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A nurse is caring for a client who has a history of breast cancer and cardiovascular disease and is seeking advice on contraception.

Which of the following contraceptive methods should the nurse recommend as the safest option for this client?

A.

Injectable progestins

B.

Contraceptive vaginal ring

C.

Copper intrauterine device

D.

Combined oral contraceptives

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. Copper intrauterine device. This is because copper intrauterine devices do not contain hormones and are therefore safe for women with a history of breast cancer and cardiovascular disease.

Some possible explanations for the other choices are:

  • Choice A. Injectable progestins. This is wrong because injectable progestins may increase the risk of breast cancer in women with the BRCA1 gene and may also worsen hypertension and dyslipidemia.
  • Choice B. Contraceptive vaginal ring. This is wrong because contraceptive vaginal rings contain estrogen and progestin, which may increase the risk of thromboembolic events, stroke, and myocardial infarction in women with cardiovascular disease.
  • Choice D. Combined oral contraceptives. This is wrong because combined oral contraceptives also contain estrogen and progestin, which have the same risks as contraceptive vaginal rings for women with cardiovascular disease. Additionally, combined oral contraceptives may interact with some medications used to treat chronic conditions and reduce their effectiveness.


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Related Questions

Correct Answer is C

Explanation

The correct answer is choice C.“I can start the injections right after I give birth if I am not breastfeeding.” This statement indicates a need for further teaching because medroxyprogesterone injections should not be started until at leastsix weeksafter giving birth if the woman is not breastfeeding.Starting the injections earlier may increase the risk ofbleeding,blood clotsanddecreased milk production.

Choice A is correct because medroxyprogesterone injections are given every12 to 13 weeksfor contraception.

Choice B is correct because medroxyprogesterone injections may causebone lossover time, and calcium supplements may help prevent this.

Choice D is correct because medroxyprogesterone injections often reduce or stop menstrual bleeding by suppressing ovulation and thinning the lining of the uterus.

Correct Answer is D

Explanation

The nurse should include all of the following information in the teaching:

  • The typical failure rate for IUDs is 1% to 3% per year.
  • This means that out of 100 women who use an IUD for a year, one to three may get pregnant.
  • The risk of pelvic inflammatory disease (PID) is highest in the first 6 weeks after insertion.
  • PID is an infection of the reproductive organs that can cause infertility, chronic pain, or ectopic pregnancy.
  • The risk of PID is higher if the woman or her partner has multiple sexual partners or a sexually transmitted infection (STI).
  • The IUD can be inserted at any time during the menstrual cycle.
  • However, some doctors may prefer to insert it during or right after the period, when the cervix is more open and the chance of pregnancy is lower.

Choice A is wrong because it only states one piece of information that the nurse should include in the teaching.

Choice B is wrong because it only states one piece of information that the nurse should include in the teaching.

Choice C is wrong because it only statesone piece of information that the nurse should include in the teaching

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