In counseling a client concerning her choice of a method of ...

[Mimi]

In counseling a client concerning her choice of a method of contraception, the nurse should keep all of the following in mind. What should be given the greatest consideration?
 
  a. Cost of the various methods
  b. Knowledge that oral contraceptives are almost 100 percent effective
  c. Acceptability of the method for the client
  d. Religious preference of the couple

Question 2

A laboring client receives meperidine (Demerol) 25 mg IV. The nurse judges the effectiveness of the medication primarily by assessing
 
  a. vital signs
  b. fetal heart rate
  c. intensity of the contractions
  d. coping behavior with her uterine contractions

[tkempin]

Answer to Question 1

C
Acceptability for the client is the greatest consideration. While cost of the various methods, knowledge that oral contraceptives are almost 100 percent effective, and religious preference of the couple are important factors, they are not the greatest consideration.

Answer to Question 2

D
Demerol is an opioid analgesic that affects the person's perception of pain so, as the perception decreases, coping behaviors may improve. This low dose should have no impact on the intensity of the contractions. A lowering of the fetal heart rate is an indication of adverse effects of Demerol. While the mother's vital signs might be positively impacted, this is not the best indicator of effectiveness.

[Mimi]

Thanks for the timely response, appreciate it

[rachel]

Gracias!