The nurse in the community clinic instructs a client starting on ...

[mcmcdaniel]

The nurse in the community clinic instructs a client starting on a combined oral contraceptive that she must immediately report which of the following symptoms? Note: Credit will be given only if all correct and no incorrect choices are selected.
 
  Select all that apply. 1. Only four withdrawal bleeds per year
  2. Speech problems
  3. Unscheduled bleeding
  4. Blood pressure of 126/84
  5. New lumps in her breast

Question 2

A cesarean section is ordered for the laboring patient with whom the nurse has worked all shift. The patient will receive general anesthesia.
 
  The nurse knows that potential complications of general anesthesia include: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Fetal depression that is directly proportional to the depth and duration of the anesthesia.
  2. Poor fetal metabolism of anesthesia, which inhibits use with preterm infants.
  3. Uterine relaxation that causes increased blood loss.
  4. Increased gastric motility that causes increased appetite.
  5. Itching of the face and neck.

[mcni194]

Answer to Question 1

2, 5
Explanation: 2. The woman using combined oral contraceptives should contact her healthcare provider if she develops speech problems.
5. The woman using combined oral contraceptives should contact her healthcare provider if she develops a breast lump.

Answer to Question 2

1,2,3
Rationale 1: A primary danger of general anesthesia is fetal depression, because the medication reaches the fetus in about 2 minutes. The depression is directly proportional to the depth and duration of anesthesia.
Rationale 2: There is poor fetal metabolism of the anesthesia agent, especially if the fetus is premature, which contraindicates its use in premature delivery.
Rationale 3: Uterine relaxation prevents uterine contraction after delivery, which increases maternal blood loss.
Rationale 4: Decreased gastric motility causes food to remain undigested.
Rationale 5: Itching of the face and neck is not associated with general anesthesia.

[mcmcdaniel]

Thank you

[mcni194]

No problemo