The nurse instructs a client taking oral combination contraceptives to have periodic serum liver function studies done and to report symptoms of liver dysfunction, including:
Standard Text: Select all that apply.
1. abdominal pain.
2. yellowing of the skin.
3. clay-colored stools.
4. darkened urine.
5. constipation.
Correct Answer: 1,2,3,4
Rationale 1: Abdominal pain could indicate gallbladder disease.
Rationale 2: Yellowing of the skin could indicate liver dysfunction.
Rationale 3: Clay-colored stools could indicate gallbladder disease.
Rationale 4: Darkened urine could indicate liver dysfunction.
Rationale 5: Constipation does not need to be reported when taking this medication.
Global Rationale: All of these findings, except constipation, are associated with liver disease.
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