The client plans to use an estrogen/progestin oral contraceptive ...

[kaid0807]

The client plans to use an estrogen/progestin oral contraceptive for birth control. Which client behavior would the nurse be most concerned about?
 
  1. The client has several sexual partners.
  2. The client is being treated for bipolar disorder.
  3. The client smokes one-half pack of cigarettes per day.
  4. The client drinks two glasses of wine a day.

Question 2

A female client has been prescribed risperidone (Risperdal). The physician monitors the client for increased prolactin levels. The nurse anticipates which symptoms to be present in a female client with increased prolactin levels?(Select all that apply.)
 
  1. Menstrual disorders
  2. Decreased libido
  3. Sense of euphoria
  4. Osteoporosis
  5. Facial hair

[zoeyesther]

Answer to Question 1

3
Rationale 1: Having several sexual partners is not a contraindication to the use of oral contraceptives.
Rationale 2: Being treated for bipolar disorder is not a contraindication to the use of oral contraceptives.
Rationale 3: Cigarette smoking increases the client's risk for a thrombolytic disorder.
Rationale 4: Drinking two glasses of wine per day is not a contraindication to the use of oral contraceptives.
Global Rationale: Cigarette smoking increases the client's risk for a thrombolytic disorder. Having several sexual partners, being treated for bipolar disorder, and drinking two glasses of wine per day are not contraindications to the use of oral contraceptives.

Answer to Question 2

1, 2, 4

Rationale 1: Increased prolactin levels cause menstrual disorders.
Rationale 2: Increased prolactin levels cause decreased libido.
Rationale 3: Increased prolactin levels do not cause euphoria.
Rationale 4: Increased prolactin levels cause osteoporosis.
Rationale 5: Increased prolactin levels do not cause facial hair.

Global Rationale: Increased prolactin levels cause menstrual disorders, decreased libido, and osteoporosis. Increased prolactin levels are not associated with a sense of euphoria or facial hair.

[kaid0807]

TYSM

Excellent