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 D

Explanation

The correct answer is choiceD.

All of the above.

Here is why:

Choice A is correct because obtaining informed consent from the client is a necessary step before any invasive procedure, including IUD insertion.
Choice B is correct because performing a Pap smear and cervical culture can help screen for cervical cancer and sexually transmitted infections, which are contraindications for IUD use.
Choice C is correct because administering an analgesic medication can help reduce the pain and discomfort associated with IUD insertion, especially in nulliparous women who have a smaller cervical diameter.
Choice D is correct because it includes all of the above actions, which are recommended by the American College of Obstetricians and Gynecologists (ACOG) for IUD insertion in nulliparous women.
Choice A is wrong if it is the only action taken, because it does not address the other aspects of IUD insertion such as screening and pain management.
Choice B is wrong if it is the only action taken, because it does not ensure the client’s consent and comfort during the procedure.
Choice C is wrong if it is the only action taken, because it does not verify the client’s eligibility and suitability for IUD use.

A. "I understand that the copper IUD is hormone-free and can be used by patients who are cautioned against hormonal birth control methods.". B. "I will need to have a pregnancy test before the IUD can be inserted.". C. "I know that the hormonal IUD can decrease menstrual pain and heavy bleeding.". D. "I can expect immediate return to fertility after the IUD is removed.".

Correct Answer is D

Explanation

The correct answer is choice D. Choice D is wrong because it implies that the IUD affects fertility, which is not true.According to the NHS website, “Your fertility will return to normal as soon as the IUD is taken out.” The other choices are correct because:

Choice A is correct because the copper IUD does not contain any hormones and can be used by people who cannot or do not want to use hormonal methods of contraception.
Choice B is correct because a pregnancy test is needed before inserting an IUD to make sure that the person is not already pregnant.
Choice C is correct because the hormonal IUD can reduce menstrual pain and heavy bleeding by thinning the lining of the uterus and thickening the cervical mucus.

Therefore, choice D indicates a need for further teaching.

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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 preparing to insert an IUD for a client who is nulliparous and has a negative pregnancy test. Which of the following actions should the nurse take before the insertion?

Correct Answer is D

Explanation

A nurse is providing education to a patient about the use of intrauterine devices (IUDs). Which of the following statements made by the patient indicates a need for further teaching?

Correct Answer is D

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 is caring for a client who desires an intrauterine device (IUD) for contraception. Which of the following findings is a contraindication for the use of this device?

A nurse is teaching a client who is starting medroxyprogesterone injections for contraception. Which of the following statements by the client indicates a need for further teaching?

A nurse is reviewing the medical record of a client who is scheduled for a bilateral tubal ligation. Which of the following findings is a contraindication for this procedure?

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 caring for a patient who uses a contraceptive vaginal ring. Which of the following symptoms should the nurse instruct the patient to report immediately?

A nurse is reviewing the mechanism of action of IUDs with a group of nursing students. Which of the following statements by a student indicates an understanding of the teaching?

A nurse is teaching a patient about the use of spermicide. Which of the following is an adverse effect of some spermicides that contain nonoxynol-9 (N-9)?

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.).