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

Grapefruit juice interacts with cyclosporine slowing down it's metabolism and excretion which can lead to increase blood levels potentially leading to toxicity. Clients taking cyclosporine should avoid consuming grapefruit juice.

B, C, D- smoked salmon, pepperoni, and orange juice do not typically have significant interactions with cyclosporine.

A. Hypoactive deep-tendon reflexes B. Drowsiness C. Insomnia D. Constipation

Correct Answer is C

Explanation

Rationale- Levothyroxine is a synthetic form of thyroxine. It is used to provide the body with thyroxine to sustain basal metabolism in cases of hypothyroidism. An overdose of the medication causes symptoms which include insomnia, hyperactive tendon reflexes, diarrhea and anxiety

A, B, D- features of hypothyroidism

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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

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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