During a health history of a patient with uterine dysfunction, ...

[joesmith1212]

During a health history of a patient with uterine dysfunction, the nurse determines that oral contraceptives would be contraindicated for this patient. What did the nurse assess to make this clinical determination?
 
  Select all that apply.
 
  1. The patient takes vitamin C every day.
  2. The patient smokes one ppd of cigarettes.
  3. The patient takes antihypertensive medication.
  4. The patient was treated for thrombophlebitis after her last pregnancy.
  5. The patient's father has had several joints replaced because of arthritis.

Question 2

The nurse is reviewing instructions for a patient recovering from a D&C. What should the nurse emphasize when teaching this patient?
 
  Select all that apply.
 
  1. Avoid heavy lifting for several days.
  2. Avoid using tampons for 2 weeks.
  3. Rest for several days after the procedure.
  4. Expect the next menstrual period to be early.
  5. Expect vaginal bleeding to be bright red and very heavy.

[skipfourms123]

Answer to Question 1

Correct Answer: 2, 3, 4
Oral contraceptives are contraindicated in women with hypertension, smoking, or thrombophlebitis. Vitamin C supplements would not interfere with oral contraceptives. A family history of arthritis is not a contraindication for oral contraceptives.

Answer to Question 2

Correct Answer: 1, 2, 3
The patient should be instructed to avoid heavy lifting, which can interfere with healing and cause a hemorrhage; to avoid tampons for 2 weeks to reduce the risk of infection and allow tissue to heal; and to rest for several days after the procedure to promote tissue healing. The onset of the next menstrual period may be delayed because the surgical procedure removes the endometrial lining. Bright red bleeding that exceeds that of a normal menstrual period should be reported as it may indicate hemorrhage.

[joesmith1212]

Excellent

[bigcheese9]

TYSM