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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choiceD.
All of the above.
Here is why:
- Choice A is correct because obtaining informed consent from the client is a necessary step before any invasive procedure, including IUD insertion.
- Choice B is correct because performing a Pap smear and cervical culture can help screen for cervical cancer and sexually transmitted infections, which are contraindications for IUD use.
- Choice C is correct because administering an analgesic medication can help reduce the pain and discomfort associated with IUD insertion, especially in nulliparous women who have a smaller cervical diameter.
- Choice D is correct because it includes all of the above actions, which are recommended by the American College of Obstetricians and Gynecologists (ACOG) for IUD insertion in nulliparous women.
- Choice A is wrong if it is the only action taken, because it does not address the other aspects of IUD insertion such as screening and pain management.
- Choice B is wrong if it is the only action taken, because it does not ensure the client’s consent and comfort during the procedure.
- Choice C is wrong if it is the only action taken, because it does not verify the client’s eligibility and suitability for IUD use.
Correct Answer is A
Explanation
The correct answer is choice A. Elevated liver enzymes.Medroxyprogesterone injections can cause liver damage and impair its function.Elevated liver enzymes are a sign of liver injury and should be reported to the provider immediately.
Choice B is wrong because decreased hemoglobin is not a common side effect of medroxyprogesterone injections.
Decreased hemoglobin can indicate anemia, which can have many causes unrelated to medroxyprogesterone injections.
Choice C is wrong because increased platelets are not a common side effect of medroxyprogesterone injections.
Increased platelets can indicate inflammation, infection, or cancer, which can have many causes unrelated to medroxyprogesterone injections.
Choice D is wrong because decreased potassium is not a common side effect of medroxyprogesterone injections.
Decreased potassium can indicate dehydration, diarrhea, vomiting, or diuretic use, which can have many causes unrelated to medroxyprogesterone injections.
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