Author Question: A client calls the clinic and tells the nurse that she has missed taking several of her ... (Read 41 times)

casperchen82 · **on:** Jul 23, 2018

A client calls the clinic and tells the nurse that she has missed taking several of her contraceptive pills during the current cycle. What is the best instruction for the nurse to give the client?

1. Please come into the clinic immediately to have a pregnancy test done.
2. You might consider another form of birth control if you keep missing your pills.
3. If you have missed less than three of your pills, you do not need to worry.
4. You should use an alternative form of birth control for the rest of this cycle.

Question 2

The client is receiving oxytocin (Pitocin) for induction of labor. Which assessment finding will most likely result in the nurse stopping the infusion?

1. The client tells the nurse she has a serious headache.
2. The vaginal exam reveals that the client is entering transition.
3. The client reports that the uterine contractions are strong in intensity.
4. Uterine contractions occur every 2 to 3 minutes and last 40 to 60 seconds.

olderstudent · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: There is no reason for the client to have a pregnancy test done at this time.
Rationale 2: If the client is unable to remember to take her contraceptive pills, then the nurse should educate her on alternative forms of birth control, but this is not the most immediate issue.
Rationale 3: . The client could become pregnant if she misses less than three of her pills, so this incorrect advice.
Rationale 4: If more than one pill is missed, the medication will not be effective and conception could occur, so the client must use an alternative form of birth control for the rest of her current cycle.

Answer to Question 2

Correct Answer: 1
Rationale 1: The headache could indicate hyponatremia (water intoxication) due to the effects of oxytocin (Pitocin); the client should be assessed for fluid balance.
Rationale 2: The infusion should not be stopped when the client enters transition.
Rationale 3: Contractions that are strong in intensity are no reason to stop the infusion.
Rationale 4: Uterine contractions every 2 to 3 minutes and lasting 40 to 60 seconds are expected with induction of labor.