A nurse at a family practice clinic receives a call from a client who is prescribed oral contraceptives but forgot to take one dose. The client reports she is in the first week of a 28-day cycle pack. Which of the following instructions should the nurse provide?
“Stop taking the pills and switch to a different contraceptive method”
"Take a home pregnancy test.
"Do not have vaginal intercourse until after your next period."
"Take the missed dose now, then continue the medication as ordered."
The Correct Answer is D
During the first week or last week of a 28-day cycle pack of oral contraceptives increases the risk of contraceptive failure. However, the client should take the missed dose as soon as they remember, even if it means taking two pills in one day. After taking the missed dose, the client should continue taking the remaining pills in the pack at the usual time, one pill per day. Due to increased risk of failure, client should use an emergency pill or condom for the next 7 days
A -stopping the pills and switching to a different contraceptive method is not necessary after missing one dose
B –missing a pill does not automatically indicate pregnancy. Testing can be considered in presence of typical signs and symptoms of pregnancy
C- abstaining from vaginal intercourse until after the next period is not necessary. Risk of pregnancy can be addressed by use of back up contraception like condoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Glimepiride is a sulphonylurea. It stimulates the pancreatic beta cells to produce insulin. It has potential for causing hypoglycemiaa. Alcohol intoxication also causes hypoglycemia worsening the risk of hypoglycemia when used with glimepiride
A, B, D- do not have significant interaction with glimepiride.
Correct Answer is D
Explanation
Status asthmaticus is an acute, life threatening exacerbation of asthma causes by bronchospasm on exposure to a trigger. Status asthmaticus can lead to respiratory failure. Short acting beta 2 agonists bind to beta 2 receptors on the airway epithelium causing bronchodilation and promotes air flow. They are used as first line due to their short onset of action.
A. Administering an inhaled glucocorticoid is used for long term control of inflammation in asthma but has no role in acute attacks
B. Identification of triggers is important but not a priority in status asthmaticus.
C. Obtaining a peak flow reading is useful but not a priority.
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