A nurse is providing teaching to a group of clients about contraceptive methods. Which of the following should the nurse include?

A. A cervical cap is recommended for clients who have an abnormal Papanicolaou (Pap) test: A cervical cap is not recommended for clients with abnormal Pap results because it may irritate the cervix or complicate follow-up care. Clients should wait until any cervical abnormalities are resolved before using this method.

B. Hormonal contraceptive methods decrease the client's risk for hypertension: Hormonal contraceptives, particularly those containing estrogen, can actually increase the risk of hypertension and thromboembolic events in some clients, rather than reduce it. Blood pressure monitoring is recommended during use.

C. Fertility awareness-based methods are more effective than hormonal methods: Fertility awareness methods generally have higher failure rates compared to hormonal contraceptives. Hormonal methods provide more reliable pregnancy prevention when used correctly.

D. Barrier methods can be used by clients who are breastfeeding: Barrier methods, such as condoms, diaphragms, and cervical caps, are safe for breastfeeding clients because they do not affect milk production or hormone levels. They provide effective contraception without interfering with lactation.

A. "I can change my cat's litter box every day.": Clients with leukemia are immunocompromised and at increased risk for infections such as toxoplasmosis from cat feces. They should avoid changing litter boxes or use protective measures like gloves and masks, so this statement indicates a misunderstanding of infection prevention.

B. "I will avoid blowing my nose when I feel congested.": Avoiding forceful nose blowing helps prevent mucosal trauma and bleeding, which is important for clients with leukemia who may have thrombocytopenia or fragile mucous membranes. This statement demonstrates an understanding of precautions to reduce injury and infection risk.

C. "I can continue gardening in my yard.": Gardening exposes the client to soilborne pathogens and bacteria, increasing the risk of infection. Clients with leukemia should avoid activities that involve soil contact unless using strict protective measures, so this statement indicates a lack of understanding.

D. "I will clean my toothbrush with an alcohol-based mouthwash.": Cleaning a toothbrush with mouthwash is not sufficient to prevent microbial contamination. Clients with leukemia should use a soft-bristled toothbrush and replace it regularly to minimize infection risk. This statement reflects incomplete understanding of oral care precautions.