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
Chemotherapeutic agents suppress the hematopoietic process reducing the number of mature platelets circulating in the blood which increases the risk of bleeding.
A. The client cannot infect others as breast cancer is not infectious. They should, however, avoid crowds to prevent contracting infections as their immunity is suppressed by the chemotherapeutic agents
C. Running the toothbrush in the dish washer increases risk of oral infections which is fatal
D. Prophylactic antiemetics are given before chemotherapy sessions
Correct Answer is C
Explanation
Expectorants are agents used in respiratory conditions such as COPD and cystic fibrosis.
They are used to thin mucus and stimulate bronchial secretions.
A. expectorant do not dry mucus membranes but help loosen and thin mucus secreted
B. unlike cough suppressants, expectorants promote coughing to clear the airway
D. expectorants have no effect on the inflammation process
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