A woman taking a combined oral contraceptive reports sudden pain and swelling in one calf. Which nursing action is the priority?
Correct answer: C. Arrange urgent medical assessment for possible thrombosis
- A. Advise her to rest with the leg elevated
- B. Tell her to take the next pill with food
- C. Arrange urgent medical assessment for possible thrombosis
- D. Reassure her that mild leg discomfort is expected
Explanation
Unilateral calf pain and swelling may indicate deep vein thrombosis, a serious complication associated with combined hormonal contraception. The nurse should arrange urgent assessment rather than provide routine comfort advice or reassure the client.
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Family planning covers fertility awareness, lactational amenorrhoea, condoms, oral pills, injectables, implants, intrauterine devices, emergency contraception, sterilisation and postpartum options. Questions address mechanisms, effectiveness, contraindications, adverse effects, counselling and follow-up, with careful distinction between contraception, emergency contraception and treatment for infertility.
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