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 ?
Take the missed pill as soon as possible and continue with the next pill at the usual time
Take two pills at once and skip the next pill
Discard the missed pill and take the next pill at the usual time
Stop taking the pills for the rest of the cycle and use a backup method of contraception
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A.A history of toxic shock syndrome (TSS) is a contraindication for the use of a diaphragm.
TSS is a rare but serious condition caused by a bacterial infection that can occur when using a diaphragm for too long or not cleaning it properly.
Choice B is wrong because a history of uterine fibroids is not a contraindication for the use of a diaphragm.
Uterine fibroids are benign tumors that grow in the uterus and usually do not affect the cervix or the fit of the diaphragm.
Choice C is wrong because a history of irregular menstrual periods is not a contraindication for the use of a diaphragm.
Irregular periods may be caused by various factors such as stress, hormonal imbalance, or medical conditions, but they do not affect the effectiveness or safety of the diaphragm.
Choice D is wrong because a history of breast cancer is not a contraindication for the use of a diaphragm.
Breast cancer is not related to the use of barrier methods of contraception such as the diaphragm.
However, some hormonal methods of contraception may increase the risk of breast cancer or be contraindicated for women who have or had breast cancer.
Correct Answer is B
Explanation
The correct answer is choice B. The client should start taking oral contraceptives (OCs) on day one of their menstrual cycle, which is the first day of their period.This way, they will be protected from pregnancy right away and do not need to use a back-up contraceptive method.
Choice A is wrong because starting OCs on Sunday after the period begins may leave a gap of several days when the client is not protected from pregnancy.They would need to use a back-up method for the first seven days of taking OCs.
Choice C is wrong because starting OCs on day five of the menstrual cycle may also leave a gap of unprotected days.The client would need to use a back-up method for the first seven days of taking OCs.
Choice D is wrong because starting OCs on day fourteen of the menstrual cycle is too late and may not prevent ovulation.The client would need to use a back-up method for the first seven days of taking OCs.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.