A nurse is providing family planning counselling. Which action is most appropriate?
fitting contraceptive device for the client
providing detailed education to the client
offering emergency contraception to the client
discussing preferences with the client's partner
The Correct Answer is B
A. Fitting contraceptive device for the client: While placing devices like IUDs or implants is part of family planning, it is a procedure that requires prior assessment and informed consent. Immediate placement without education or discussion may not ensure understanding or adherence.
B. Providing detailed education to the client: Education is central to family planning counselling. Explaining options, effectiveness, potential side effects, and proper use empowers the client to make informed choices and supports safe, autonomous decision-making.
C. Offering emergency contraception to the client: Emergency contraception is time-sensitive and situational. It may be part of family planning services but is not the primary or most appropriate action during general counselling sessions.
D. Discussing preferences with the client's partner: Including the partner may be appropriate if the client desires, but counselling should prioritize the client’s autonomy and individual choice, ensuring their preferences are understood first.
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Related Questions
Correct Answer is D
Explanation
A. Blocking the opening to the cervix: Intrauterine devices are placed inside the uterine cavity and do not physically block the cervical opening. Cervical barriers such as diaphragms or cervical caps function at the level of the cervix rather than within the uterus. The contraceptive effect of an IUD occurs after sperm enter the reproductive tract.
B. Increasing the mobility of the uterus: Uterine mobility is not altered by the presence of an intrauterine device. IUDs do not affect uterine movement, peristalsis, or positioning. Their action is related to local inflammatory and biochemical effects within the uterine environment.
C. Preventing sperm from reaching the fallopian tubes: IUDs do not create a mechanical barrier that blocks sperm transport through the cervix or uterus. Sperm may still enter the uterine cavity, but their function and survival are impaired. Fertilization is prevented through changes in the uterine and tubal environment.
D. Not keeps sperm from reaching the egg by creating a hostile environment within the uterus: IUDs create a local inflammatory response in the uterus that is toxic to sperm and ova. Copper IUDs release ions that reduce sperm motility and viability, while hormonal IUDs thicken cervical mucus and alter the endometrium. These changes interfere with fertilization and implantation.
Correct Answer is A
Explanation
A. Administer the dose as ordered: In infants, digoxin is typically held if the apical heart rate is below 90–110 bpm. An apical rate of 114 bpm is above the threshold, so it is safe to administer the medication while continuing to monitor for signs of toxicity.
B. Hold the medication until the next dose: Holding digoxin unnecessarily can compromise therapeutic effectiveness and cardiac output, especially in infants with heart failure. Medication should only be held if the heart rate is below the established threshold.
C. Wait and recheck the apical heart rate in 30 minutes: Rechecking is unnecessary if the initial assessment shows a heart rate within safe limits. Delaying administration without cause may disrupt the medication schedule and its efficacy.
D. Notify the physician about the infant's heart rate: The heart rate is within an acceptable range for digoxin administration, so notifying the physician is not required in this instance. Routine monitoring and documentation are sufficient.
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