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?

"I know I should use condoms to protect against STIs.".

"I understand that I may experience irregular and unpredictable menstruation.".

"I know that the implant can be inserted immediately after childbirth.".

"I won't have to worry about pregnancy for three years with this method.".

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. The patient needs further teaching if they think that the implant can be inserted immediately after childbirth. According to Mayo Clinic, the implant should not be inserted until at least 21 days after giving birth, or until the milk supply is well established if breastfeeding.

Inserting the implant too soon may increase the risk of blood clots or decrease milk production.

Choice A is correct because condoms are still needed to protect against STIs, even if using the implant as a birth control method. Choice B is correct because irregular and unpredictable menstruation is a common side effect of the implant. Choice D is correct because the implant can prevent pregnancy for up to three years.

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Correct Answer is A

Explanation

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.

A. Obtain informed consent from the client B. Perform a Pap smear and cervical culture C. Administer an analgesic medication D. All of the above

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.

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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?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

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

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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?