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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B.The client should wear scrotal support for at least 48 hours after the procedure to decrease pain and swelling, and protect the wound.
Some possible explanations for the other choices are:
- Choice A is wrong because the client should avoid sexual activity for at least 1 week, not 4 weeks, after the procedure.The client will not be sterile right away and will need to use another form of birth control until the sperm count is zero.
- Choice C is wrong because the client should apply ice packs to the scrotum for at least 2 days, not 72 hours, after the procedure.Ice helps prevent tissue damage and decrease swelling and pain.
- Choice D is wrong because the client should not take aspirin for pain relief after the procedure, as it can increase the risk of bleeding.The client can take nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen instead.
Correct Answer is A
Explanation
The correct answer is choice A.History of migraine headaches with aura is a contraindication for using COCs because it increases the risk of stroke.
Some possible explanations for the other choices are:
- Choice B is wrong because history of dysmenorrhea and menorrhagia is not a contraindication for using COCs.In fact, COCs may help reduce menstrual pain and bleeding.
- Choice C is wrong because history of acne vulgaris and hirsutism is not a contraindication for using COCs.In fact, COCs may help improve acne and hirsutism by reducing androgen levels.
- Choice D is wrong because history of iron-deficiency anemia and fatigue is not a contraindication for using COCs.In fact, COCs may help prevent iron-deficiency anemia by reducing menstrual blood loss.
Normal ranges for relevant parameters are:
- Blood pressure: <140/90 mmHg
- Body mass index: 18.5–24.9 kg/m
- Hemoglobin: 12–16 g/dL for women
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