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The nurse is preparing to discharge a client newly prescribed a progestin-only pill (POP) for contraceptive prevention. Which contraindication associated with POP would the nurse alert the healthcare provider?

A.

The client has a BMI of >30

B.

The client is currently taking Ginger

C.

The client has a history of hypertension

D.

The client has no intention of conceiving within the year

Answer and Explanation

The Correct Answer is C

A. A BMI greater than 30 is a consideration, but it is not an absolute contraindication for the use of POPs.  

 

B. Ginger does not interact adversely with progestin-only pills and is not a contraindication.  

 

C. A history of hypertension can increase the risk of cardiovascular events, and while POPs are generally safer than combined hormonal contraceptives for women with hypertension, it should still be monitored and reported to the healthcare provider.  

 

D. Having no intention of conceiving is not a contraindication; in fact, it is a common reason for using contraceptive methods like POPs.


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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.

Correct Answer is D

Explanation

A. Paroxetine is an SSRI antidepressant used for depression and anxiety disorders, not for Parkinson's Disease.

B. Lisinopril is an ACE inhibitor primarily used for hypertension and heart failure, and it does not address symptoms of Parkinson's Disease.

C. Risperidone is an atypical antipsychotic that may be used in some cases for behavioral symptoms but is not a primary treatment for Parkinson's Disease.

D. Levodopa (Inbrija) is a medication specifically indicated for the management of Parkinson's Disease, as it helps to replenish dopamine levels, alleviating motor symptoms associated with the disease.

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