The nurse is caring for a client who is taking an oral contraceptive. What should the nurse advise ...

2, 3, 4, 5

Rationale 1: This could indicate a DVT.
Rationale 2: Smoking increases the risk of blood clots.
Rationale 3:Oral contraceptives need follow up with liver function tests, lipid profile studies, and thyroid studies.
Rationale 4:Annual Pap smears should be included.
Rationale 5: Performing breast self-exams (BSEs) monthly should be encouraged.

Global Rationale: Smoking increases the risk of blood clots. Leg pain could indicate a DVT and would require further intervention. Periodic laboratory test, yearly Pap exams, and monthly breast self-exams should be included in the plan of care.