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A nurse is assisting a community health nurse teach a class about contraception to a group of young adults

Exhibits

Which post-test answers provided by class participants require follow-up by the nurse?

Click to highlight the post-test answers that require follow up by the nurse?

Latex condoms should be used with oil-based lubricants.

Condoms should be placed immediately before ejaculation. Diaphragms should be refitted after pregnancy.

Diaphragms should be removed 4 hr after intercourse.

Abdominal pain is a manifestation of complications of oral contraceptive use. Herbal supplements can affect the effectiveness of oral contraceptives. Presence of intrauterine device strings should be checked after each menstrual cycle.

Intrauterine devices should be replaced every 2 years.

Latex condoms should be used with oil-based lubricants.

Condoms should be placed immediately before ejaculation.

Diaphragms should be removed 4 hr after intercourse.

Abdominal pain is a manifestation of complications of oral contraceptive use.

Intrauterine devices should be replaced every 2 years.

Herbal supplements can affect the effectiveness of oral contraceptives.

Presence of intrauterine device strings should be checked after each menstrual cycle.

Diaphragms should be refitted after pregnancy.

Answer and Explanation

The Correct Answer is ["A","B","C","D","E"]

Post-Test Answers Requiring Follow-Up:

Latex condoms should be used with oil-based lubricants. Oil-based lubricants can degrade latex condoms, increasing the risk of breakage. Water-based or silicone-based lubricants should be used with latex condoms for safe use.

Condoms should be placed immediately before ejaculation. Condoms should be put on before any genital contact to prevent the risk of pregnancy and sexually transmitted infections (STIs). They should not be placed only before ejaculation.

Diaphragms should be removed 4 hours after intercourse. Diaphragms should be left in place for at least 6 hours but no longer than 24 hours after intercourse to prevent the risk of toxic shock syndrome and ensure effectiveness.

Abdominal pain is a manifestation of complications of oral contraceptive use. While abdominal pain can indicate complications, such as ectopic pregnancy or hepatic issues, it should not be considered a typical side effect.

Intrauterine devices should be replaced every 2 years. While some hormonal IUDs are effective for 3-5 years, copper IUDs can last up to 10-12 years. Patients should be informed about the specific replacement schedule based on the type of IUD used.

Answers that don’t need follow-up:

Diaphragms should be refitted after pregnancy. After a woman has a baby, the size and shape of her vagina and cervix can change, so diaphragms need to be refitted to ensure proper effectiveness.

Herbal supplements can affect the effectiveness of oral contraceptives. Some herbal supplements, such as St. John’s Wort, can interact with hormonal contraceptives, potentially reducing their effectiveness.

Presence of intrauterine device (IUD) strings should be checked after each menstrual cycle. Women should check the IUD strings regularly, typically after each menstrual cycle, to ensure the device is in place and to identify any potential complications.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. "Initiate depot medroxyprogesterone 14 days after the client's first day of her menstrual cycle." Depot medroxyprogesterone (Depo-Provera) is usually initiated within the first 5 days of a client’s menstrual cycle to ensure the client is not pregnant. Initiating it 14 days after may not provide immediate contraceptive coverage.

B. "Administer depot medroxyprogesterone every 6 to 8 weeks." Depot medroxyprogesterone is administered every 12 weeks (3 months), not every 6 to 8 weeks, to maintain contraceptive efficacy.

C. "Give the medication intramuscularly." Depot medroxyprogesterone is administered as an intramuscular injection, typically in the deltoid or gluteal muscle, to ensure proper absorption and contraceptive effectiveness.

D. "Massage the site after you administer the medication." Massaging the injection site is not recommended as it could lead to the faster absorption of the medication, which may reduce its duration of effectiveness.

A. A high-fiber meal B. Milk C. Scrambled eggs D. orange juice

Correct Answer is D

Explanation

A. A high-fiber meal: While fiber is beneficial for preventing constipation, which can occur with iron supplementation, fiber may decrease iron absorption.

B. Milk. Calcium in milk interferes with the absorption of iron and should be avoided when taking ferrous sulfate.

C. Scrambled eggs. Eggs contain phosphates and other compounds that may reduce iron absorption.

D. Orange juice. Vitamin C (found in orange juice) enhances the absorption of iron from supplements and is the best option for improving iron absorption.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a newly licensed nurse about the administration of depot medroxyprogesterone. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who is pregnant and has a new prescription for ferrous sulfate due to iron-deficiency anemia. The nurse should instruct the client to take this medication with which of the following?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination. Which of the following information should the nurse include?

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