A nurse is caring for a client who inquires about available methods of contraception. Which of the following actions should the nurse take?
Perform unbiased teaching.
Select the best method of contraception for the client.
Assess the client's socioeconomic status.
Collect a dietary history.
The Correct Answer is A
A. The nurse's role is to provide education and information about available methods of contraception without imposing personal beliefs or preferences.
B. It is not the nurse's role to select the method of contraception for the client. The decision should be made by the client based on their individual preferences and health considerations.
C. While assessing the client's socioeconomic status may be relevant for some aspects of care, it is not directly related to providing information about contraception.
D. Collecting a dietary history is not relevant to a client's inquiry about contraception.
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Related Questions
Correct Answer is D
Explanation
A: Administering the medication into the deltoid muscle is not recommended for newborns due to their underdeveloped muscle mass and the potential for injury. The vastus lateralis muscle in the thigh is the preferred site for intramuscular injections in infants.
B: Checking the mother's Rh factor is not directly related to the administration of phytonadione, which is given to prevent vitamin K deficiency bleeding in the newborn, a condition unrelated to the mother's Rh factor.
C: Administering the medication 12 hours after birth is not the standard practice. Phytonadione is typically given within the first hour after birth to ensure prompt prevention of hemorrhagic disease of the newborn.
D: Administering the medication with a 25 gauge needle is appropriate as it is small enough to cause minimal discomfort and large enough to ensure proper delivery of the medication into the infant's muscle tissue.
Correct Answer is D
Explanation
A. A history of spontaneous abortion is not a contraindication for using a transdermal contraceptive patch.
B. Peptic ulcer disease is not a contraindication for using a transdermal contraceptive patch.
C. Blood pressure of 120/70 mm Hg is within the normal range and is not a contraindication for using a transdermal contraceptive patch.
D. The transdermal contraceptive patch may be less effective for individuals with a weight of 90 kg (198 lB. or more. Therefore, it is contraindicated for clients who weigh 98 kg (216 lb). These clients may need to consider alternative contraceptive methods.
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