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A nurse is preparing to insert an IUD for a client who is nulliparous and has a negative pregnancy test.

Which of the following actions should the nurse take before the insertion?

Obtain informed consent from the client

Perform a Pap smear and cervical culture

Administer an analgesic medication

All of the above

Answer and Explanation

The Correct Answer is D

The correct answer is choice D.

All of the above.

Here is why:

Choice A is correct because obtaining informed consent from the client is a necessary step before any invasive procedure, including IUD insertion.
Choice B is correct because performing a Pap smear and cervical culture can help screen for cervical cancer and sexually transmitted infections, which are contraindications for IUD use.
Choice C is correct because administering an analgesic medication can help reduce the pain and discomfort associated with IUD insertion, especially in nulliparous women who have a smaller cervical diameter.
Choice D is correct because it includes all of the above actions, which are recommended by the American College of Obstetricians and Gynecologists (ACOG) for IUD insertion in nulliparous women.
Choice A is wrong if it is the only action taken, because it does not address the other aspects of IUD insertion such as screening and pain management.
Choice B is wrong if it is the only action taken, because it does not ensure the client’s consent and comfort during the procedure.
Choice C is wrong if it is the only action taken, because it does not verify the client’s eligibility and suitability for IUD use.

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Correct Answer is D

Explanation

The correct answer is choice D. The client should switch to a higher-dose formulation of oral contraceptives.Breakthrough bleeding is a common side effect of low-dose birth control pills, especially in the first months of use.It may indicate that the estrogen dose is too low to suppress the growth of the endometrium.

A higher-dose formulation may reduce or eliminate breakthrough bleeding by providing more estrogen.

Choice A is wrong because taking two pills daily until bleeding stops is not a recommended way to manage breakthrough bleeding.

It may cause side effects such as nausea, headache, or breast tenderness.It may also increase the risk of blood clots.

Choice B is wrong because stopping oral contraceptives immediately is not advisable unless there is a medical reason to do so.

Stopping oral contraceptives may cause irregular bleeding, ovulation, and pregnancy.

The client should consult with their provider before discontinuing any medication.

Choice C is wrong because smoking does not cause breakthrough bleeding, but it does increase the risk of serious complications from oral contraceptives, such as stroke, heart attack, or blood clots.The client should avoid smoking while taking any hormonal contraceptive, regardless of whether they experience breakthrough bleeding or not.

A. Vaginal dryness B. Increased risk of bacterial vaginosis C. Increased risk of HIV transmission D. Increased risk of cervical cancer

Correct Answer is C

Explanation

The correct answer is choice C. Increased risk of HIV transmission.According to some sources, spermicide that contains nonoxynol-9 (N-9) can irritate sensitive genital tissues, especially if used several times a day.

This irritation can increase the risk of HIV and other sexually transmitted infections by giving infections an easy pathway into the body.

Choice A is wrong because vaginal dryness is not a common side effect of spermicide.

Choice B is wrong because bacterial vaginosis is not directly linked to spermicide use.

Choice D is wrong because cervical cancer is not caused by spermicide use.

Spermicide is a type of contraceptive that works by stopping sperm from reaching an egg.

It comes in different forms such as gels, creams, foams, films or suppositories.It needs to be inserted into the vagina before sex and used correctly every time for it to be effective.

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A nurse is preparing to insert an IUD for a client who is nulliparous and has a negative pregnancy test. Which of the following actions should the nurse take before the insertion?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is caring for a client who has been taking oral contraceptives for several months and reports frequent breakthrough bleeding during her cycle. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is teaching a patient about the use of spermicide. Which of the following is an adverse effect of some spermicides that contain nonoxynol-9 (N-9)?

Correct Answer is C

Explanation

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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 ?

A nurse is caring for a patient who is using an intrauterine device (IUD) for contraception. Which of the following symptoms is a potential adverse effect of the copper IUD?

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 caring for a client who has an intrauterine device (IUD) in place and reports missing her menstrual period this month. Which of the following actions should the nurse take first?

A nurse is teaching a client who is starting medroxyprogesterone injections for contraception. Which of the following statements by the client indicates a need for further teaching?

A nurse is preparing to insert an IUD for a client who is nulliparous and has a negative pregnancy test.

Which of the following actions should the nurse take before the insertion?