A patient calls the nurse to report that she forgot to take a ...

[Bob-Dole]

A patient calls the nurse to report that she forgot to take a combination OC pill during the third week of her cycle. She tells the nurse that she missed another pill earlier that week. The nurse will tell her to:
 
  a. continue the pack, skip the inert pills, and use an additional form of contraception for 7 days.
  b. not to worry, because up to 7 days can be missed without an increased risk of preg-nancy.
  c. take a pill immediately, continue the pack, and use an additional form of contracep-tion for 1 month.
  d. take a pill now, continue the pack, skip the placebo pills, and start a new pack on week 4.

Question 2

A patient who has traveler's diarrhea asks the nurse about using loperamide to stop the symptoms. What will the nurse tell the patient about this drug?
 
  a. Loperamide is used for moderate to se-vere symptoms only.
  b. This drug is useful as prophylaxis to prevent symptoms.
  c. This drug is only effective to treat certain infectious agents.
  d. Use of this drug may prolong symptoms by slowing peristalsis.

[karlss]

Answer to Question 1

D
If one or two pills are missed during the second or third week of a 28-day cycle, the patient should be instructed to take one pill as soon as possible, continue the pack, skip the placebo pills, and go straight to a new pack. It is not necessary to use an alternative form of contraception. If three or more pills are missed, the risk of pregnancy increases.

Answer to Question 2

D
Loperamide is a nonspecific antidiarrheal that slows peristalsis; by this action, it may delay transit of the causative organism and may prolong the infection. It is used to treat mild symptoms and is used once symptoms start. It is not an antibiotic agent and is nonspecific.

[Bob-Dole]

TY

[karlss]

You're welcome