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 A

Explanation

The correct answer is choice A.“You will need to use another form of birth control for 3 months after the procedure.” This is because it takes time for the remaining sperm in the reproductive tract to be cleared out after female sterilization.

Therefore, another contraceptive method is needed to prevent pregnancy during this period.

Choice B is wrong because female sterilization does not increase the risk of ovarian cancer.In fact, some studies have suggested that it may lower the risk of ovarian and endometrial cancers.

Choice C is wrong because female sterilization does not affect the menstrual cycle or sexual function.The ovaries still produce hormones and eggs as normal, but the eggs are absorbed by the body instead of travelling to the uterus.

Choice D is wrong because female sterilization is intended to be a permanent method of contraception and reversal is not guaranteed to be successful.Reversal surgery is also more complicated and expensive than the original procedure.Therefore, women who choose female sterilization should be sure that they do not want any more children in the future.

A. Injectable progestins B. Contraceptive vaginal ring C. Copper intrauterine device D. Combined oral contraceptives

Correct Answer is C

Explanation

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 geneand 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.

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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 client who is considering female sterilization as a contraceptive method. Which of the following statements by the nurse is appropriate?

Correct Answer is A

Explanation

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?

Correct Answer is C

Explanation

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?

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A nurse is providing teaching to a client who has a new prescription for oral contraceptives (OCs). Which of the following statements by the client indicates an understanding of how to initiate OCs?

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 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?

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?