A nurse is reinforcing teaching with a client who wants to use an intrauterine device (IUD) for contraception but has concerns about its safety and effectiveness.
Which of the following information should the nurse include in the teaching?
The typical failure rate for IUDs is 1% to 3% per year
The risk of pelvic inflammatory disease (PID) is highest in the first 6 weeks after insertion
The IUD can be inserted at any time during the menstrual cycle
All of the above
The Correct Answer is D
The nurse should include all of the following information in the teaching:
- The typical failure rate for IUDs is 1% to 3% per year.
- This means that out of 100 women who use an IUD for a year, one to three may get pregnant.
- The risk of pelvic inflammatory disease (PID) is highest in the first 6 weeks after insertion.
- PID is an infection of the reproductive organs that can cause infertility, chronic pain, or ectopic pregnancy.
- The risk of PID is higher if the woman or her partner has multiple sexual partners or a sexually transmitted infection (STI).
- The IUD can be inserted at any time during the menstrual cycle.
- However, some doctors may prefer to insert it during or right after the period, when the cervix is more open and the chance of pregnancy is lower.
Choice A is wrong because it only states one piece of information that the nurse should include in the teaching.
Choice B is wrong because it only states one piece of information that the nurse should include in the teaching.
Choice C is wrong because it only states one piece of information that the nurse should include in the teaching
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
The correct answer is choice A.COCs can reduce the risk of endometrial, ovarian and colon cancer.This is because COCs suppress ovulation and reduce inflammation in the genital tract, which may lower the exposure to carcinogens and mutagens.
Choice B is wrong because COCs do not increase bone density or prevent osteoporosis.In fact, some studies have suggested that COCs may have a negative effect on bone mineral density.
Choice C is wrong because COCs do not enhance fertility or improve menstrual regularity.
COCs prevent pregnancy by inhibiting ovulation, which means that they temporarily suppress fertility.COCs may also cause irregular bleeding or amenorrhea in some women.
Choice D is wrong because COCs do not lower blood pressure or cholesterol levels.On the contrary, COCs may increase the risk of hypertension and dyslipidemia in some women, especially those who smoke, are obese, or have a family history of cardiovascular disease.
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.