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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?

"I understand that the copper IUD is hormone-free and can be used by patients who are cautioned against hormonal birth control methods.".

"I will need to have a pregnancy test before the IUD can be inserted.".

"I know that the hormonal IUD can decrease menstrual pain and heavy bleeding.".

"I can expect immediate return to fertility after the IUD is removed.".

Answer and Explanation

The Correct Answer is D

The correct answer is choice D. Choice D is wrong because it implies that the IUD affects fertility, which is not true. According to the NHS website, “Your fertility will return to normal as soon as the IUD is taken out.” The other choices are correct because:

Choice A is correct because the copper IUD does not contain any hormones and can be used by people who cannot or do not want to use hormonal methods of contraception.
Choice B is correct because a pregnancy test is needed before inserting an IUD to make sure that the person is not already pregnant.
Choice C is correct because the hormonal IUD can reduce menstrual pain and heavy bleeding by thinning the lining of the uterus and thickening the cervical mucus.

Therefore, choice D indicates a need for further teaching.

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Correct Answer is B

Explanation

The correct answer is choice B. The client has a positive pregnancy test result.

This is a contraindication for bilateral tubal ligation because the procedure is a permanent form of contraception and should not be performed on a pregnant woman.

The client should be counseled about other options for birth control or termination of pregnancy.

Choice A is wrong because a history of pelvic inflammatory disease is not a contraindication for bilateral tubal ligation.It may increase the risk of complications from the surgery, such as infection or adhesions, but it does not prevent the procedure from being performed.

Choice C is wrong because a family history of breast cancer is not a contraindication for bilateral tubal ligation.It may affect the client’s decision to undergo the procedure, as some studies have suggested that tubal ligation may reduce the risk of ovarian cancer, which is associated with breast cancer.

However, this is not a medical reason to avoid the surgery.

Choice D is wrong because a history of endometriosis is not a contraindication for bilateral tubal ligation.

It may cause pelvic pain or infertility, but it does not affect the effectiveness or safety of the procedure.In fact, some studies have shown that tubal ligation may improve the symptoms of endometriosis by reducing retrograde menstruation.

A. History of toxic shock syndrome (TSS) B. History of uterine fibroids C. History of irregular menstrual periods D. History of breast cancer

Correct Answer is A

Explanation

The correct answer is choice A.A history of toxic shock syndrome (TSS) is a contraindication for the use of a diaphragm.

TSS is a rare but serious condition caused by a bacterial infection that can occur when using a diaphragm for too long or not cleaning it properly.

Choice B is wrong because a history of uterine fibroids is not a contraindication for the use of a diaphragm.

Uterine fibroids are benign tumors that grow in the uterus and usually do not affect the cervix or the fit of the diaphragm.

Choice C is wrong because a history of irregular menstrual periods is not a contraindication for the use of a diaphragm.

Irregular periods may be caused by various factors such as stress, hormonal imbalance, or medical conditions, but they do not affect the effectiveness or safety of the diaphragm.

Choice D is wrong because a history of breast cancer is not a contraindication for the use of a diaphragm.

Breast cancer is not related to the use of barrier methods of contraception such as the diaphragm.

However, some hormonal methods of contraception may increase the risk of breast cancer or be contraindicated for women who have or had breast cancer.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who is scheduled for a bilateral tubal ligation. Which of the following findings is a contraindication for this procedure?

Correct Answer is B

Explanation

A nurse is providing education about the diaphragm to a patient. Which of the following is a contraindication for the use of a diaphragm?

Correct Answer is A

Explanation

Here are some possible ATI nursing school MCQ questions with a long stem of at least 15 words, from the text you provided:. A nurse is caring for a client who has a copper IUD for contraception. The nurse should instruct the client to report which of the following signs of a possible complication?

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A nurse is reviewing the medical history of a client who is considering using COCs as a method of contraception. The nurse should identify that which of the following conditions is a contraindication for using COCs?

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A nurse is reviewing the mechanism of action of IUDs with a group of nursing students. Which of the following statements by a student indicates an understanding of the teaching?

A nurse is counseling a client who is breastfeeding and wants to use medroxyprogesterone injections for contraception. Which of the following statements should the nurse make?

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?