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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 C

Explanation

c. The toddler can say four words.

Explanation:

The nurse should report to the provider that the toddler can say four words. At 18 months, a toddler typically has a vocabulary of about 6 to 20 words and is beginning to combine words into simple phrases. If the toddler is only able to say four words or has a delay in language development, it could be a cause for concern and warrant further evaluation.

The other options are age-appropriate developmental milestones for an 18-month-old toddler and do not require immediate reporting to the provider. The ability to remove socks, having a security blanket, and throwing a ball without falling are all examples of normal developmental skills for a toddler of this age.

A. Decreased platelets B. Decreased hemoglobin C. Increased iron level D. Increased erythrocyte sedimentation rate

Correct Answer is D

Explanation

ESR is a laboratory test that measures the rate at which red blood cells settle in a vertical tube of blood over a specific period of time. An elevated ESR is a nonspecific indicator of inflammation in the body, including infections. In the presence of an infection, the body releases certain substances that can increase the rate at which red blood cells settle, leading to an elevated ESR.

Decreased platelet count is not typically associated with infection. Low platelet count, known as thrombocytopenia, can be caused by various factors such as certain medications, autoimmune disorders, or bone marrow disorders. Infection may cause other changes in blood counts, but decreased platelets are not a direct indicator of infection.

Decreased hemoglobin levels, known as anemia, can be caused by various factors such as nutritional deficiencies, chronic diseases, or blood loss. While some infections can lead to anemia indirectly, decreased hemoglobin is not a specific indicator of infection.

Increased iron levels, known as hyperferritinemia, can occur in various conditions, including infections, but it is not a direct indicator of infection. It is important to assess the overall clinical picture and other laboratory findings to determine the cause of increased iron levels.

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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

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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