A nurse is providing discharge instructions to a client who has just received her first medroxyprogesterone injection for contraception.

Which of the following information should the nurse include in the teaching?

"You may experience weight gain as a side effect of the injection.".

"You should use a barrier method of contraception for the first week after the injection.".

"You should massage the injection site to promote absorption of the medication.".

"You may resume fertility as soon as you stop the injections.".

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. "You may experience weight gain as a side effect of the injection."

Choice B is wrong because you do not need to use a barrier method of contraception for the first week after the injection. Medroxyprogesterone injection provides contraception for three months and works mainly by stopping the release of an egg from the ovary (ovulation).

Choice C is wrong because you should not massage the injection site to promote absorption of the medication.

Massaging the injection site may cause irritation or pain. You should also avoid rubbing or scratching the injection site for a few days after receiving the injection.

Choice D is wrong because you may not resume fertility as soon as you stop the injections.

There may be a delay in your return to normal fertility after you finish using medroxyprogesterone injection. It might take 10 months or more before you begin ovulating again.

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Correct Answer is C

Explanation

The correct answer is choice C. Copper intrauterine device.This is because copper intrauterine devices do not contain hormones and are therefore safe for women with a history of breast cancer and cardiovascular disease.

Some possible explanations for the other choices are:

Choice A. Injectable progestins.This is wrong because injectable progestins may increase the risk of breast cancer in women with the BRCA1 geneand may also worsen hypertension and dyslipidemia.
Choice B. Contraceptive vaginal ring.This is wrong because contraceptive vaginal rings contain estrogen and progestin, which may increase the risk of thromboembolic events, stroke, and myocardial infarction in women with cardiovascular disease.
Choice D. Combined oral contraceptives.This is wrong because combined oral contraceptives also contain estrogen and progestin, which have the same risks as contraceptive vaginal rings for women with cardiovascular disease.Additionally, combined oral contraceptives may interact with some medications used to treat chronic conditions and reduce their effectiveness.

A. “You need to have a sperm count test to confirm your sterility.”. B. “You need to wait for at least 20 more ejaculations before you are sterile.”. C. “You need to use another form of contraception for at least 3 more months.”. D. “You need to have a repeat vasectomy to ensure your sterility.”.

Correct Answer is A

Explanation

The correct answer is choice A.“You need to have a sperm count test to confirm your sterility.”

A sperm count test is a semen analysis that measures the number of sperm in the ejaculate.

It is the only way to verify that a vasectomy has been successful and that the man is sterile.A man is considered sterile when his sperm count is zero or below 100,000 non-motile sperm per sample.

Choice B is wrong because the number of ejaculations does not guarantee sterility.Some sperm may still be present in the severed vas deferens for months after a vasectomy.

Choice C is wrong because the duration of contraception use after a vasectomy depends on the sperm count test results, not on a fixed time period.It may take more or less than 3 months for a man to become sterile after a vasectomy.

Choice D is wrong because a repeat vasectomy is unnecessary and ineffective to ensure sterility.A vasectomy is a permanent birth control method that rarely fails or reverses.

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A nurse is providing discharge instructions to a client who has just received her first medroxyprogesterone injection for contraception. Which of the following information should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a history of breast cancer and cardiovascular disease and is seeking advice on contraception. Which of the following contraceptive methods should the nurse recommend as the safest option for this client?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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A nurse is providing discharge instructions to a client who has just received her first medroxyprogesterone injection for contraception.

Which of the following information should the nurse include in the teaching?