Author Question: A nurse is teaching a patient about the possible adverse effects of oral contraceptives. The nurse ... (Read 74 times)

maychende · **on:** Jul 23, 2018

A nurse is teaching a patient about the possible adverse effects of oral contraceptives. The nurse evaluates that the patient understands this teaching if which statement is made?

1. I may experience increased acne while on oral contraceptives.
2. If I experience chest pain, I will call the clinic immediately.
3. If I begin to lose more hair than is normal, my dose may need to be adjusted.
4. Any blurry vision or loss of vision should be reported immediately.
5. If I notice swelling in my feet, hands, or face, I will notify the clinic.

Question 2

The nurse administers an IM dose of risperidone (Risperdal) to a client. How long until the nurse will need to administer another dose?

1. 1 day
2. 3 weeks
3. 46 weeks
4. 12 weeks

cuttiesgirl16 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

1,2,4,5
Rationale 1: Oral contraceptive use may result in an increase in acne.
Rationale 2: Chest pain is a serious symptom and should be reported.
Rationale 3: Hirsutism, not hair loss, may occur as an adverse effect of oral contraceptive use.
Rationale 4: Blurry vision can be associated with glucose elevation, hypertension, or other adverse effects of oral contraceptive use.
Rationale 5: Edema is a common effect of oral contraceptive use.
Global Rationale: Oral contraceptive use may result in an increase in acne. Chest pain is a serious symptom and should be reported. Blurry vision can be associated with glucose elevation, hypertension, or other adverse effects of oral contraceptive use. Edema is a common effect of oral contraceptive use. Hirsutism, not hair loss, may occur as an adverse effect of oral contraceptive use.

Answer to Question 2

3

Rationale 1: Risperdal has a small amount of drug released in 1 day and the rest after 3 weeks, and lasts 46 weeks.
Rationale 2: Risperdal has a small amount of drug released in 1 day and the rest after 3 weeks, and lasts 46 weeks.
Rationale 3: Risperdal has a small amount of drug released in 1 day and the rest after 3 weeks, and lasts 46 weeks.
Rationale 4: This is the amount of time for the onset of oral Risperdal.

Global Rationale: Risperdal has a small amount of drug released in 1 day and the rest after 3 weeks, and lasts 46 weeks. All the other answer choices are incorrect.