A nurse is caring for a client who has an intrauterine device (IUD) in place and reports lower abdominal pain and fever for 2 days.
Which of the following actions should the nurse take?
Instruct the client to take ibuprofen for pain relief
Advise the client to avoid sexual intercourse until symptoms resolve
Obtain a urine specimen for culture and sensitivity
Refer the client to a provider for evaluation
The Correct Answer is D
The correct answer is choice D. Refer the client to a provider for evaluation. Lower abdominal pain and fever for 2 days can indicate a serious complication of IUD use, such as pelvic inflammatory disease (PID) or perforation of the uterus.
These conditions require prompt medical attention and possible removal of the IUD.
Choice A is wrong because ibuprofen may not be enough to relieve the pain and may mask the signs of infection.
Choice B is wrong because avoiding sexual intercourse will not treat the underlying cause of the symptoms and may delay seeking medical help.
Choice C is wrong because a urine specimen may not be sufficient to diagnose the problem and may miss other possible causes of lower abdominal pain and fever, such as ectopic pregnancy or appendicitis.
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Related Questions
Correct Answer is C
Explanation
The correct answer is choice C. OCs can decrease menstrual blood loss and cramps.This is because OCs prevent ovulation and thin the lining of the uterus, which reduces the amount of bleeding and cramping during menstruation.
Choice A is wrong because OCs do not provide protection against STIs.The only contraceptive methods that can prevent STIs are barrier methods, such as condoms.
Choice B is wrong because OCs can have variable effects on libido and sexual satisfaction.
Some women may experience an increase, while others may experience a decrease or no change at all.This depends on individual factors, such as hormone levels, mood, and relationship quality.
Choice D is wrong because OCs can also have variable effects on mood and depression.
Some women may experience an improvement, while others may experience a worsening or no change at all.This also depends on individual factors, such as hormone sensitivity, stress, and history of mental health problems.
Correct Answer is A
Explanation
The correct answer is choice A.COCs prevent pregnancy byinhibiting the production of follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which are responsible for ovulation.
By suppressing ovulation, COCs prevent the release of a mature egg that can be fertilized by sperm.
Choice B is wrong because COCs do not increase the production of prostaglandins that cause uterine contractions.
Prostaglandins are involved in inflammation and pain, and are not directly related to contraception.
Choice C is wrong because COCs do not decrease the permeability of the fallopian tubes to sperm and egg.
The fallopian tubes are the site of fertilization, and COCs do not affect their function.
Choice D is partially correct but not the best answer.COCs do suppress ovulation, but they also have other mechanisms of action, such asthickening cervical mucusandaltering the uterine lining.
These effects make it harder for sperm to reach the egg and for a fertilized egg to implant in the uterus.
Therefore, choice D does not capture the full mechanism of action of COCs.
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