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?

Vaginal irritation and discomfort

Increased vaginal secretions

Discomfort during sex

Chest pain and shortness of breath

Answer and Explanation

The Correct Answer is D

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Correct Answer is A

Explanation

The correct answer is choice A.Mennorhagia is a contraindication for the use of an intrauterine device (IUD) for contraception because it can cause heavy or prolonged menstrual bleeding.This can lead to anemia, infection, or expulsion of the device.

Choice B is wrong because ovarian cysts are not a contraindication for IUD use.They are usually benign and do not interfere with the placement or function of the device.

Choice C is wrong because fibrocystic breast disease is not a contraindication for IUD use.It is a common condition that causes benign lumps in the breast tissue and does not affect the hormonal balance or the risk of infection.

Choice D is wrong because endometriosis is not a contraindication for IUD use.In fact, some types of IUDs that release progestin can help reduce the symptoms of endometriosis by thinning the endometrial lining and suppressing ovulation.

A. History of migraine headaches with aura B. History of dysmenorrhea and menorrhagia C. History of acne vulgaris and hirsutism D. History of iron-deficiency anemia and fatigue

Correct Answer is A

Explanation

The correct answer is choice A.History of migraine headaches with aura is a contraindication for using COCs because it increases the risk of stroke.

Some possible explanations for the other choices are:

Choice B is wrong because history of dysmenorrhea and menorrhagia is not a contraindication for using COCs.In fact, COCs may help reduce menstrual pain and bleeding.
Choice C is wrong because history of acne vulgaris and hirsutism is not a contraindication for using COCs.In fact, COCs may help improve acne and hirsutism by reducing androgen levels.
Choice D is wrong because history of iron-deficiency anemia and fatigue is not a contraindication for using COCs.In fact, COCs may help prevent iron-deficiency anemia by reducing menstrual blood loss.

Normal ranges for relevant parameters are:

Blood pressure: <140/90 mmHg
Body mass index: 18.5–24.9 kg/m
Hemoglobin: 12–16 g/dL for women

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A nurse is reviewing the medical history of a client who is considering using COCs as a method of contraception. The nurse should identify that which of the following conditions is a contraindication for using COCs?

Correct Answer is A

Explanation

A nurse is providing education about the diaphragm to a patient. Which of the following is a contraindication for the use of a diaphragm?

A nurse is caring for a client who is taking COCs and reports nausea. The nurse should advise the client to

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 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 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?

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 reinforcing teaching with a client who wants to use an intrauterine device (IUD) for contraception but has concerns about its safety and effectiveness. Which of the following information should the nurse include in the teaching?

A nurse is providing education to a client who is using COCs about some of the benefits of this method of contraception. The nurse should inform the client that COCs can?

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?