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 B

Explanation

The correct answer is choice B. Increased serum potassium level.Oral contraceptives can affect the levels of various electrolytes in the blood, such as sodium, potassium, calcium and magnesium.According to one study, oral contraceptives can increase the levels of serum copper, iron, calcium and cadmium, and decrease the levels of serum zinc, selenium, phosphorus and magnesium.

Therefore, a high serum potassium level can indicate an adverse effect of oral contraceptives on this client.

Choice A is wrong because oral contraceptives do not decrease serum glucose level.In fact, they can increase the plasma glucose level and insulin response, which can impair glucose tolerance and increase the risk of diabetes.

Choice C is wrong because oral contraceptives do not decrease serum triglyceride level.On the contrary, they can increase the fasting triglyceride level by 13 to 75 percent, which can elevate the risk of cardiovascular disease.

Choice D is wrong because oral contraceptives do not increase serum protein level.They can increase the levels of some apolipoproteins, such as A-I, A-II and B, but these are not the same as total protein.

A. Inhibiting the production of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) B. Increasing the production of prostaglandins that cause uterine contractions C. Decreasing the permeability of the fallopian tubes to sperm and egg D. Suppressing ovulation, thickening cervical mucus and altering the uterine lining

Correct Answer is A

Explanation

The correct answer is choice A.COCs prevent pregnancy byinhibiting the production of follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which are responsible for ovulation.

By suppressing ovulation, COCs prevent the release of a mature egg that can be fertilized by sperm.

Choice B is wrong because COCs do not increase the production of prostaglandins that cause uterine contractions.

Prostaglandins are involved in inflammation and pain, and are not directly related to contraception.

Choice C is wrong because COCs do not decrease the permeability of the fallopian tubes to sperm and egg.

The fallopian tubes are the site of fertilization, and COCs do not affect their function.

Choice D is partially correct but not the best answer.COCs do suppress ovulation, but they also have other mechanisms of action, such asthickening cervical mucusandaltering the uterine lining.

These effects make it harder for sperm to reach the egg and for a fertilized egg to implant in the uterus.

Therefore, choice D does not capture the full mechanism of action of COCs.

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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 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?

Correct Answer is B

Explanation

A nurse is teaching a client who is prescribed COCs about the mechanism of action of these pills. The nurse should explain that COCs prevent pregnancy by?

Correct Answer is A

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?