A nurse is caring for a client who desires an intrauterine device (IUD) for contraception.

Which of the following findings is a contraindication for the use of this device?

Mennorhagia

Ovarian cysts

Fibrocystic breast disease

Endometriosis

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. Mennorhagia is a contraindication for the use of an intrauterine device (IUD) for contraception because it can cause heavy or prolonged menstrual bleeding. This can lead to anemia, infection, or expulsion of the device.

Choice B is wrong because ovarian cysts are not a contraindication for IUD use. They are usually benign and do not interfere with the placement or function of the device.

Choice C is wrong because fibrocystic breast disease is not a contraindication for IUD use. It is a common condition that causes benign lumps in the breast tissue and does not affect the hormonal balance or the risk of infection.

Choice D is wrong because endometriosis is not a contraindication for IUD use. In fact, some types of IUDs that release progestin can help reduce the symptoms of endometriosis by thinning the endometrial lining and suppressing ovulation.

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Correct Answer is A

Explanation

The correct answer is choice A. Elevated liver enzymes.Medroxyprogesterone injections can cause liver damage and impair its function.Elevated liver enzymes are a sign of liver injury and should be reported to the provider immediately.

Choice B is wrong because decreased hemoglobin is not a common side effect of medroxyprogesterone injections.

Decreased hemoglobin can indicate anemia, which can have many causes unrelated to medroxyprogesterone injections.

Choice C is wrong because increased platelets are not a common side effect of medroxyprogesterone injections.

Increased platelets can indicate inflammation, infection, or cancer, which can have many causes unrelated to medroxyprogesterone injections.

Choice D is wrong because decreased potassium is not a common side effect of medroxyprogesterone injections.

Decreased potassium can indicate dehydration, diarrhea, vomiting, or diuretic use, which can have many causes unrelated to medroxyprogesterone injections.

A. “You will need to use another form of birth control for 3 months after the procedure.”. B. “You will have a higher risk of developing ovarian cancer after the procedure.”. C. “You will experience changes in your menstrual cycle and sexual function after the procedure.”. D. “You will be able to have the procedure reversed if you change your mind later.”.

Correct Answer is A

Explanation

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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A nurse is caring for a client who desires an intrauterine device (IUD) for contraception. Which of the following findings is a contraindication for the use of this device?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a client who is taking medroxyprogesterone injections for contraception. Which of the following findings should the nurse report to the provider?

Correct Answer is A

Explanation

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?

Correct Answer is A

Explanation

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A nurse is caring for a client who desires an intrauterine device (IUD) for contraception.

Which of the following findings is a contraindication for the use of this device?