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
hydrochlorothiazide is a thiazide diuretic which lowers blood pressure through inhibition of water reabsorption in the renal tubules. Like all diuretics, it should be taken early in the morning to avoid sleep interruption due to frequent urination.
A. muscle pain is an adverse effect of hydrochlorothiazide that should be reported.
C. therapeutic effect is monitored using blood pressure measurements
D. hydrochlorothiazide can be taken with or without food
Correct Answer is A
Explanation
Fat overload syndrome is a rare but serious complication that can occur in clients receiving lipid infusion. It is typically characterized by fever.
Although spontaneous hemorrhage can occur, peripheral edema is not a typical feature of fat overload syndrome.
Hypertension is not a typical feature of fat overload syndrome. However, hypotension may occur due to fluid shift and vasodilation.
Erythema can occur at the site of infusion during lipid infusion. However, it is not a typical feature of fat overload syndrome.
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