A woman is in the clinic complaining of frequent constipation. ...

[humphriesbr@me.com]

A woman is in the clinic complaining of frequent constipation. During the assessment, the patient states that she has been trying to conceive for many months. Which of the following should the nurse ask this patient about using?
 
  A.
  Bisocodyl (Dulcolax) suppositories
  B.
  Fleet enemas
  C.
  Psyllium (Metamucil)
  D.
  Senna (Senekot)

Question 2

A woman is receiving clomiphene citrate (Clomid). What assessment finding warrants immediate intervention by the nurse?
 
  A.
  Chest pain worse with inspiration
  B.
  Complaints of anxiety and depression
  C.
  Headache and bilateral eye pain
  D.
  Increase in blood pressure of 10

[Mollythedog]

Answer to Question 1

ANS: D
Senna is in a group of herbs called anthraquinone laxatives, which should be avoided when trying to conceive. The other items do not appear to have an effect on conception.

Answer to Question 2

ANS: A
Ovarian hyperstimulation is a serious complication that can occur with ovulation induction (the purpose of giving Clomid). The signs and symptoms include marked ovarian enlargement, ascites with or without pain, and pleural effusion. A common manifestation of pleural effusion is pleuritic chest pain such as described by the patient. The other complaints are not related to Clomid use and, in fact, anxiety, depression, and emotional instability are common to the dramatic hormonal alterations that occur in patients undergoing treatment.