Question

1.The nurse is caring for a client whom is asking about conjugated equine estrogens (Estradiol). The nurs should inform the client this medication is contraindicated in which of the following conditions?

​A. Atrophic vaginitis

​B. Dysfunctional uterine bleeding

​C. Osteoporosis

​D. Thrombophlebitits

2.The nurse is caring for a client who would like to start taking oral contraceptives. What aspect of this client's health history should the nurse prioritize for follow-up?

A. The client's body mass index (BMI) is 18.0

B. The client uses marijuana one to two times per week

C. The client takes NSAIDs for the treatment of headaches and joint pain

D. The client was treated for deep vein thrombosis following surgery

3.The nurse is preparing to administer an infusion of oxytocin (Pitocin) to the pregnant client. What is the priority assessment before beginning the infusion?

A. Cervical dilation

B. Cephalopelvic proportions

C. Electrocardiogram readings

D. Respiratory excursion

4.The nurse gives a class at the local high school on the use of anabolic steroids. The nurse should warn the students about what consequence of illicit use of steroids?

A. Kidney stones

B. Liver disease

C. Chronic diarrhea

D. Malignant hyperthermia

Answer 1

1. Answer ; D) thrombophlebitis.

reason ; When a client take this medication, it will increase the concentration level of the plasma and also it will affect the clotting factor, thus lead to have clot formation over the blood vessels. hence it should be clear contra indication if the client had any thrombus problem.

Other condition mentioned in the options are actual indication to use these drugs. Hence the above mentioned condition is contraindicated to use these drugs.

2. Answer ; D) the client was treated for deep vain thrombosis following surgery.

Reason ; If a client is taking OCP, there are so many factor that nurse need to consider before giving these drug. One of the significant history is about the clotting problem. Cause these kind of pills will increase the capacity of these clotting factor and its aggregation. If a client is having these kind of clotting disorder it should be considerd as contr indication and need to be avoid taking these pills. Hence the above mentioned history is more significant to be noticed at that time.

3. Answer ; B) Cephalopelvic proportion.

Reason ; The mentioned drug will cause uterine contraction and it lead the client to achieve the labor, so if the nurse is planning to administer these drug, it is very mandatory to check the proportion of the utrine canal and the fetal size. If it is not appropriate one another it will block the labor process and affect both fetal and maternal life. Hence it is necessary to pr check this status before infusing these drugs. Other things mentioned in the option are not really a much factor to consider before giving these drugs.

4. Answer ; B) liver disaese.