a geriatric outpatients practice, the most effective method the nurse can implement to elicit an accurate medication assessment is to ask that the client:
a. make a list of all her current medications. b. work with a family member to make a list of her medications. c. bring in all of the medications that she is currently taking. d. allow her previous primary care provider to provide a list of medications.
The nurse should instruct clients taking oral anticoagulants who are then started on propylthiouracil (PTU) to:
a. ask their health care providers if they should have both drug dosages decreased. b. get a lower propylthiouracil (PTU) dose than is usually prescribed. c. discuss with health care provider about having the oral anticoagulant dose decreased. d. discuss with health care provider about having the oral anticoagulant dose increased.
A child is admitted to the hospital unit with physical injuries. The nurse is taking the child's history. The statement by the parent that would be most suspicious for abuse is
1. "I did not realize that my babywas able to roll over yet and I was just gone a minute to check on dinner when the baby rolled off of the couch and onto our tile floor." 2. "The baby's 18-month-old brotherwas trying to pull the baby out of the crib and dropped the baby on the floor." 3. "I placed the baby in the infantswing.His 6-year-old brother was running through the house and tripped over the swing,causing it to fall." 4. "I was walking up the steps andslipped on the ice,falling while carrying my baby."