A nurse in a clinic is reinforcing teaching with a client who has a new prescription for a combination contraceptive transdermal patch. Which of the following should the nurse include in the teaching?

Start the first patch on the seventh day of the menstrual cycle.

The contraceptive eﬀect will continue for 6 months following discontinuation of the medication

Apply the patch to the lower abdomen

Expect to have a headache during the first month

None

Answer and Explanation

The Correct Answer is C

Correct answer: C

A) Start the first patch on the seventh day of the menstrual cycle: The patch is typically applied on the first day of the menstrual cycle or the first Sunday after the menstrual period begins, not on the seventh day. This helps ensure effective contraception from the start of use.

B) The contraceptive effect will continue for 6 months following discontinuation of the medication: The contraceptive effect of the patch does not last for 6 months after discontinuation. Once the patch is removed and not replaced, hormone levels drop, and fertility can return relatively quickly, typically within a few days to weeks.

C) Apply the patch to the lower abdomen: The patch should be applied to clean, dry, and intact skin on areas such as the lower abdomen, upper outer arm, buttock, or upper torso (excluding the breasts). This location allows for consistent hormone absorption.

D) Expect to have a headache during the first month: While some individuals may experience headaches as a side effect of hormonal contraceptives, this is not an expected or guaranteed outcome. Any persistent or severe headache should be reported to the healthcare provider, as it could indicate other concerns.

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Correct Answer is B

No explanation

A. "The ECT procedure will cause you to have a brief seizure." B. "You will not be awake during the ECT procedure." C. "You will be placed on a ventilator to help you breathe during the ECT procedure." D. "You will probably sleep the rest of the day following the ECT procedure." E. "It should only take one ECT treatment to bring you out of your depression." F. "Some clients experience temporary memory loss following ECT therapy."

Correct Answer is ["A","B","D","F"]

Explanation

Answer: A, B, D, F

Rationale:

A. "The ECT procedure will cause you to have a brief seizure.":
This statement is accurate as electroconvulsive therapy (ECT) intentionally induces a controlled seizure, which is thought to positively impact brain chemistry and alleviate symptoms of major depressive disorder. Educating the client about this aspect helps demystify the procedure and reduces anxiety.

B. "You will not be awake during the ECT procedure.":
The client receives general anesthesia before ECT, so they will be unconscious during the procedure. This reassurance can help alleviate fears associated with being awake and experiencing discomfort during the procedure.

C. "You will be placed on a ventilator to help you breathe during the ECT procedure.":
During ECT, clients do not require a ventilator, although they may receive oxygen support. An anesthetic and muscle relaxant are administered, and while the client’s breathing is closely monitored, a ventilator is unnecessary for this brief procedure.

D. "You will probably sleep the rest of the day following the ECT procedure.":
Many clients feel drowsy and need extra rest after ECT due to the effects of anesthesia and the brief seizure. Informing the client helps them prepare for this common effect and sets realistic expectations for their recovery period.

E. "It should only take one ECT treatment to bring you out of your depression.":
ECT is typically given as a series of treatments over several weeks to achieve lasting improvement in depressive symptoms. One treatment alone is usually insufficient, so this statement could mislead the client regarding the treatment plan.

F. "Some clients experience temporary memory loss following ECT therapy.":
Temporary memory loss, especially of recent events, is a known side effect of ECT. This side effect is generally transient but can help the client to be aware of this possibility, helping them to anticipate and manage any concerns post-treatment.

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A nurse in a clinic is reinforcing teaching with a client who has a new prescription for a combination contraceptive transdermal patch. Which of the following should the nurse include in the teaching?

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Explanation

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