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A nurse is reinforcing teaching with a client who wants to use an intrauterine device (IUD) for contraception but has concerns about its safety and effectiveness.

Which of the following information should the nurse include in the teaching?

The typical failure rate for IUDs is 1% to 3% per year

The risk of pelvic inflammatory disease (PID) is highest in the first 6 weeks after insertion

The IUD can be inserted at any time during the menstrual cycle

All of the above

Answer and Explanation

The Correct Answer is D

The nurse should include all of the following information in the teaching:

The typical failure rate for IUDs is 1% to 3% per year.
This means that out of 100 women who use an IUD for a year, one to three may get pregnant.
The risk of pelvic inflammatory disease (PID) is highest in the first 6 weeks after insertion.
PID is an infection of the reproductive organs that can cause infertility, chronic pain, or ectopic pregnancy.
The risk of PID is higher if the woman or her partner has multiple sexual partners or a sexually transmitted infection (STI).
The IUD can be inserted at any time during the menstrual cycle.
However, some doctors may prefer to insert it during or right after the period, when the cervix is more open and the chance of pregnancy is lower.

Choice A is wrong because it only states one piece of information that the nurse should include in the teaching.

Choice B is wrong because it only states one piece of information that the nurse should include in the teaching.

Choice C is wrong because it only states one piece of information that the nurse should include in the teaching

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Correct Answer is A

Explanation

The correct answer is choice A.Mennorhagia is a contraindication for the use of an intrauterine device (IUD) for contraception because it can cause heavy or prolonged menstrual bleeding.This can lead to anemia, infection, or expulsion of the device.

Choice B is wrong because ovarian cysts are not a contraindication for IUD use.They are usually benign and do not interfere with the placement or function of the device.

Choice C is wrong because fibrocystic breast disease is not a contraindication for IUD use.It is a common condition that causes benign lumps in the breast tissue and does not affect the hormonal balance or the risk of infection.

Choice D is wrong because endometriosis is not a contraindication for IUD use.In fact, some types of IUDs that release progestin can help reduce the symptoms of endometriosis by thinning the endometrial lining and suppressing ovulation.

A. “Yes, this activity level will be fine.” B. “No, you should avoid sexual intercourse until your follow-up visit.” C. “No, you should avoid activities that could cause straining or trauma until healing occurs.” D. “Yes, but you should wear tight-fitting underwear.”.

Correct Answer is C

Explanation

The correct answer is choice C) “No, you should avoid activities that could cause straining or trauma until healing occurs.” This is because a vasectomy is a surgical procedure that involves cutting and sealing the tubes that carry sperm from the testicles to the semen.It requires some time for recovery and healing, and strenuous activities like hunting could increase the risk of bleeding, infection, or reopening the incisions.

Choice A) “Yes, this activity level will be fine.” is wrong because it contradicts the medical advice to rest and avoid heavy lifting or exercise for at least a week after a vasectomy.

Choice B) “No, you should avoid sexual intercourse until your follow-up visit.” is wrong because it is too restrictive.Sexual intercourse can be resumed after a few days or when the pain and swelling subside, as long as contraception is used until the semen is confirmed to be sperm-free.

Choice D) “Yes, but you should wear tight-fitting underwear.” is wrong because it is not enough to prevent complications.Tight-fitting underwear can help support the scrotum and reduce discomfort, but it does not eliminate the need to avoid activities that could cause straining or trauma.

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A nurse is reinforcing teaching with a client who wants to use an intrauterine device (IUD) for contraception but has concerns about its safety and effectiveness. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who desires an intrauterine device (IUD) for contraception. Which of the following findings is a contraindication for the use of this device?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

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A nurse is providing preoperative teaching to a client who is undergoing a transcervical sterilization procedure. Which of the following information should the nurse include?

A nurse is counseling a client who had a vasectomy 6 weeks ago and wants to know if he is sterile yet. Which of the following responses should the nurse make?

A nurse is teaching a client who is prescribed COCs about the mechanism of action of these pills. The nurse should explain that COCs prevent pregnancy by?

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 caring for a client who requests information about female sterilization (bilateral tubal ligation). Which of the following statements by the nurse is appropriate? (Select all that apply.).

A nurse in a clinic is caring for a client who has been taking oral contraceptives for several months and reports frequent breakthrough bleeding during her cycle. Which of the following actions should the nurse take?

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?

A nurse is reinforcing teaching with a client who wants to use an intrauterine device (IUD) for contraception but has concerns about its safety and effectiveness.

Which of the following information should the nurse include in the teaching?