A nurse is reinforcing teaching with a client who is being fitted for a contraceptive diaphragm. Which of the following information should the nurse include?

Replace the device once per year

Replace the device every 3 years

Replace the device after a 20% weight loss.

Replace the device after a urinary tract infection.

Answer and Explanation

The Correct Answer is C

A. Replace the device once per year. The diaphragm should be replaced every 2 years, not every year, unless it becomes damaged or the client's body changes significantly.

B. Replace the device every 3 years. The diaphragm is generally replaced every 2 years, not 3 years.

C. Replace the device after a 20% weight loss. Significant weight changes, such as a 20% weight loss or gain, may alter the fit of the diaphragm, making it less effective. It should be refitted or replaced after such changes.

D. Replace the device after a urinary tract infection. There is no need to replace a diaphragm after a UTI unless it is damaged or no longer fits properly. UTIs are a common side effect of diaphragm use due to its impact on the urethra.

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Correct Answer is D

Explanation

A. A 15-year-old client who has acne: Oral contraceptives are often used to treat acne in adolescents and are not contraindicated in this case.

B. A client who has a menstrual cycle every 14 days: Irregular or frequent menstrual cycles are not a contraindication to oral contraceptive use. In fact, oral contraceptives are sometimes used to regulate menstrual cycles.

C. A client who has a hematocrit of 39% (expected range 37%-47%): A hematocrit of 39% is within the normal range and does not pose a contraindication to oral contraceptive use.

D. A client who has a blood pressure of 146/92 mm Hg: Oral contraceptives can increase blood pressure and are contraindicated in clients with uncontrolled hypertension (above 140/90 mm Hg) due to the risk of thromboembolic events and cardiovascular complications.

A. Assist the client into a side-lying position. B. Offer the client orange juice and repeat the assessment in 1 hr. C. Assure the client that the score is within the expected range. D. Administer oxygen and notify the provider.

Correct Answer is C

Explanation

A. Assist the client into a side-lying position. There is no indication that the client needs repositioning based on the biophysical profile score. A score of 10 is normal, indicating the fetus is healthy.

B. Offer the client orange juice and repeat the assessment in 1 hr. This would be indicated if the score was low or if fetal movement was not detected, which is not the case here.

C. Assure the client that the score is within the expected range. A biophysical profile score of 10 is considered normal, indicating the fetus is well-oxygenated and not experiencing distress. The nurse should reassure the client that the score is normal.

D. Administer oxygen and notify the provider. There is no indication of fetal distress requiring oxygen administration based on a score of 10.

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A nurse is reinforcing teaching with a client who is being fitted for a contraceptive diaphragm. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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