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The nurse is caring for a client currently taking a combination birth control pill for contraception prevention. Which adverse effect would the nurse closely monitor for associated with this medication?

A.

Hypertension

B.

Dysfunctional uterine bleeding

C.

Thromboembolism

D.

Osteoporosis

Answer and Explanation

The Correct Answer is C

A. While hormonal contraceptives can affect blood pressure, the risk of significant hypertension is less immediate than thromboembolism.  

 

B. Dysfunctional uterine bleeding can occur but is generally not as serious as thromboembolism and may resolve with continued use.  

 

C. Combination birth control pills increase the risk of thromboembolic events, such as deep vein thrombosis (DVT) and pulmonary embolism, making it essential to monitor for signs of these complications.  

 

D. Osteoporosis is a long-term concern but is not an acute effect of combination birth control pills; monitoring for thromboembolism is more critical.


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View Related questions

Correct Answer is C

Explanation

A. While liver failure may affect excretion indirectly, it primarily impacts metabolism more significantly.

B. Absorption is typically not directly affected by liver function, though it can be influenced by other factors.

C. The liver is crucial for drug metabolism; chronic liver failure impairs the liver's ability to metabolize medications effectively, leading to potential toxicity.

D. Distribution may be altered due to changes in plasma proteins or blood flow, but the most significant impact occurs in metabolism.

Correct Answer is ["B","D","F"]

Explanation

A. Dry mouth is not a cholinergic side effect; cholinergic effects typically increase secretions.

B. Diarrhea is a common cholinergic side effect due to increased gastrointestinal motility.

C. Decreased urination is not expected; cholinergic agents may increase urination.

D. Excessive lacrimation (tearing) is a common cholinergic effect, as these agents stimulate glandular secretions.

E. Tachycardia is not a cholinergic side effect; bradycardia is more likely due to cholinergic effects.

F. Excessive sweating is a cholinergic effect due to increased glandular activity.

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