A nurse is caring for a client who is taking COCs and reports nausea.

The nurse should advise the client to

Take the pill with a glass of water on an empty stomach

Take the pill at bedtime or with food

Switch to a different brand of COCs

Stop taking the pill and use another method of contraception

Answer and Explanation

The Correct Answer is B

The correct answer is choice B. The nurse should advise the client to take the pill at bedtime or with food. This can help reduce nausea, which is a common side effect of COCs. Nausea usually diminishes with continued use of the same method.

Choice A is wrong because taking the pill with a glass of water on an empty stomach may increase nausea.

Choice C is wrong because switching to a different brand of COCs is not effective in treating nausea. There are no significant differences among various COCs in terms of nausea.

Choice D is wrong because stopping the pill and using another method of contraception is not necessary unless the client prefers it. Nausea is not harmful and can be managed with simple measures.

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Correct Answer is A

Explanation

The correct answer is choice A.History of migraine headaches with aura is a contraindication for using COCs because it increases the risk of stroke.

Some possible explanations for the other choices are:

Choice B is wrong because history of dysmenorrhea and menorrhagia is not a contraindication for using COCs.In fact, COCs may help reduce menstrual pain and bleeding.
Choice C is wrong because history of acne vulgaris and hirsutism is not a contraindication for using COCs.In fact, COCs may help improve acne and hirsutism by reducing androgen levels.
Choice D is wrong because history of iron-deficiency anemia and fatigue is not a contraindication for using COCs.In fact, COCs may help prevent iron-deficiency anemia by reducing menstrual blood loss.

Normal ranges for relevant parameters are:

Blood pressure: <140/90 mmHg
Body mass index: 18.5–24.9 kg/m
Hemoglobin: 12–16 g/dL for women

A. Take the missed pill as soon as possible and continue with the next pill at the usual time B. Take two pills at once and skip the next pill C. Discard the missed pill and take the next pill at the usual time D. Stop taking the pills for the rest of the cycle and use a backup method of contraception

Correct Answer is A

Explanation

The correct answer is choice A.The nurse should tell the client that if she misses one pill, she should take the missed pill as soon as possible and continue with the next pill at the usual time.This will ensure that she maintains a continuous hormonal exposure and does not extend the hormone-free interval beyond 7 days.She does not need to use extra contraception.

Choice B is wrong because taking two pills at once and skipping the next pill will disrupt the hormonal balance and may cause side effects such as nausea or breakthrough bleeding.Choice C is wrong because discarding the missed pill and taking the next pill at the usual time will shorten the duration of hormonal exposure and increase the risk of ovulation.Choice D is wrong because stopping taking the pills for the rest of the cycle and using a backup method of contraception will expose the client to an unnecessary hormone-free interval and may compromise her contraceptive efficacy.

COCs are combined oral contraceptives that contain synthetic estrogen and progestin hormones that prevent ovulation and thicken cervical mucus to inhibit sperm penetration.The normal range of COCs dosage is 20 to 35 micrograms of estrogen and 0.1 to 3 milligrams of progestin per pill.

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A nurse is caring for a client who is taking COCs and reports nausea. The nurse should advise the client to

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical history of a client who is considering using COCs as a method of contraception. The nurse should identify that which of the following conditions is a contraindication for using COCs?

Correct Answer is A

Explanation

A nurse is instructing a client who is starting COCs for the first time. The nurse should tell the client that if she misses one pill, she should ?

Correct Answer is A

Explanation

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A nurse is caring for a client who is taking COCs and reports nausea.

The nurse should advise the client to