A nurse is caring for a client who requests information about female sterilization (bilateral tubal ligation).

Which of the following statements by the nurse is appropriate? (Select all that apply.).

“This method provides protection against sexually transmitted infections.”.

“This method can be performed within 24 hr following childbirth.”.

“This method can increase your risk for an ectopic pregnancy.”.

“This method requires abdominal surgery with general anesthesia.”.

“This method is immediately effective.”.

Answer and Explanation

Correct Answer : B,E

The correct answer is choice B and E. Bilateral tubal ligation (BTL) is a permanent form of contraception that involves cutting, tying or blocking the fallopian tubes to prevent pregnancy. It can be performed within 24 hours following childbirth and it is immediately effective.

Choice A is wrong because BTL does not provide protection against sexually transmitted infections (STIs).

People who have BTL should still use condoms to prevent STIs.

Choice C is wrong because BTL does not increase the risk for an ectopic pregnancy.

An ectopic pregnancy is when a fertilized egg implants outside the uterus, usually in the fallopian tube.

BTL prevents fertilization by blocking the passage of eggs and sperm.

Choice D is wrong because BTL does not require abdominal surgery with general anesthesia.

BTL can be done using different methods, such as laparoscopy, minilaparotomy, or hysteroscopy.

These methods use small incisions or no incisions at all and can be done with local or regional anesthesia.

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Correct Answer is A

Explanation

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.

A. “IUDs immobilize sperm and interfere with their migration from the vagina to the fallopian tubes.”. B. “IUDs speed up the transport of the ovum through the fallopian tube.”. C. “IUDs inhibit fertilization and cause lysis of the blastocyst.”. D. All of the above

Correct Answer is D

Explanation

All of the above.

This is because IUDs have multiple mechanisms of action that prevent fertilization and implantation of the ovum.According to the search results, some of these mechanisms are:

IUDs immobilize sperm and interfere with their migration from the vagina to the fallopian tubes.This is because copper ions released from copper IUDs are toxic for spermatozoa and impair their motility and viability.Hormonal IUDs also thicken the cervical mucus, which blocks sperm from entering the uterus.
IUDs speed up the transport of the ovum through the fallopian tube.This is because IUDs induce a local inflammatory reaction in the endometrium, which affects the signaling between the uterus and the ovary and alters the tubal motility.This reduces the chances of fertilization by shortening the time window for sperm-egg interaction.
IUDs inhibit fertilization and cause lysis of the blastocyst.This is because IUDs affect the function or viability of gametes, decreasing the rate of fertilization and lowering the chances of survival of any embryo that may be formed.IUDs also interfere with implantation of the fertilized ovum by creating a hostile environment in the uterine cavity.

Choice A is wrong because it only describes one mechanism of action of IUDs, not all of them.

Choice B is wrong because it only describes another mechanism of action of IUDs, not all of them.

Choice C is wrong because it only describes yet another mechanism of action of IUDs, not all of them.

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A nurse is caring for a client who requests information about female sterilization (bilateral tubal ligation). Which of the following statements by the nurse is appropriate? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A nurse is reviewing the mechanism of action of IUDs with a group of nursing students. Which of the following statements by a student indicates an understanding of the teaching?

Correct Answer is D

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?

A nurse is counseling a client who had a vasectomy 6 weeks ago and wants to know if he is sterile yet. Which of the following responses should the nurse make?

A nurse is reinforcing teaching with a client who is considering a progestin-releasing IUD for contraception. Which of the following benefits should the nurse include in the teaching?

A nurse is caring for a client who has an IUD and reports abdominal pain during sexual intercourse. Which of the following actions should the nurse take first?

A nurse is reviewing the medical record of a client who is scheduled for a bilateral tubal ligation. Which of the following findings is a contraindication for this procedure?

A nurse is providing education to a patient about the use of intrauterine devices (IUDs). Which of the following statements made by the patient indicates a need for further teaching?

A nurse is caring for a client who has an intrauterine device (IUD) in place and reports lower abdominal pain and fever for 2 days. Which of the following actions should the nurse take?

A nurse is providing education to a client who is using COCs about some of the benefits of this method of contraception. The nurse should inform the client that COCs can?

A nurse is caring for a client who requests information about female sterilization (bilateral tubal ligation).

Which of the following statements by the nurse is appropriate? (Select all that apply.).