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 B
Explanation
The correct answer is choice B. The client has a positive pregnancy test result.
This is a contraindication for bilateral tubal ligation because the procedure is a permanent form of contraception and should not be performed on a pregnant woman.
The client should be counseled about other options for birth control or termination of pregnancy.
Choice A is wrong because a history of pelvic inflammatory disease is not a contraindication for bilateral tubal ligation.It may increase the risk of complications from the surgery, such as infection or adhesions, but it does not prevent the procedure from being performed.
Choice C is wrong because a family history of breast cancer is not a contraindication for bilateral tubal ligation.It may affect the client’s decision to undergo the procedure, as some studies have suggested that tubal ligation may reduce the risk of ovarian cancer, which is associated with breast cancer.
However, this is not a medical reason to avoid the surgery.
Choice D is wrong because a history of endometriosis is not a contraindication for bilateral tubal ligation.
It may cause pelvic pain or infertility, but it does not affect the effectiveness or safety of the procedure.In fact, some studies have shown that tubal ligation may improve the symptoms of endometriosis by reducing retrograde menstruation.
Correct Answer is A
Explanation
The correct answer is choice A.The procedure involves inserting flexible agents into your fallopian tubes.These agents cause tissue to grow around them and block the tubes, preventing pregnancy.
Choice B is wrong because the procedure does not require general anesthesia or an operating room.It can be done in an outpatient facility with local anesthesia.
Choice C is wrong because the procedure does not make you sterile immediately after it is done.
It takes about 3 months for the tissue to grow and occlude the tubes.You need to use another form of contraception during this time and have a test to confirm the tubal blockage.
Choice D is wrong because the procedure does not affect your hormone levels or menstrual cycle.It only blocks the fallopian tubes, not the ovaries or uterus.
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