The nurse is caring for a client following the insertion of a Nexplanon rod. Which priority instruction should the nurse provide this client?

Back up methods are required for the first 24-hours following insertion.

Smoking cessation is required to prevent thrombolytic events from occurring.

This implant is associated with weight loss so make sure you consume enough calories.

Prevention rate with Nexplanon is 100%.

Answer and Explanation

The Correct Answer is A

A. Following the insertion of the Nexplanon rod, it is important to inform the client that backup contraception methods are needed for the first 24 hours to ensure pregnancy prevention while the implant becomes effective.
B. While smoking cessation is advised due to the increased risk of thrombotic events with hormonal contraceptives, it is not the priority instruction immediately following the insertion of Nexplanon.
C. The statement regarding weight loss is incorrect; Nexplanon is more commonly associated with weight gain rather than loss, so advising clients on calorie consumption is misleading.
D. Although Nexplanon has a high efficacy rate in preventing pregnancy, stating a prevention rate of 100% is inaccurate and misleading, as no contraceptive method is completely foolproof.

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Correct Answer is C

Explanation

A. A history of hypertension is not a direct contraindication for propofol, although it should be monitored as part of overall management.
B. Benzodiazepine abuse/dependence does not contraindicate the use of propofol but may require careful assessment of sedation and anesthesia needs.
C. Propofol contains soy lecithin and egg phosphatide, making allergies to these products a significant contraindication, as they can lead to severe allergic reactions.
D. An allergy to latex is not a contraindication for propofol use but should be addressed in the overall anesthesia plan regarding equipment and supplies.

A. This medication can cause endometrial cancers. B. This drug has a black box warning for causing tendon rupture. C. This medication can cause thromboembolic events. D. This medication can cause thrombocytopenia.

Correct Answer is B

Explanation

A. There is no established link between ciprofloxacin and endometrial cancers; this warning does not apply.
B. Ciprofloxacin has a black box warning for the risk of tendon rupture and tendinopathy, particularly in older adults and those concurrently taking corticosteroids.
C. Thromboembolic events are not specifically associated with ciprofloxacin; thus, this warning is not applicable.
D. Thrombocytopenia is a potential side effect of various medications but is not the primary concern associated with ciprofloxacin use.

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The nurse is caring for a client following the insertion of a Nexplanon rod. Which priority instruction should the nurse provide this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to assist in the sedation of a client with propofol (Diprivan) prior to surgery. Which of the following contraindications associated with propofol (Diprivan) should the nurse assess for?

Correct Answer is C

Explanation

The nurse is caring for a client receiving ciprofloxacin (Cipro) for the treatment of a urinary tract infection (UTI). The nurse will include which black box warning (BBW) in the discharge education?

Correct Answer is B

Explanation

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