Here are some possible ATI nursing school MCQ questions with a long stem of at least 15 words, from the text you provided:.
A nurse is caring for a client who has a copper IUD for contraception.
The nurse should instruct the client to report which of the following signs of a possible complication?
Increased menstrual pain and bleeding
Irregular spotting or bleeding
Foul-smelling vaginal discharge
Change in string length
The Correct Answer is C
The correct answer is choice C. Foul-smelling vaginal discharge is a sign of a possible infection, which can be a complication of using a copper IUD.
The nurse should instruct the client to report this symptom and seek medical attention.
Choice A is wrong because increased menstrual pain and bleeding are common side effects of copper IUDs, especially in the first 3-6 months after insertion.
They are not necessarily signs of a complication.
Choice B is wrong because irregular spotting or bleeding are also common side effects of copper IUDs.
They are not necessarily signs of a complication.
Choice D is wrong because a change in string length is not a sign of a complication.
The string length may vary depending on the position of the cervix and uterus. The client should check the string length regularly and report any missing or protruding strings, which could indicate displacement of the IUD.
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Correct Answer is B
Explanation
The correct answer is choice B. The client has a positive pregnancy test result.
This is a contraindication for bilateral tubal ligation because the procedure is a permanent form of contraception and should not be performed on a pregnant woman.
The client should be counseled about other options for birth control or termination of pregnancy.
Choice A is wrong because a history of pelvic inflammatory disease is not a contraindication for bilateral tubal ligation.It may increase the risk of complications from the surgery, such as infection or adhesions, but it does not prevent the procedure from being performed.
Choice C is wrong because a family history of breast cancer is not a contraindication for bilateral tubal ligation.It may affect the client’s decision to undergo the procedure, as some studies have suggested that tubal ligation may reduce the risk of ovarian cancer, which is associated with breast cancer.
However, this is not a medical reason to avoid the surgery.
Choice D is wrong because a history of endometriosis is not a contraindication for bilateral tubal ligation.
It may cause pelvic pain or infertility, but it does not affect the effectiveness or safety of the procedure.In fact, some studies have shown that tubal ligation may improve the symptoms of endometriosis by reducing retrograde menstruation.
Correct Answer is B
Explanation
The correct answer is choice B. It can decrease menstrual loss and dysmenorrhea.According to, progestin IUDs can make your periods lighter and less painful.
This is a benefit for women who have heavy or painful periods.
Choice A is wrong because it can prevent Asherman’s syndrome.
Asherman’s syndrome is a condition where scar tissue forms in the uterus, which can cause infertility or miscarriage.
Progestin IUDs do not prevent this condition.
Choice C is wrong because it can remain in the uterus for up to 10 years.
Progestin IUDs have different durations of effectiveness depending on the type and brand.For example, Liletta can last up to 8 years, Mirena up to 7 years, and Skyla/Kyleena up to 5 years.
Choice D is wrong because it can protect against sexually transmitted infections.
Progestin IUDs do not protect against STIs.
You should use condoms with new partners to prevent STIs
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