Author Question: A young female client is beginning to use oral contraceptives. What information should be shared ... (Read 26 times)

folubunmi · **on:** Jul 23, 2018

A young female client is beginning to use oral contraceptives. What information should be shared with this client that relates to one of the possible adverse effects of these medications?

1. The client should be taught self-examination of the breasts.
2. The client needs to learn how to take her pulse.
3. The client should be instructed to drink 10 glasses of water daily.
4. The client needs to understand how to take the medication correctly.

Question 2

A client has decided to use a contraceptive sponge for pregnancy prevention. Which statement by the client indicates a need for further instruction?

1. I can leave the sponge in place for up to 24 hours if I need to.
2. I can insert the sponge at home before I go out for the evening.
3. I will moisten the sponge with water before I insert it.
4. I must remove the sponge as soon as possible after my partner and I have sexual intercourse.

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

Answer to Question 1

Correct Answer: 1
Rationale 1: Estrogen can influence the development of breast tumors, and estrogen is one of the drugs most commonly used in oral contraceptives, so the client needs to know how to perform breast self-examination.
Rationale 2: Estrogen is related to the development of cardiovascular problems such as hypertension, so it would be more helpful for the client to learn how to measure blood pressure than pulse.
Rationale 3: Drinking excessive amounts of water will not impact the client's development of breast cancer or other disorders associated with estrogen.
Rationale 4: It is important for the client to take the medication correctly, but it will not change the client's chances of developing estrogen-related disorders.
Global Rationale: Estrogen can influence the development of breast tumors, and estrogen is one of the drugs most commonly used in oral contraceptives, so the client needs to know how to perform breast self-examination. Estrogen is related to the development of cardiovascular problems such as hypertension, so it would be more helpful for the client to learn how to measure blood pressure than pulse. Drinking excessive amounts of water will not impact the client's development of breast cancer or other disorders associated with estrogen. It is important for the client to take the medication correctly, but it will not change the client's chances of developing estrogen-related disorders.

Answer to Question 2

Correct Answer: 4
Rationale 1: The sponge may be left in place for 24 hours if needed.
Rationale 2: The sponge can be inserted and left in place for up to 24 hours, so it can be inserted prior to leaving for the evening.
Rationale 3: The sponge should be moistened with water prior to insertion.
Rationale 4: The sponge must be left in place for 6 hours after sexual intercourse. It should not be removed immediately.
Global Rationale: The sponge must be left in place for 6 hours after sexual intercourse. It should not be removed immediately. The sponge can be inserted and left in place for up to 24 hours, so it can be inserted prior to leaving for the evening. The sponge should be moistened with water prior to insertion.