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?
Hypertension
Dysfunctional uterine bleeding
Thromboembolism
Osteoporosis
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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Correct Answer is A
Explanation
A. Sodium intake is crucial for clients on lithium, as low sodium levels can lead to lithium toxicity; therefore, maintaining a normal sodium level is important.
B. While potassium is important for general health, it does not specifically impact lithium levels.
C. Vitamin C is beneficial for overall health but does not have a direct relationship with lithium therapy.
D. Vitamin K is related to blood clotting and does not have a significant interaction with lithium treatment or its efficacy.
Correct Answer is A
Explanation
A. Hypokalemia increases the risk of digoxin toxicity because low potassium levels enhance digoxin's effects on the myocardium. Monitoring and correcting potassium levels is essential in clients on digoxin.
B. Hypophosphatemia is not directly linked to digoxin toxicity and is not a primary concern.
C. Hypocalcemia does not increase the risk of digoxin toxicity; in fact, hypercalcemia would be more concerning in terms of potential toxicity.
D. Hypernatremia does not have a significant effect on digoxin toxicity, so it is not a primary concern when assessing this medication’s safety.