A woman using a combined oestrogen and progestin contraceptive reports sudden chest pain and shortness of breath. What is the priority nursing action?
Correct answer: B. Arrange urgent assessment for possible pulmonary embolism
- A. Advise her to rest and observe the symptoms
- B. Arrange urgent assessment for possible pulmonary embolism
- C. Suggest taking the next tablet with food
- D. Explain that mild breathlessness is expected
Explanation
Combined hormonal contraceptives can increase the risk of venous thromboembolism, and sudden chest pain with shortness of breath may indicate pulmonary embolism. This is a breathing and circulation emergency requiring urgent assessment.
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About Endocrine and Diabetes Drugs
Endocrine pharmacology includes insulin preparations, oral antidiabetic drugs, thyroid and antithyroid medicines, corticosteroids, sex hormones and drugs affecting calcium balance. Questions address onset and duration, administration, monitoring, hypoglycaemia, steroid adverse effects and the difference between replacing a deficient hormone and suppressing excessive hormone activity.
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