Question

A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client's hx should the nurse recognize as a contraindication to oral contraceptives? (SATA)

A. Cholecystitis
B. Hypertension
C. HPV
D. Migraine headaches
E. Anxiety

Answer 1

Hypertension and migraine headaches are considered contraindications to oral contraceptives due to the increased risk of stroke or heart attack. Cholecystitis, HPV, and anxiety are not typically direct contraindications but should be evaluated individually. D. Migraine headaches

Step-by-step explanation:

When a client requests oral contraceptives in a family planning clinic, the nurse must screen for potential contraindications that could increase the patient's risk for serious side effects. In the case provided, the following findings in the client's history should be recognized as contraindications to oral contraceptives: Hypertension (B) and Migraine headaches (D).

Hypertension is a known risk factor for cardiovascular events, and the use of oral contraceptives can further increase the risk of stroke or heart attack. Similarly, migraines, particularly those with aura, can be associated with an increased risk of stroke, and use of oral contraceptives may exacerbate this risk. In contrast, findings such as Cholecystitis (A), HPV (C), and Anxiety (E) are not typically considered direct contraindications to oral contraceptive use but should be assessed on an individual basis.