Question 1

The nurse teaches a client about contraceptive choices.Which client statement about contraception requires clarification?

Accepted Answer

The statement that birth control pills increase the chances of getting cancer requires clarification as there is insufficient evidence to support this claim. The other options are correct statements regarding contraception.

Question 2

A client has requested a pregnancy termination using mifepristone (RU-486)and misoprostol (Cytotec).Which statement by the client indicates the need for further instruction about these medications?

Accepted Answer

Mifepristone and misoprostol require close monitoring and follow-up care. It is not appropriate to take these medications while away on vacation, as the client may need medical attention or intervention. It is important that the client remains in close contact with their healthcare provider and follows all instructions for taking these medications. Avoiding grapefruit juice and reporting excessive bleeding are appropriate statements that demonstrate understanding of the medication.

Question 3

After talking with the nurse,a client has decided to not proceed with the use of an intrauterine device as a contraceptive method because of the possible disadvantages,which include:
Select all that apply.

Accepted Answer

Intrauterine devices (IUDs) can cause several side effects, including irregular bleeding, especially in the first few months after insertion. Pelvic pain is also a common side effect, particularly during and after insertion. Uterine perforation is a rare but serious risk associated with IUDs, where the device can perforate the uterine wall during insertion. Allergic reactions and vaginal dryness are not commonly associated with the use of IUDs.

Question 4

A client is scheduled to receive mifepristone (Mifeprex)to end a pregnancy and asks the nurse how the medication works.What should the nurse respond?
Select all that apply.

Accepted Answer

The answer of A client is scheduled to receive mifepristone...

Question 5

A client has been taking estradiol and norethindrone (Ortho-Novum)for birth control for the last 3 years.Which condition might require the client to change to another form of birth control?

Accepted Answer

Gallbladder disease is a contraindication for the use of estrogen-containing medications, including Ortho-Novum. This client should switch to another form of birth control.

Question 6

A client asks about the benefits of having a copper intrauterine device (IUD)inserted for birth control.What is the nurse's most accurate response?
Select all that apply.

Accepted Answer

- A) Copper ions released by the IUD are toxic to sperm, reducing their motility and viability, thus preventing fertilization.- B) The copper IUD creates an inflammatory reaction in the uterus that is toxic to sperm and eggs, and alters the uterine lining, making it less suitable for implantation.- C) Copper IUDs are approved for long-term use, typically up to 10 years, providing a long-term contraception option.- D) Because copper IUDs do not contain hormones, they are a suitable option for individuals who cannot use hormonal birth control methods due to health reasons or personal preference.

Question 7

A client is taking oral contraceptives.The nurse instructs her to use another form of birth control when she takes which prescribed medications?
Select all that apply.

Accepted Answer

Ampicillin and Tetracycline are antibiotics that can reduce the effectiveness of oral contraceptives, necessitating the use of an additional form of birth control to prevent pregnancy.

Question 8

A client is prescribed an oral contraceptive that has less progestin than her previous prescription.What assessment findings would support the use of a contraceptive with less progestin?
Select all that apply.

Accepted Answer

The answer of A client is prescribed an oral contraceptive...

Question 9

The nurse instructs a client taking oral combination contraceptives to have periodic serum liver function studies done and to report symptoms of liver dysfunction,including:
Select all that apply.

Accepted Answer

These are all symptoms of liver dysfunction that the client should report to their healthcare provider. Constipation is not a symptom of liver dysfunction and therefore is not included as an option.

Question 10

A client calls the clinic and reports that her contraceptive transdermal patch (Ortho-Evra)fell off while she was swimming in the ocean,and she is unable to find it.What advice should the nurse give to this client?

Accepted Answer

When the patch falls off or is removed for any reason (such as swimming), it may not provide adequate contraception. The nurse should advise the client to use another form of birth control until the next patch change is due. Putting on a new patch immediately can increase the risk of side effects and may not be effective in preventing pregnancy. Cutting a new patch in half and putting it on is not recommended as it may alter the intended dose of the medication. The medication remaining in the system until it is time for a new patch to be put on is not a reliable method of contraception. Therefore, option C is the best choice.

Question 11

The nurse is preparing to instruct a nonpregnant client on the use of misoprostol (Cytotec)for a health problem.For which purposes other than medical abortion can this medication be used?
Select all that apply.

Accepted Answer

The answer of The nurse is preparing to instruct a...

Question 12

A client is surprised to learn she is pregnant in spite of using a contraceptive sponge for the last 5 years.Which condition might have altered the contraceptive ability of this form of birth control?

Accepted Answer

Vaginal yeast infection can alter the contraceptive ability of a contraceptive sponge by reducing its effectiveness in preventing pregnancy. The infection can also make the sponge more difficult to insert or remove, leading to incorrect usage. Migraine headaches, strep throat, and urinary tract infections are not known to affect the contraceptive ability of a contraceptive sponge.

Question 13

A client being treated for rape asks why ulipristal (Ella)has been prescribed when the morning after" pill can be obtained without a prescription.How should the nurse respond?
Select all that apply.

