A nurse is teaching a client who is considering female sterilization as a contraceptive method.

Which of the following statements by the nurse is appropriate?

“You will need to use another form of birth control for 3 months after the procedure.”.

“You will have a higher risk of developing ovarian cancer after the procedure.”.

“You will experience changes in your menstrual cycle and sexual function after the procedure.”.

“You will be able to have the procedure reversed if you change your mind later.”.

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. “You will need to use another form of birth control for 3 months after the procedure.” This is because it takes time for the remaining sperm in the reproductive tract to be cleared out after female sterilization.

Therefore, another contraceptive method is needed to prevent pregnancy during this period.

Choice B is wrong because female sterilization does not increase the risk of ovarian cancer. In fact, some studies have suggested that it may lower the risk of ovarian and endometrial cancers.

Choice C is wrong because female sterilization does not affect the menstrual cycle or sexual function. The ovaries still produce hormones and eggs as normal, but the eggs are absorbed by the body instead of travelling to the uterus.

Choice D is wrong because female sterilization is intended to be a permanent method of contraception and reversal is not guaranteed to be successful. Reversal surgery is also more complicated and expensive than the original procedure. Therefore, women who choose female sterilization should be sure that they do not want any more children in the future.

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Correct Answer is D

Explanation

The correct answer is choice D. Choice D is wrong because it implies that the IUD affects fertility, which is not true.According to the NHS website, “Your fertility will return to normal as soon as the IUD is taken out.” The other choices are correct because:

Choice A is correct because the copper IUD does not contain any hormones and can be used by people who cannot or do not want to use hormonal methods of contraception.
Choice B is correct because a pregnancy test is needed before inserting an IUD to make sure that the person is not already pregnant.
Choice C is correct because the hormonal IUD can reduce menstrual pain and heavy bleeding by thinning the lining of the uterus and thickening the cervical mucus.

Therefore, choice D indicates a need for further teaching.

A. Decreased serum glucose level B. Increased serum potassium level C. Decreased serum triglyceride level D. Increased serum protein level

Correct Answer is B

Explanation

The correct answer is choice B. Increased serum potassium level.Oral contraceptives can affect the levels of various electrolytes in the blood, such as sodium, potassium, calcium and magnesium.According to one study, oral contraceptives can increase the levels of serum copper, iron, calcium and cadmium, and decrease the levels of serum zinc, selenium, phosphorus and magnesium.

Therefore, a high serum potassium level can indicate an adverse effect of oral contraceptives on this client.

Choice A is wrong because oral contraceptives do not decrease serum glucose level.In fact, they can increase the plasma glucose level and insulin response, which can impair glucose tolerance and increase the risk of diabetes.

Choice C is wrong because oral contraceptives do not decrease serum triglyceride level.On the contrary, they can increase the fasting triglyceride level by 13 to 75 percent, which can elevate the risk of cardiovascular disease.

Choice D is wrong because oral contraceptives do not increase serum protein level.They can increase the levels of some apolipoproteins, such as A-I, A-II and B, but these are not the same as total protein.

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A nurse is teaching a client who is considering female sterilization as a contraceptive method. Which of the following statements by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

A nurse is reviewing laboratory results for a female client who takes oral contraceptives (OCs). Which of the following findings should indicate to the nurse that OCs are having an adverse effect on this client?

Correct Answer is B

Explanation

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A nurse is teaching a client who is considering female sterilization as a contraceptive method.

Which of the following statements by the nurse is appropriate?