Try Naxlex NCLEX-RN (Free-Trial)

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?

Obtain informed consent from the client

Perform a Pap smear and cervical culture

Administer an analgesic medication

All of the above

Answer and Explanation

The Correct Answer is D

The correct answer is choice D.

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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

The correct answer is choice B. The client should start taking oral contraceptives (OCs) on day one of their menstrual cycle, which is the first day of their period.This way, they will be protected from pregnancy right away and do not need to use a back-up contraceptive method.

Choice A is wrong because starting OCs on Sunday after the period begins may leave a gap of several days when the client is not protected from pregnancy.They would need to use a back-up method for the first seven days of taking OCs.

Choice C is wrong because starting OCs on day five of the menstrual cycle may also leave a gap of unprotected days.The client would need to use a back-up method for the first seven days of taking OCs.

Choice D is wrong because starting OCs on day fourteen of the menstrual cycle is too late and may not prevent ovulation.The client would need to use a back-up method for the first seven days of taking OCs.

A. It can prevent Asherman’s syndrome B. It can decrease menstrual loss and dysmenorrhea C. It can remain in the uterus for up to 10 years D. It can protect against sexually transmitted infections

Correct Answer is B

Explanation

The correct answer is choice B. It can decrease menstrual loss and dysmenorrhea.According to, progestin IUDs can make your periods lighter and less painful.

This is a benefit for women who have heavy or painful periods.

Choice A is wrong because it can prevent Asherman’s syndrome.

Asherman’s syndrome is a condition where scar tissue forms in the uterus, which can cause infertility or miscarriage.

Progestin IUDs do not prevent this condition.

Choice C is wrong because it can remain in the uterus for up to 10 years.

Progestin IUDs have different durations of effectiveness depending on the type and brand.For example, Liletta can last up to 8 years, Mirena up to 7 years, and Skyla/Kyleena up to 5 years.

Choice D is wrong because it can protect against sexually transmitted infections.

Progestin IUDs do not protect against STIs.

You should use condoms with new partners to prevent STIs

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who is considering a progestin-releasing IUD for contraception. Which of the following benefits should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is teaching a client who is considering female sterilization as a contraceptive method. Which of the following statements by the nurse is appropriate?

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?

A nurse is caring for a client who had a vasectomy 2 days ago. Which of the following instructions should the nurse include in the discharge teaching?

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 is providing education to a patient about implantable progestin. Which of the following statements made by the patient indicates a need for further teaching?

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 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 ?

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?