A nurse is caring for a patient who is using an intrauterine device (IUD) for contraception.
Which of the following symptoms is a potential adverse effect of the copper IUD?
Decreased bone density
Spotting and irregular bleeding
Mood changes
Headaches
The Correct Answer is B
The correct answer is choice B. Spotting and irregular bleeding are potential adverse effects of the copper IUD. The copper IUD works by creating a toxic environment for sperm and eggs in the uterus and cervix, but it does not affect the hormones that regulate the menstrual cycle. Therefore, it can cause changes in bleeding patterns, such as heavier, longer or more painful periods.
Choice A is wrong because decreased bone density is not a side effect of the copper IUD. It is a possible side effect of hormonal IUDs that contain progestin, which can lower estrogen levels and affect bone health.
Choice C is wrong because mood changes are not a side effect of the copper IUD. They are more likely to occur with hormonal methods of birth control that affect the levels of estrogen and progesterone in the body.
Choice D is wrong because headaches are not a side effect of the copper IUD. They are also more common with hormonal methods of birth control, especially those that contain estrogen.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A.A history of toxic shock syndrome (TSS) is a contraindication for the use of a diaphragm.
TSS is a rare but serious condition caused by a bacterial infection that can occur when using a diaphragm for too long or not cleaning it properly.
Choice B is wrong because a history of uterine fibroids is not a contraindication for the use of a diaphragm.
Uterine fibroids are benign tumors that grow in the uterus and usually do not affect the cervix or the fit of the diaphragm.
Choice C is wrong because a history of irregular menstrual periods is not a contraindication for the use of a diaphragm.
Irregular periods may be caused by various factors such as stress, hormonal imbalance, or medical conditions, but they do not affect the effectiveness or safety of the diaphragm.
Choice D is wrong because a history of breast cancer is not a contraindication for the use of a diaphragm.
Breast cancer is not related to the use of barrier methods of contraception such as the diaphragm.
However, some hormonal methods of contraception may increase the risk of breast cancer or be contraindicated for women who have or had breast cancer.
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.
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