Page 61 - Saunders Comprehensive Review For NCLEX-RN

effects of oral contraceptives include increased risk of superficial and deep venous
thrombosis, pulmonary embolism, thrombotic stroke (or other types of strokes),
myocardial infarction, and accelerations of preexisting breast tumors. Item 2 is a
thromboembolic disorder with associated thrombophlebitis. Items 3 and 4 are
cardiovascular diseases. The medications the client is taking are not specific
3
contraindications to oral contraceptives. The normal WBC is 5000-10,000 mm (5-10
9
× 10 /L). The normal Hgb for a male is 14-18 g/dL (140-180 mmol/L) and 12-16 g/dL
(120-160 mmol/L) for a female. The normal Hct for a male is 42-52% (0.42-0.52) and
37-47% (0.37-0.47) for a female. The normal platelet count is 150,000-400,000 mm 3
9
(150-400 × 10 /L). Item 11 has components that are contraindicated; of note is that
this client has polycythemia, which is a thromboembolic disorder and therefore is
contraindicated for the use of oral contraceptives.

Graphic Item Option Questions

In this type of question, the option selections will be pictures rather than text. You
will need to use the computer mouse to click on the option that represents your
answer choice. See Box 1-11 for an example.

Box 1-11

Graphic Item Option Question
The nurse should place the client in which position to administer an enema? (Refer
to the figures in 1 to 4.)

1.

2.

3.

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