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 BMI greater than 30 is a consideration, but it is not an absolute contraindication for the use of POPs.
B. Ginger does not interact adversely with progestin-only pills and is not a contraindication.
C. A history of hypertension can increase the risk of cardiovascular events, and while POPs are generally safer than combined hormonal contraceptives for women with hypertension, it should still be monitored and reported to the healthcare provider.
D. Having no intention of conceiving is not a contraindication; in fact, it is a common reason for using contraceptive methods like POPs.

A. "Limit use of the drug to 3 days to prevent rebound nasal congestion." B. "Take this drug at bedtime because it may cause drowsiness." C. "This medication may take up to a week to see effects." D. "This drug may be used in maintenance treatment for asthma."

Correct Answer is A

Explanation

A. Oxymetazoline should not be used for more than 3 days because prolonged use can lead to rebound congestion.
B. Oxymetazoline typically does not cause drowsiness, so taking it at bedtime is not necessary.
C. Oxymetazoline has a rapid onset and should not take a week to show effects.
D. Oxymetazoline is a nasal decongestant and is not used for asthma management.

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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 discharge a client newly prescribed a progestin-only pill (POP) for contraceptive prevention. Which contraindication associated with POP would the nurse alert the healthcare provider?

Correct Answer is C

Explanation

The nurse is caring for a client currently taking oxymetazoline. Which of the following statements should the nurse include regarding oxymetazoline?

Correct Answer is A

Explanation

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