A nurse is caring for a client who is taking COCs and reports nausea.

The nurse should advise the client to

Take the pill with a glass of water on an empty stomach

Take the pill at bedtime or with food

Switch to a different brand of COCs

Stop taking the pill and use another method of contraception

Answer and Explanation

The Correct Answer is B

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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Correct Answer is A

Explanation

The correct answer is choice A.The nurse should tell the client that if she misses one pill, she should take the missed pill as soon as possible and continue with the next pill at the usual time.This will ensure that she maintains a continuous hormonal exposure and does not extend the hormone-free interval beyond 7 days.She does not need to use extra contraception.

Choice B is wrong because taking two pills at once and skipping the next pill will disrupt the hormonal balance and may cause side effects such as nausea or breakthrough bleeding.Choice C is wrong because discarding the missed pill and taking the next pill at the usual time will shorten the duration of hormonal exposure and increase the risk of ovulation.Choice D is wrong because stopping taking the pills for the rest of the cycle and using a backup method of contraception will expose the client to an unnecessary hormone-free interval and may compromise her contraceptive efficacy.

COCs are combined oral contraceptives that contain synthetic estrogen and progestin hormones that prevent ovulation and thicken cervical mucus to inhibit sperm penetration.The normal range of COCs dosage is 20 to 35 micrograms of estrogen and 0.1 to 3 milligrams of progestin per pill.

A. "I know I should use condoms to protect against STIs.". B. "I understand that I may experience irregular and unpredictable menstruation.". C. "I know that the implant can be inserted immediately after childbirth.". D. "I won't have to worry about pregnancy for three years with this method.".

Correct Answer is C

Explanation

The correct answer is choice C. The patient needs further teaching if they think that the implant can be inserted immediately after childbirth.According to Mayo Clinic, the implant should not be inserted until at least 21 days after giving birth, or until the milk supply is well established if breastfeeding.

Inserting the implant too soon may increase the risk of blood clots or decrease milk production.

Choice A is correct because condoms are still needed to protect against STIs, even if using the implant as a birth control method.Choice B is correct because irregular and unpredictable menstruation is a common side effect of the implant.Choice D is correct because the implant can prevent pregnancy for up to three years.

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

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Naxlex Comprehensive Predictor Exams

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 ?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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A nurse is caring for a client who is taking COCs and reports nausea.

The nurse should advise the client to