Accepted Answer

Ulipristal (Ella) is a prescription-only medication that is more effective than over-the-counter morning-after pills. It works by preventing ovulation and can be taken up to 5 days after unprotected sex.

Question 14

An adolescent client has been taking oral contraceptives for the last 6 months for treatment of an irregular menstrual cycle.Which statement indicates that the client has met the goals of treatment?

Accepted Answer

The goal of treating an irregular menstrual cycle with oral contraceptives is to regulate the cycle, so the client's periods occur every 21-35 days. Therefore, option A is the correct answer as it indicates that the client's menstrual cycle has become regular. While options B, C, and D may be positive outcomes of oral contraceptive use, they do not necessarily indicate that the primary treatment goal of regulating the menstrual cycle has been achieved.

Question 15

The nurse is completing the health assessment of a client who is interested in taking oral contraceptives.Which set of data would indicate that the client should consider another form of birth control?

Accepted Answer

The client's weight of 187 pounds may put them at a higher risk for developing blood clots while taking oral contraceptives. It is recommended that clients with a BMI over 30 consider another form of birth control to lower their risk.

Question 16

A client will be starting oral combination contraceptives.What should the nurse instruct the client to report to the health care provider as possible symptoms of a deep vein thrombosis?
Select all that apply.

Accepted Answer

Calf tenderness and pain with walking are both symptoms of a deep vein thrombosis and should be reported immediately to the healthcare provider. Dizziness, numbness of an extremity, and blurred vision are not typically associated with a deep vein thrombosis.

Question 17

A client tells the nurse that the ideal form of birth control is something she would not have to take every day and that cannot be seen by others.Which forms of birth control would be appropriate for this client?
Select all that apply.

Accepted Answer

Progestin injections and intrauterine devices (IUDs) are forms of birth control that do not require daily administration and are not visible to others, meeting the client's criteria.

Question 18

A client who has been prescribed an estrogen-progestin combination oral contraceptive asks the nurse how the medication works.What can the nurse respond to the client?
Select all that apply.

Accepted Answer

An estrogen-progestin combination oral contraceptive works by preventing ovulation by stopping the secretion of some hormones from the pituitary gland, making the uterine lining less favorable to an embryo, and making the cervical mucus thicker to slow the sperm down. It does not kill the sperm or stop menstruation, but may make the periods lighter and less painful.

Quiz 70: Drugs for Disorders and Conditions of the Male Reproductive System

The nurse teaches a client about contraceptive choices.Which client statement about contraception requires clarification?

A client has requested a pregnancy termination using mifepristone (RU-486) and misoprostol (Cytotec) .Which statement by the client indicates the need for further instruction about these medications?

After talking with the nurse,a client has decided to not proceed with the use of an intrauterine device as a contraceptive method because of the possible disadvantages,which include: Select all that apply.

A client is scheduled to receive mifepristone (Mifeprex) to end a pregnancy and asks the nurse how the medication works.What should the nurse respond? Select all that apply.

A client has been taking estradiol and norethindrone (Ortho-Novum) for birth control for the last 3 years.Which condition might require the client to change to another form of birth control?

A client asks about the benefits of having a copper intrauterine device (IUD) inserted for birth control.What is the nurse's most accurate response? Select all that apply.

A client is taking oral contraceptives.The nurse instructs her to use another form of birth control when she takes which prescribed medications? Select all that apply.

A client is prescribed an oral contraceptive that has less progestin than her previous prescription.What assessment findings would support the use of a contraceptive with less progestin? Select all that apply.

The nurse instructs a client taking oral combination contraceptives to have periodic serum liver function studies done and to report symptoms of liver dysfunction,including: Select all that apply.

A client calls the clinic and reports that her contraceptive transdermal patch (Ortho-Evra) fell off while she was swimming in the ocean,and she is unable to find it.What advice should the nurse give to this client?

The nurse is preparing to instruct a nonpregnant client on the use of misoprostol (Cytotec) for a health problem.For which purposes other than medical abortion can this medication be used? Select all that apply.

A client is surprised to learn she is pregnant in spite of using a contraceptive sponge for the last 5 years.Which condition might have altered the contraceptive ability of this form of birth control?

A client being treated for rape asks why ulipristal (Ella) has been prescribed when the morning after" pill can be obtained without a prescription.How should the nurse respond? Select all that apply.

An adolescent client has been taking oral contraceptives for the last 6 months for treatment of an irregular menstrual cycle.Which statement indicates that the client has met the goals of treatment?

The nurse is completing the health assessment of a client who is interested in taking oral contraceptives.Which set of data would indicate that the client should consider another form of birth control?

A client will be starting oral combination contraceptives.What should the nurse instruct the client to report to the health care provider as possible symptoms of a deep vein thrombosis? Select all that apply.

A client tells the nurse that the ideal form of birth control is something she would not have to take every day and that cannot be seen by others.Which forms of birth control would be appropriate for this client? Select all that apply.

A client who has been prescribed an estrogen-progestin combination oral contraceptive asks the nurse how the medication works.What can the nurse respond to the client? Select all that apply.