a nurse is providing education to a client about their medications.
exhibit 1 exhibit 2
nurses notes
6 months ago:
client reports urinary urgency seven to eight times per day. they state that when they are not able to make it to a bathroom in time, they experience a small amount of urine leakage.
client educated on kegel exercises and timed voiding.
today:
client reports urinary urgency now up to 10 times per day, including awakening one to two times at night to urinate. they report an increase in episodes of urinary incontinence. client also reports that during the few past months, they have experienced an increase in hot flashes during the day, insomnia, and night sweats.
for each potential adverse reaction, click to specify if the client’s statement indicates their understanding of the potential adverse reaction of the medication prescribed for hormone replacement therapy or the medication prescribed for urinary incontinence. there must be at least 1 selection in every row. there does not need to be a selection in every column.
adverse reaction medication for contraception medication for urinary incontinence
“i may have constipation.” 〇〇
“this medication may cause high blood pressure.” 〇〇
“i may have an increased risk for stroke.” 〇〇
“i should tell my provider if i have blurred vision.” 〇〇
“i may develop deep vein thrombosis.” 〇〇
“this medication may make my mouth very dry.” 〇〇

Question

a nurse is providing education to a client about their medications.
exhibit 1  exhibit 2
nurses notes
6 months ago:
client reports urinary urgency seven to eight times per day. they state that when they are not able to make it to a bathroom in time, they experience a small amount of urine leakage.
client educated on kegel exercises and timed voiding.
today:
client reports urinary urgency now up to 10 times per day, including awakening one to two times at night to urinate. they report an increase in episodes of urinary incontinence. client also reports that during the few past months, they have experienced an increase in hot flashes during the day, insomnia, and night sweats.
for each potential adverse reaction, click to specify if the client’s statement indicates their understanding of the potential adverse reaction of the medication prescribed for hormone replacement therapy or the medication prescribed for urinary incontinence. there must be at least 1 selection in every row. there does not need to be a selection in every column.
adverse reaction medication for contraception medication for urinary incontinence
“i may have constipation.” 〇 〇
“this medication may cause high blood pressure.” 〇 〇
“i may have an increased risk for stroke.” 〇 〇
“i should tell my provider if i have blurred vision.” 〇 〇
“i may develop deep vein thrombosis.” 〇 〇
“this medication may make my mouth very dry.” 〇 〇

Accepted Answer

# Brief Explanations:
To solve this, we analyze each adverse reaction:

1. "I may have constipation." - Medications for urinary incontinence (e.g., anticholinergics) often cause constipation. Contraception (hormonal) less likely for this. So Urinary Incontinence.
2. "This medication may cause high blood pressure." - Hormonal contraception can increase BP. Urinary incontinence meds less associated. So Contraception.
3. "I may have an increased risk for stroke." - Hormonal contraception (estrogen - based) has stroke risk. Urinary incontinence meds not linked. So Contraception.
4. "I should tell my provider if I have blurred vision." - Hormonal contraception can cause vision changes (stroke risk sign). Urinary incontinence meds less so. So Contraception.
5. "I may develop deep vein thrombosis." - Hormonal contraception (estrogen) increases DVT risk. Urinary incontinence meds not linked. So Contraception.
6. "This medication may make my mouth very dry." - Urinary incontinence meds (anticholinergics) cause dry mouth. Contraception less likely. So Urinary Incontinence.

# Answer:
| Adverse Reaction | Medication for Contraception | Medication for Urinary Incontinence |
| --- | --- | --- |
| "I may have constipation." |  | $\boldsymbol{\circ}$ |
| "This medication may cause high blood pressure." | $\boldsymbol{\circ}$ |  |
| "I may have an increased risk for stroke." | $\boldsymbol{\circ}$ |  |
| "I should tell my provider if I have blurred vision." | $\boldsymbol{\circ}$ |  |
| "I may develop deep vein thrombosis." | $\boldsymbol{\circ}$ |  |
| "This medication may make my mouth very dry." |  | $\boldsymbol{\circ}$ |

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QUESTION IMAGE

Question

Explanation:

Answer:

Adverse Reaction	Medication for Contraception	Medication for Urinary Incontinence
"This medication may cause high blood pressure."	$\boldsymbol{\circ}$
"I may have an increased risk for stroke."	$\boldsymbol{\circ}$
"I should tell my provider if I have blurred vision."	$\boldsymbol{\circ}$
"I may develop deep vein thrombosis."	$\boldsymbol{\circ}$
"This medication may make my mouth very dry."		$\boldsymbol{\circ}$