A nurse is providing education to a patient about the benefits of injectable progestins.
Which of the following statements made by the patient indicates a need for further teaching?
"I understand that my bone density may decrease with long-term use.".
"I know I should receive the injection within five days after delivery if I am breastfeeding.".
"I can expect decreased bleeding during menstruation with this method.".
"I am glad that I only have to get four injections per year.".
The Correct Answer is B
The correct answer is choice B. The patient should receive the injection within seven days after delivery if breastfeeding, not five. Injectable progestins are a type of hormonal contraception that prevent ovulation and thicken cervical mucus. They are given by a health professional every 12 weeks.
Choice A is wrong because injectable progestins may cause bone mineral loss with long-term use, so the patient should be aware of this risk.
Choice C is wrong because injectable progestins may cause decreased bleeding or amenorrhea in some women, which is not harmful but may be unexpected.
Choice D is wrong because injectable progestins are given every three months, not four times per year.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B. The nurse should advise the client to take the pill at bedtime or with food.This can help reduce nausea, which is a common side effect of COCs.Nausea usually diminishes with continued use of the same method.
Choice A is wrong because taking the pill with a glass of water on an empty stomach may increase nausea.
Choice C is wrong because switching to a different brand of COCs is not effective in treating nausea.There are no significant differences among various COCs in terms of nausea.
Choice D is wrong because stopping the pill and using another method of contraception is not necessary unless the client prefers it.Nausea is not harmful and can be managed with simple measures.
Correct Answer is C
Explanation
The correct answer is choice C. Increased risk of HIV transmission.According to some sources, spermicide that contains nonoxynol-9 (N-9) can irritate sensitive genital tissues, especially if used several times a day.
This irritation can increase the risk of HIV and other sexually transmitted infections by giving infections an easy pathway into the body.
Choice A is wrong because vaginal dryness is not a common side effect of spermicide.
Choice B is wrong because bacterial vaginosis is not directly linked to spermicide use.
Choice D is wrong because cervical cancer is not caused by spermicide use.
Spermicide is a type of contraceptive that works by stopping sperm from reaching an egg.
It comes in different forms such as gels, creams, foams, films or suppositories.It needs to be inserted into the vagina before sex and used correctly every time for it to be effective.
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