This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient is taking a combination oral contraceptive (OC) and reports breast tenderness, edema, and ... (Read 71 times)

Jramos095

  • Hero Member
  • *****
  • Posts: 528
on: Jul 23, 2018
A patient is taking a combination oral contraceptive (OC) and reports breast tenderness, edema, and occasional nausea. What will the nurse recommend?
 
  a. The patient should ask her provider about an OC with less progestin.
  b. The patient should discuss an alternate method of birth control.
  c. The patient should request an OC containing less estrogen.
  d. The patient should take the OC at bedtime to reduce side effects.

Question 2

An adolescent female patient with multiple sexual partners asks a nurse about birth control methods. The patient tells the nurse she tried oral contraceptives once but often forgot to take her pills.
 
  The nurse will recommend discussing which contraception with the provider?
  a. An intrauterine device with a spermicide
  b. DMPA (Depo-Provera) and condoms
  c. Tubal ligation and condoms
  d. Progestin-only oral contraceptives


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Harbringer

  • Sr. Member
  • ****
  • Posts: 329
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
Breast tenderness, edema, and nausea are associated with estrogen; women experiencing these side effects may benefit from an OC with a lower estrogen dose. Lowering the progestin will not decrease these symptoms. It is not necessary to change birth control methods if side effects can be managed by altering the estrogen dose. Taking the OC at bedtime will not affect the symptoms.

Answer to Question 2

ANS: B
This patient has demonstrated a previous history of nonadherence, so a long-acting contraceptive would be more effective for her. Because she has multiple sexual partners, she should use a condom for protection against STDs. An IUD is not indicated for her; patients with multiple sexual partners who use IUDs are at greater risk for STDs. Tubal ligation carries surgical risks and should not be used by young women, because it is irreversible. Progestin-only oral contraceptives must be taken every day.


Jramos095

  • Member
  • Posts: 528
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)

Laurenleakan

  • Member
  • Posts: 309
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

More than 2,500 barbiturates have been synthesized. At the height of their popularity, about 50 were marketed for human use.

Did you know?

This year, an estimated 1.4 million Americans will have a new or recurrent heart attack.

Did you know?

Fatal fungal infections may be able to resist newer antifungal drugs. Globally, fungal infections are often fatal due to the lack of access to multiple antifungals, which may be required to be utilized in combination. Single antifungals may not be enough to stop a fungal infection from causing the death of a patient.

Did you know?

In most cases, kidneys can recover from almost complete loss of function, such as in acute kidney (renal) failure.

Did you know?

Over time, chronic hepatitis B virus and hepatitis C virus infections can progress to advanced liver disease, liver failure, and hepatocellular carcinoma. Unlike other forms, more than 80% of hepatitis C infections become chronic and lead to liver disease. When combined with hepatitis B, hepatitis C now accounts for 75% percent of all cases of liver disease around the world. Liver failure caused by hepatitis C is now leading cause of liver transplants in the United States.

Measuring Patient Height Measuring Patient Height
B, Pitting edema in right sided heart failure. B, Pitting edema in right sided heart failure.
Various methods for palpation of breast Various methods for palpation of breast
An open chamber MRI may be more comfortable for the patient, but images may not be as distinct. An open chamber MRI may be more comfortable for the patient, but images may not be as distinct.
Amniocentesis. The patient is examined with ultrasound to determine the placental site and to locate ... Amniocentesis. The patient is examined with ultrasound to determine the placental site and to locate ...
Edema of the hand Edema of the hand
Video: Neurosynapse Animation

For a complete list of videos, visit our video library