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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 B

Explanation

A. While sildenafil can cause erections, it does not typically lead to unwanted erections; it requires sexual stimulation to be effective.

B. An erection lasting longer than 6 hours, known as priapism, is a serious side effect and requires immediate medical attention, indicating the patient understands this risk.

C. Using nitroglycerin with sildenafil can lead to dangerous drops in blood pressure, and patients should be advised to avoid this combination.

D. Sildenafil should be taken about 30 minutes to 1 hour before sexual activity for best results, not just 5 minutes prior.

Correct Answer is B

Explanation

A. Discontinuing metformin 24 hours before a CT scan is longer than necessary and not standard practice.

B. It is generally recommended that metformin be held for at least 12 hours before the administration of IV contrast to reduce the risk of lactic acidosis, especially in clients with renal impairment.

C. Six hours is insufficient time to ensure the medication is cleared from the system, considering the potential risks.

D. Discontinuing metformin for 48 hours is overly cautious and not necessary unless there are complications that arise after the contrast is administered.

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