How can the use of oral contraceptives increase the risk of ...

[shofmannx20]

How can the use of oral contraceptives increase the risk of acquiring a sexually transmitted infection (STI)? (select all that apply.)
 
  a. Oral contraceptives cause bone marrow suppression.
  b. Oral contraceptives cause an alkaline va-ginal environment.
  c. Oral contraceptives may reduce the per-ception of the need for condom use.
  d. Oral contraceptives decrease the inflam-matory response.
  e. Oral contraceptives must be taken regu-larly in order to be effective.

Question 2

The nurse is educating a patient with Barrett esophagus. Which statement indicates that the patient requires a need for further instruction?
 
  a. I should eat smaller meals and avoid foods that cause reflux.
  b. I can still have a small glass of wine with dinner.
  c. I should consider switching to smokeless tobacco.
  d. I should stay upright after eating.

[bfulkerson77]

Answer to Question 1

B, C, E
The use of oral contraceptive pills causes the vaginal vault to become alkaline from cervical se-cretions, which makes for a conducive environment for STIs. Oral birth control pills make the need for a condom redundant as pregnancy will be averted by the medication. Oral contracep-tives do not cause bone marrow suppression, and while birth control must be taken regularly in order to be effective, this contributes to the risk of pregnancy, not an STI.

Answer to Question 2

C
Care of the patient with Barrett esophagus is focused on encouraging measures to prevent GERD and on regular checkups. Patients should be encouraged not to use tobacco products and not to indulge in heavy alcohol use.

[shofmannx20]

TYSM

[ecabral0]

Excellent