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)?

Vaginal dryness

Increased risk of bacterial vaginosis

Increased risk of HIV transmission

Increased risk of cervical cancer

Answer and Explanation

The Correct Answer is C

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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Correct Answer is D

No explanation

A. History of migraine headaches with aura B. History of dysmenorrhea and menorrhagia C. History of acne vulgaris and hirsutism D. History of iron-deficiency anemia and fatigue

Correct Answer is A

Explanation

The correct answer is choice A.History of migraine headaches with aura is a contraindication for using COCs because it increases the risk of stroke.

Some possible explanations for the other choices are:

Choice B is wrong because history of dysmenorrhea and menorrhagia is not a contraindication for using COCs.In fact, COCs may help reduce menstrual pain and bleeding.
Choice C is wrong because history of acne vulgaris and hirsutism is not a contraindication for using COCs.In fact, COCs may help improve acne and hirsutism by reducing androgen levels.
Choice D is wrong because history of iron-deficiency anemia and fatigue is not a contraindication for using COCs.In fact, COCs may help prevent iron-deficiency anemia by reducing menstrual blood loss.

Normal ranges for relevant parameters are:

Blood pressure: <140/90 mmHg
Body mass index: 18.5–24.9 kg/m
Hemoglobin: 12–16 g/dL for women

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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)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who uses a contraceptive vaginal ring. Which of the following symptoms should the nurse instruct the patient to report immediately?

Correct Answer is D

A nurse is reviewing the medical history of a client who is considering using COCs as a method of contraception. The nurse should identify that which of the following conditions is a contraindication for using COCs?

Correct Answer is A

Explanation

A nurse is counseling a client who had a vasectomy 6 weeks ago and wants to know if he is sterile yet. Which of the following responses should the nurse make?

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 is teaching a client who is prescribed COCs about the mechanism of action of these pills. The nurse should explain that COCs prevent pregnancy by?

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?

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 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 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 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)?