A nurse is reinforcing teaching with a client who has an intrauterine device (IUD) in place and asks how it prevents pregnancy.

Which of the following responses should the nurse make?

“It releases hormones that thicken cervical mucus and prevent ovulation.”.

“It creates a local inflammatory response that impairs implantation.”.

“It alters tubal motility and interferes with sperm transport.”.

All of the above

Answer and Explanation

The Correct Answer is B

The correct answer is choice B. It creates a local inflammatory response that impairs implantation. This means that the IUD makes the lining of the uterus less suitable for a fertilized egg to attach to it.

Choice A is wrong because it describes how hormonal IUDs work, not copper IUDs. Hormonal IUDs release hormones that thicken cervical mucus and prevent ovulation.

Choice C is wrong because it describes how tubal ligation works, not IUDs. Tubal ligation is a surgical procedure that blocks or cuts the fallopian tubes, which prevents sperm from reaching an egg.

Choice D is wrong because it implies that all of the above choices are correct, which they are not.

Only choice B is correct for copper IUDs.

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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. Vaginal dryness B. Increased risk of bacterial vaginosis C. Increased risk of HIV transmission D. Increased risk of cervical cancer

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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A nurse is reinforcing teaching with a client who has an intrauterine device (IUD) in place and asks how it prevents pregnancy. Which of the following responses should the nurse make?

Nursing Test Bank

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 teaching a patient about the use of spermicide. Which of the following is an adverse effect of some spermicides that contain nonoxynol-9 (N-9)?

Correct Answer is C

Explanation

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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?

A nurse is reinforcing teaching with a client who has an intrauterine device (IUD) in place and asks how it prevents pregnancy.

Which of the following responses should the nurse make?