You are assessing a client for possible cardiovascular side ...

[eruditmonkey@yahoo.com]

You are assessing a client for possible cardiovascular side effects of COCs related to hormone dosage. Your assessment would most likely reveal which of the following? (Select all that apply.)
 
  a. Capillary fragility d. Telangiectasis
  b. Increased breast size e. Dizziness
  c. Hypermenorrhea f. Deep vein thrombosis

Question 2

On postpartum day 3 a client who is bottle-feeding complains that her breasts are filling with milk and are starting to hurt. What would be an appropriate nursing action?
 
  a. Call the physician to request a medication order for Parlodel.
  b. Recommend that the client place ice packs on the sides of her breasts under the axilla.
  c. Show the client how to use a breast pump to remove milk.
  d. Suggest the client soothe breasts under a warm relaxing shower.

[sierrahalpin]

Answer to Question 1

A, D, F
The cardiovascular side effects of COCs related to hormone dosage include estrogen excess, capillary fragility, cerebrovascular accident, deep vein thrombosis, telangiectasis, and thromboembolic disease. Increased breast size and hypermenorrhea are reproductive side effects, and dizziness is a premenstrual side effect.

Answer to Question 2

B
Ice packs will help decrease breast stimulation and decrease engorgement. Calling the physician to request a medication order for Parlodel is not an appropriate action for the nurse. Acetaminophen would be a medication choice at this time. Showing the client how to use a breast pump to remove milk would increase breast stimulation, engorgement, and pain. Suggesting that the client soothe breasts under a warm relaxing shower will stimulate milk production and engorgement through vascular dilation.