A nurse is caring for a client who requests information about female sterilization (bilateral tubal ligation).
Which of the following statements by the nurse is appropriate? (Select all that apply.).
“This method provides protection against sexually transmitted infections.”.
“This method can be performed within 24 hr following childbirth.”.
“This method can increase your risk for an ectopic pregnancy.”.
“This method requires abdominal surgery with general anesthesia.”.
“This method is immediately effective.”.
Correct Answer : B,E
The correct answer is choice B and E. Bilateral tubal ligation (BTL) is a permanent form of contraception that involves cutting, tying or blocking the fallopian tubes to prevent pregnancy. It can be performed within 24 hours following childbirth and it is immediately effective.
Choice A is wrong because BTL does not provide protection against sexually transmitted infections (STIs).
People who have BTL should still use condoms to prevent STIs.
Choice C is wrong because BTL does not increase the risk for an ectopic pregnancy.
An ectopic pregnancy is when a fertilized egg implants outside the uterus, usually in the fallopian tube.
BTL prevents fertilization by blocking the passage of eggs and sperm.
Choice D is wrong because BTL does not require abdominal surgery with general anesthesia.
BTL can be done using different methods, such as laparoscopy, minilaparotomy, or hysteroscopy.
These methods use small incisions or no incisions at all and can be done with local or regional anesthesia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
The correct answer is choice B. Increased serum potassium level.Oral contraceptives can affect the levels of various electrolytes in the blood, such as sodium, potassium, calcium and magnesium.According to one study, oral contraceptives can increase the levels of serum copper, iron, calcium and cadmium, and decrease the levels of serum zinc, selenium, phosphorus and magnesium.
Therefore, a high serum potassium level can indicate an adverse effect of oral contraceptives on this client.
Choice A is wrong because oral contraceptives do not decrease serum glucose level.In fact, they can increase the plasma glucose level and insulin response, which can impair glucose tolerance and increase the risk of diabetes.
Choice C is wrong because oral contraceptives do not decrease serum triglyceride level.On the contrary, they can increase the fasting triglyceride level by 13 to 75 percent, which can elevate the risk of cardiovascular disease.
Choice D is wrong because oral contraceptives do not increase serum protein level.They can increase the levels of some apolipoproteins, such as A-I, A-II and B, but these are not the same as total protein.
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