A nurse is caring for a client who has a history of breast cancer and cardiovascular disease and is seeking advice on contraception.
Which of the following contraceptive methods should the nurse recommend as the safest option for this client?
Injectable progestins
Contraceptive vaginal ring
Copper intrauterine device
Combined oral contraceptives
The Correct Answer is C
The correct answer is choice C. Copper intrauterine device. This is because copper intrauterine devices do not contain hormones and are therefore safe for women with a history of breast cancer and cardiovascular disease.
Some possible explanations for the other choices are:
- Choice A. Injectable progestins. This is wrong because injectable progestins may increase the risk of breast cancer in women with the BRCA1 gene and may also worsen hypertension and dyslipidemia.
- Choice B. Contraceptive vaginal ring. This is wrong because contraceptive vaginal rings contain estrogen and progestin, which may increase the risk of thromboembolic events, stroke, and myocardial infarction in women with cardiovascular disease.
- Choice D. Combined oral contraceptives. This is wrong because combined oral contraceptives also contain estrogen and progestin, which have the same risks as contraceptive vaginal rings for women with cardiovascular disease. Additionally, combined oral contraceptives may interact with some medications used to treat chronic conditions and reduce their effectiveness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A.COCs can reduce the risk of endometrial, ovarian and colon cancer.This is because COCs suppress ovulation and reduce inflammation in the genital tract, which may lower the exposure to carcinogens and mutagens.
Choice B is wrong because COCs do not increase bone density or prevent osteoporosis.In fact, some studies have suggested that COCs may have a negative effect on bone mineral density.
Choice C is wrong because COCs do not enhance fertility or improve menstrual regularity.
COCs prevent pregnancy by inhibiting ovulation, which means that they temporarily suppress fertility.COCs may also cause irregular bleeding or amenorrhea in some women.
Choice D is wrong because COCs do not lower blood pressure or cholesterol levels.On the contrary, COCs may increase the risk of hypertension and dyslipidemia in some women, especially those who smoke, are obese, or have a family history of cardiovascular disease.
Correct Answer is C
Explanation
The correct answer is choice C. Increased risk of HIV transmission.According to some sources, spermicide that contains nonoxynol-9 (N-9) can irritate sensitive genital tissues, especially if used several times a day.
This irritation can increase the risk of HIV and other sexually transmitted infections by giving infections an easy pathway into the body.
Choice A is wrong because vaginal dryness is not a common side effect of spermicide.
Choice B is wrong because bacterial vaginosis is not directly linked to spermicide use.
Choice D is wrong because cervical cancer is not caused by spermicide use.
Spermicide is a type of contraceptive that works by stopping sperm from reaching an egg.
It comes in different forms such as gels, creams, foams, films or suppositories.It needs to be inserted into the vagina before sex and used correctly every time for it to be effective.
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