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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Correct Answer is B
Explanation
The correct answer is choice B. The client has a positive pregnancy test result.
This is a contraindication for bilateral tubal ligation because the procedure is a permanent form of contraception and should not be performed on a pregnant woman.
The client should be counseled about other options for birth control or termination of pregnancy.
Choice A is wrong because a history of pelvic inflammatory disease is not a contraindication for bilateral tubal ligation.It may increase the risk of complications from the surgery, such as infection or adhesions, but it does not prevent the procedure from being performed.
Choice C is wrong because a family history of breast cancer is not a contraindication for bilateral tubal ligation.It may affect the client’s decision to undergo the procedure, as some studies have suggested that tubal ligation may reduce the risk of ovarian cancer, which is associated with breast cancer.
However, this is not a medical reason to avoid the surgery.
Choice D is wrong because a history of endometriosis is not a contraindication for bilateral tubal ligation.
It may cause pelvic pain or infertility, but it does not affect the effectiveness or safety of the procedure.In fact, some studies have shown that tubal ligation may improve the symptoms of endometriosis by reducing retrograde menstruation.
Correct Answer is B
Explanation
The correct answer is choice B. It can decrease menstrual loss and dysmenorrhea.According to, progestin IUDs can make your periods lighter and less painful.
This is a benefit for women who have heavy or painful periods.
Choice A is wrong because it can prevent Asherman’s syndrome.
Asherman’s syndrome is a condition where scar tissue forms in the uterus, which can cause infertility or miscarriage.
Progestin IUDs do not prevent this condition.
Choice C is wrong because it can remain in the uterus for up to 10 years.
Progestin IUDs have different durations of effectiveness depending on the type and brand.For example, Liletta can last up to 8 years, Mirena up to 7 years, and Skyla/Kyleena up to 5 years.
Choice D is wrong because it can protect against sexually transmitted infections.
Progestin IUDs do not protect against STIs.
You should use condoms with new partners to prevent STIs
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