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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Theophylline has a narrow therapeutic window which increase the risk of overdose and toxicity. It is also given at very small doses which could be difficult for the nursing staff to accurately titrate the drops and hence requires an infusion pump
A. Infusion of theophylline loading dose should not exceed 25mg/min due to risk of seizures and cardiac arrhythmias
C. Use of a test dose is not necessary as the risk of hypersensitivity with theophylline is very low.
D. Covering the IV container with dark paper is not necessary for the administration of theophylline.
Correct Answer is A
Explanation
Theophylline is a potent bronchodilator with potential side effects including tachycardia, heart arrhythmias, diuresis, diarrhea and stimulation of the central nervous system.
B-Theophylline causes diuresis
C-Theophylline causes diarrhea
D-Theophylline causes insomnia, restlessness
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