A nurse at a family practice clinic receives a call from a client who is prescribed oral contraceptives but forgot to take one dose. The client reports she is in the first week of a 28-day cycle pack. Which of the following instructions should the nurse provide?

“Stop taking the pills and switch to a different contraceptive method”

"Take a home pregnancy test.

"Do not have vaginal intercourse until after your next period."

"Take the missed dose now, then continue the medication as ordered."

Answer and Explanation

The Correct Answer is D

During the first week or last week of a 28-day cycle pack of oral contraceptives increases the risk of contraceptive failure. However, the client should take the missed dose as soon as they remember, even if it means taking two pills in one day. After taking the missed dose, the client should continue taking the remaining pills in the pack at the usual time, one pill per day. Due to increased risk of failure, client should use an emergency pill or condom for the next 7 days
A -stopping the pills and switching to a different contraceptive method is not necessary after missing one dose
B –missing a pill does not automatically indicate pregnancy. Testing can be considered in presence of typical signs and symptoms of pregnancy
C- abstaining from vaginal intercourse until after the next period is not necessary. Risk of pregnancy can be addressed by use of back up contraception like condoms.

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Correct Answer is A

Explanation

The normal appearance of regular insulin should be clear and colorless. Cloudy appearance or presence of particles indicates that the insulin has precipitated and may not be effective.
B. NPH insulin should be gently rolled between the palms to mix it but not shaken as this can lead to foaming and inaccuracy of the dose.
C. Injecting air into regular insulin first is not necessary. This step is typically done when drawing up NPH insulin to prevent the formation of air bubbles in the vial.
D. Regular insulin should be drawn up first to prevent contamination with the intermediate acting form of insulin

A. “I’ll be glad when I can stop taking this medicine” B. “I will notify my doctor before taking any other medications” C. "I have made an appointment to see my dentist next week." D. "1 know that I cannot switch brands of this medication."

Correct Answer is A

Explanation

Phenytoin is a lifelong medication for clients presenting with unprovoked seizures. The statement shows that the client has not understood their current management plan or is in denial and requires further counselling to promote adherence.

B.Notifying the doctor before taking any other medication is important as certain drug interactions can lead to toxicity of inadequate blood levels of phenytoin.

C.This is correct as it shows understanding that phenytoin can cause oral adverse effects such as gingival hyperplasia

D.Shows understanding that some drug preparations could have incipient that may cause adverse effects that the originally tolerated agent

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A nurse at a family practice clinic receives a call from a client who is prescribed oral contraceptives but forgot to take one dose. The client reports she is in the first week of a 28-day cycle pack. Which of the following instructions should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client how to draw up regular insulin and NPH insulin into the same syringe. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is A

Explanation

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