A nurse is caring for a client who has an IUD and reports abdominal pain during sexual intercourse.

Which of the following actions should the nurse take first?

Assess for signs of pelvic inflammatory disease

Instruct the client to check the string length

Advise the client to use a backup contraceptive method

Schedule an appointment for IUD removal

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. The nurse should assess for signs of pelvic inflammatory disease (PID), which is an infection of the female reproductive organs that can be caused by sexually transmitted bacteria. PID can cause abdominal pain during sexual intercourse, as well as other symptoms such as fever, unusual vaginal discharge, and bleeding between periods. PID can lead to serious complications such as infertility and ectopic pregnancy if left untreated.

Choice B is wrong because checking the string length of the IUD is not a priority action. The string length may change due to normal variations in the position of the uterus and cervix, and does not indicate a problem with the IUD. However, if the string is missing or longer than usual, it may suggest that the IUD has moved or expelled, and the client should see a provider.

Choice C is wrong because advising the client to use a backup contraceptive method is not a priority action. The IUD is a highly effective form of birth control that does not require additional methods unless the client wants to prevent STIs. However, if the client has an STI that causes PID, using a condom may help prevent further infection and transmission.

Choice D is wrong because scheduling an appointment for IUD removal is not a priority action. The IUD does not cause PID, but it may increase the risk of infection shortly after insertion, especially if the client has an STI. The risk of PID from IUD use is very low (less than 1%) and usually disappears after 3 weeks of placement. Removing the IUD may not cure PID and may expose the client to unwanted pregnancy.

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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.

A. Take the pill with a glass of water on an empty stomach B. Take the pill at bedtime or with food C. Switch to a different brand of COCs D. Stop taking the pill and use another method of contraception

Correct Answer is B

Explanation

The correct answer is choice B. The nurse should advise the client to take the pill at bedtime or with food.This can help reduce nausea, which is a common side effect of COCs.Nausea usually diminishes with continued use of the same method.

Choice A is wrong because taking the pill with a glass of water on an empty stomach may increase nausea.

Choice C is wrong because switching to a different brand of COCs is not effective in treating nausea.There are no significant differences among various COCs in terms of nausea.

Choice D is wrong because stopping the pill and using another method of contraception is not necessary unless the client prefers it.Nausea is not harmful and can be managed with simple measures.

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A nurse is caring for a client who has an IUD and reports abdominal pain during sexual intercourse. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a patient about the use of spermicide. Which of the following is an adverse effect of some spermicides that contain nonoxynol-9 (N-9)?

Correct Answer is C

Explanation

A nurse is caring for a client who is taking COCs and reports nausea. The nurse should advise the client to

Correct Answer is B

Explanation

A nurse is reviewing the mechanism of action of IUDs with a group of nursing students. Which of the following statements by a student indicates an understanding of the teaching?

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A nurse is caring for a patient who uses a contraceptive vaginal ring. Which of the following symptoms should the nurse instruct the patient to report immediately?

A nurse in a clinic is caring for a client who has been taking oral contraceptives for several months and reports frequent breakthrough bleeding during her cycle. Which of the following actions should the nurse take?

A nurse is instructing a client who is starting COCs for the first time. The nurse should tell the client that if she misses one pill, she should ?

A nurse is reinforcing teaching with a client who wants to use an intrauterine device (IUD) for contraception but has concerns about its safety and effectiveness. Which of the following information should the nurse include in the teaching?

A nurse is caring for a client who has an IUD and reports abdominal pain during sexual intercourse.

Which of the following actions should the nurse take first?