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.”.

Answer and Explanation

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.

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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.

A. Decreased serum glucose level B. Increased serum potassium level C. Decreased serum triglyceride level D. Increased serum protein level

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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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.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 reviewing laboratory results for a female client who takes oral contraceptives (OCs). Which of the following findings should indicate to the nurse that OCs are having an adverse effect on this client?

Correct Answer is B

Explanation

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 family planning clinic is teaching a group of clients about oral contraceptives (OCs). Which of. the following information should be included in this teaching?

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 counseling a client who is breastfeeding and wants to use medroxyprogesterone injections for contraception. Which of the following statements should the nurse make?

A nurse is reinforcing teaching with a client who has an intrauterine device (IUD) in place and asks how it prevents pregnancy. Which of the following responses should the nurse make?

A nurse is reviewing the laboratory results of a client who is taking medroxyprogesterone injections for contraception. Which of the following findings should the nurse report to the provider?

A nurse is counseling a client who had a vasectomy 6 weeks ago and wants to know if he is sterile yet. Which of the following responses should the nurse make?

A nurse is providing preoperative teaching to a client who is undergoing a transcervical sterilization procedure. Which of the following information should the nurse include?

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.).