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
Severe nausea and vomiting can lead to respiratory acidosis due to the loss of gastric contents, which contain hydrochloric acid. When vomiting is prolonged or severe, the loss of acid can result in metabolic alkalosis.
A. Respiratory alkalosis occurs due to hyperventilation in conditions such as anxiety, salicylism
C. metabolic acidosis occurs in conditions where there is increased secretion of acid for example DKA
D. Respiratory acidosis occurs due to impaired ventilation such as chest trauma
Correct Answer is D
Explanation
Bethanechol is a cholinergic agonist used to stimulate contraction of the bladder to help in the expulsion of urine. It is used in the management of urinary retention by promoting bladder emptying. Therefore, it should be administered when the client reports an inability to void, as this indicates urinary retention
A. Bladder spasms are treated with Oxybutynin
B. Frequent painful urination is a feature of UTI requiring antibiotics
C. Bethanechol has no analgesic property
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