A nurse is instructing a client who is starting COCs for the first time.

The nurse should tell the client that if she misses one pill, she should ?

Take the missed pill as soon as possible and continue with the next pill at the usual time

Take two pills at once and skip the next pill

Discard the missed pill and take the next pill at the usual time

Stop taking the pills for the rest of the cycle and use a backup method of contraception

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. The nurse should tell the client that if she misses one pill, she should take the missed pill as soon as possible and continue with the next pill at the usual time. This will ensure that she maintains a continuous hormonal exposure and does not extend the hormone-free interval beyond 7 days. She does not need to use extra contraception.

Choice B is wrong because taking two pills at once and skipping the next pill will disrupt the hormonal balance and may cause side effects such as nausea or breakthrough bleeding. Choice C is wrong because discarding the missed pill and taking the next pill at the usual time will shorten the duration of hormonal exposure and increase the risk of ovulation. Choice D is wrong because stopping taking the pills for the rest of the cycle and using a backup method of contraception will expose the client to an unnecessary hormone-free interval and may compromise her contraceptive efficacy.

COCs are combined oral contraceptives that contain synthetic estrogen and progestin hormones that prevent ovulation and thicken cervical mucus to inhibit sperm penetration. The normal range of COCs dosage is 20 to 35 micrograms of estrogen and 0.1 to 3 milligrams of progestin per pill.

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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 instructing a client who is starting COCs for the first time. The nurse should tell the client that if she misses one pill, she should ?

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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

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A nurse is instructing a client who is starting COCs for the first time.

The nurse should tell the client that if she misses one pill, she should ?