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A nurse in a clinic is reinforcing teaching with a client who has a new prescription for a combination contraceptive transdermal patch. Which of the following should the nurse include in the teaching?

Start the first patch on the seventh day of the menstrual cycle.

The contraceptive eﬀect will continue for 6 months following discontinuation of the medication

Apply the patch to the lower abdomen

Expect to have a headache during the first month

Answer and Explanation

The Correct Answer is C

a. "Start the first patch on the seventh day of the menstrual cycle."

Explanation:

The correct answer is a. "Start the first patch on the seventh day of the menstrual cycle."

When providing teaching about a combination contraceptive transdermal patch, it is important to provide accurate and relevant information to ensure its eﬀectiveness and proper use.

Option b is not the correct answer. The contraceptive eﬀect of the transdermal patch does not continue for 6 months following discontinuation. Its eﬀectiveness lasts only as long as the client continues to use it according to the prescribed schedule.

Option c is not the correct answer. The transdermal patch should be applied to a clean, dry area of the skin that is free from cuts, rashes, or irritation. The lower abdomen is not a recommended site for application.

Option d is not the correct answer. While headaches can occur as a side eﬀect of hormonal contraceptives, it is not necessary to expect a headache during the first month. Side eﬀects can vary among individuals, and it is important to monitor and report any concerning symptoms to the healthcare provider.

By instructing the client to start the first patch on the seventh day of the menstrual cycle, the nurse provides specific guidance on when to initiate the contraceptive method. This ensures that the client is starting the patch at an appropriate time in their menstrual cycle, optimizing its eﬀectiveness

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Correct Answer is D

Explanation

d. Observe the client for 1 hr after meals.

Explanation:

The correct answer is d. Observe the client for 1 hr after meals.

For a client with bulimia nervosa, it is important to closely monitor their behavior after meals to prevent purging behaviors and ensure their safety. Observing the client for 1 hour after meals allows the nurse to provide support, encourage healthy coping strategies, and intervene if necessary to prevent purging episodes.

Option a, administering bupropion 1 hour before meals, is not an appropriate intervention for bulimia nervosa. Bupropion is an antidepressant medication that may be used for certain mood disorders, but it is not the primary treatment for bulimia nervosa.

Option b, allowing the client access to food throughout the day, is not a recommended intervention for a client with bulimia nervosa. Clients with bulimia nervosa often struggle with impulse control and binge eating behaviors. Allowing unrestricted access to food may exacerbate their symptoms and increase the risk of binge-purge cycles.

Option c, weighing the client once weekly, is not the most appropriate intervention for managing bulimia nervosa. While weight monitoring may be a component of treatment, it should not be the sole focus. The treatment for bulimia nervosa involves addressing the underlying psychological and behavioral factors contributing to the disorder.

By recommending the observation of the client for 1 hour after meals, the nurse can provide necessary support, monitor the client for potential purging behaviors, and promote a safe and therapeutic environment for their recovery from bulimia nervosa.

A. Document the client's respiratory rate in 1 hr. B. Monitor the client for an allergic reaction for 30 min. C. Check the client's response to the medication in 1 hr. D. Evaluate the client for therapeutic eﬀects in 30 min.

Correct Answer is A

Explanation

After the nurse administers a PRN pain medication to a client, the nurse can assign the assistive personnel (AP) to document the client's respiratory rate in 1 hour. This is within the scope of practice of an AP.

The other tasks are not appropriate for an AP to perform.

Monitoring the client for an allergic reactionand evaluating the client for therapeutic eﬀects are both nursing assessments that should be performed by the nurse.

Checking the client's response to the medication is also a nursing assessment that should be performed by the nurse.

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A nurse in a clinic is reinforcing teaching with a client who has a new prescription for a combination contraceptive transdermal patch. Which of the following should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who has bulimia nervosa. Which of the following interventions should the nurse recommend?

Correct Answer is D

Explanation

A nurse and assistive personnel (AP) are caring for a client who requests a PRN pain medication. After the nurse administers the medication, which of the following tasks should the nurse assign to the AP?

Correct Answer is A

Explanation

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