A nurse is providing education to a patient about the benefits of injectable progestins.

Which of the following statements made by the patient indicates a need for further teaching?

"I understand that my bone density may decrease with long-term use.".

"I know I should receive the injection within five days after delivery if I am breastfeeding.".

"I can expect decreased bleeding during menstruation with this method.".

"I am glad that I only have to get four injections per year.".

Answer and Explanation

The Correct Answer is B

The correct answer is choice B. The patient should receive the injection within seven days after delivery if breastfeeding, not five. Injectable progestins are a type of hormonal contraception that prevent ovulation and thicken cervical mucus. They are given by a health professional every 12 weeks.

Choice A is wrong because injectable progestins may cause bone mineral loss with long-term use, so the patient should be aware of this risk.

Choice C is wrong because injectable progestins may cause decreased bleeding or amenorrhea in some women, which is not harmful but may be unexpected.

Choice D is wrong because injectable progestins are given every three months, not four times per year.

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Correct Answer is A

Explanation

The correct answer is choice A. Elevated liver enzymes.Medroxyprogesterone injections can cause liver damage and impair its function.Elevated liver enzymes are a sign of liver injury and should be reported to the provider immediately.

Choice B is wrong because decreased hemoglobin is not a common side effect of medroxyprogesterone injections.

Decreased hemoglobin can indicate anemia, which can have many causes unrelated to medroxyprogesterone injections.

Choice C is wrong because increased platelets are not a common side effect of medroxyprogesterone injections.

Increased platelets can indicate inflammation, infection, or cancer, which can have many causes unrelated to medroxyprogesterone injections.

Choice D is wrong because decreased potassium is not a common side effect of medroxyprogesterone injections.

Decreased potassium can indicate dehydration, diarrhea, vomiting, or diuretic use, which can have many causes unrelated to medroxyprogesterone injections.

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 providing education to a patient about the benefits of injectable progestins. Which of the following statements made by the patient indicates a need for further teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a client who is taking medroxyprogesterone injections for contraception. Which of the following findings should the nurse report to the provider?

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

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 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)?

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 laboratory results for a female client who takes oral contraceptives (OCs). Which of the following findings should indicate to the nurse that OCs are having an adverse effect on this client?

A nurse is reinforcing teaching with a client who has an intrauterine device (IUD) in place and asks how it prevents pregnancy. Which of the following responses should the nurse make?

A nurse in a family planning clinic is teaching a group of clients about oral contraceptives (OCs). Which of. the following information should be included in this teaching?

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?

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?

A nurse is providing education to a patient about the benefits of injectable progestins.

Which of the following statements made by the patient indicates a need for further teaching?