Which client situation is appropriate for the use of combined oral contraceptives Quizlet
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B. ''Before the drugs are prescribed, a complete medical history, physical examination, Pap test, urinalysis, and weight and blood pressure measurements are recommended.'' Show
Because estrogens, progestins, and hormonal contraceptives are often taken for years and may cause adverse reactions, clients taking these drugs need continued supervision by a health care provider. Before the drugs are prescribed, a complete medical history, a physical examination including breast and pelvic examinations and a Pap test, urinalysis, and weight and blood pressure measurements are recommended. These examinations should be repeated at least annually if the client is taking the drugs. C. A 40-year-old client who smokes 1 to 1½ packs of cigarettes per day Because of their widespread effects on body tissues and reported adverse reactions, estrogens, progestins, and hormonal contraceptives are contraindicated in thrombotic disorders, known or suspected cancers of breast or genital tissues, undiagnosed vaginal or uterine bleeding, fibroid tumors of the uterus, family history of breast or reproductive system cancers, active liver disease or impaired liver function, history of cerebrovascular disease, coronary artery disease, hypertension, or conditions predisposing to these disease processes and women older than 35 years of age who smoke cigarettes. Recommended textbook solutions
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Law and Ethics for Health Professions9th EditionCarlene Harrison, Karen Judson 836 solutions A 40-year-old client who smokes 1 to 1½ packs of cigarettes per day Because of their widespread effects on body tissues and reported adverse reactions, estrogens, progestins, and hormonal contraceptives are contraindicated in thrombolic disorders, known or suspected cancers of breast or genital tissues, undiagnosed vaginal or uterine bleeding, fibroid tumors of the uterus, family history of breast or reproductive system cancers, active liver disease or impaired liver function, history of cerebrovascular disease, coronary artery disease, hypertension, or conditions predisposing to these disease processes and women older than 35 years of age who smoke cigarettes. dextromethorphan Explanation: The client is experiencing symptoms of dextromethorphan overdose that include blurred vision, brain damage, confusion, dizziness, drowsiness, excessive sweating, hallucinations, impaired breathing, impaired judgment and mental functioning, loss of consciousness, loss of physical coordination, muscle twitches, nausea and vomiting, paranoia, rapid and irregular heartbeat, seizures, slurred speech, and death. C. Emergency contraception should be taken within 72 hours of having unprotected sex. There are 3 regimens available in the U.S.A. (1) Yuzpe regimen - two pills within 72 hours and two 12 hours later is 75% effective (2) Progesterone only levonorgestrel 1.5 mg should be used within 72 hours of unprotected sex - can be purchased over the counter (3) Insertion of copper IUD up to seven days after unprotected sex. Plan B: is 1.5 mg levonorgestrel that will delay or prevent ovulation or interfere with the fertilization of the egg. Plan B One-Step can be purchased over the counter at drugstores without a prescription or proof of age. Because it is most effective when taken as soon as possible (up to 72 hours after sex), consider having a ready supply in your medicine cabinet. If you take it within 72 hours after you've had unprotected sex, Plan B One-Step can reduce the risk of pregnancy by up to 89%. If you take Plan B One-Step within 24 hours, it is about 95% effective. But you should know that Plan B One-Step is not as effective as regular contraception. So don't take it as your main form of birth control. And, it does not protect you against sexually transmitted diseases. Think of it as a backup -- not for routine use. That's why it's called Plan B. Which client situation is appropriate for the use of combined oral contraceptives?Nearly all women can use COCs safely and effectively, including women who: Have or have not had children. Are married or are not married. Are of any age, including adolescents and women over 40 years old.
Which instruction is appropriate for a client who takes combined oral contraceptives COCs?Instruct the client to stop taking pills, use a backup method, and return to the clinic immediately. COCs do not offer protection from STIs including HIV. Clients at risk of STIs should be counseled to use condoms.
Which client history would prohibit the use of combined oral contraceptives select all that apply?Combined Oral Contraceptive
Women with a history of VTE, stroke, breast or endometrial cancer, and valvular heart disease (history of subacute bacterial endocarditis, the risk for atrial fibrillation, or pulmonary hypertension) should not use OC's as these conditions represent unacceptable health risks to the users.
What are the indications of combined oral contraceptives?Combination birth control pills can cause side effects such as:. Breakthrough bleeding or spotting — more common with continuous-dosing or extended-cycle pills.. Breast tenderness.. Elevated blood pressure.. Headaches.. Nausea.. Bloating.. |
