A nurse is reviewing the medical record of a client who is scheduled for a bilateral tubal ligation.
Which of the following findings is a contraindication for this procedure?
The client has a history of pelvic inflammatory disease
The client has a positive pregnancy test result
The client has a family history of breast cancer
The client has a history of endometriosis
The Correct Answer is B
The correct answer is choice B. The client has a positive pregnancy test result.
This is a contraindication for bilateral tubal ligation because the procedure is a permanent form of contraception and should not be performed on a pregnant woman.
The client should be counseled about other options for birth control or termination of pregnancy.
Choice A is wrong because a history of pelvic inflammatory disease is not a contraindication for bilateral tubal ligation. It may increase the risk of complications from the surgery, such as infection or adhesions, but it does not prevent the procedure from being performed.
Choice C is wrong because a family history of breast cancer is not a contraindication for bilateral tubal ligation. It may affect the client’s decision to undergo the procedure, as some studies have suggested that tubal ligation may reduce the risk of ovarian cancer, which is associated with breast cancer.
However, this is not a medical reason to avoid the surgery.
Choice D is wrong because a history of endometriosis is not a contraindication for bilateral tubal ligation.
It may cause pelvic pain or infertility, but it does not affect the effectiveness or safety of the procedure. In fact, some studies have shown that tubal ligation may improve the symptoms of endometriosis by reducing retrograde menstruation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
No explanation
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.
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