Author Question: The nurse is teaching a young woman about birth control pills. For which situation will the patient ... (Read 72 times)

sheilaspns · **on:** Jul 24, 2018

The nurse is teaching a young woman about birth control pills. For which situation will the patient need to seek immediate follow-up with the health care provider?

a. Breakthrough bleeding
b. Nausea
c. Missed dose
d. Light menstrual flow

Question 2

Which is most important for the nurse to remember when instructing the patient about treatment with gonadal hormones?

a. Dosage, schedule, and adverse effects
b. Cost, storage, and route of administration
c. Drug interactions and food interactions
d. Scheduling follow-up appointments and lab studies

akudia · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: A
Breakthrough bleeding is not an expected adverse effect and should be reported to a health care provider immediately to consider alternatives in therapy. Nausea is an expected adverse effect of contraceptive therapy. Missed doses are common and do not require notification of the provider. Light menstrual flow is common with contraceptive therapy.

Answer to Question 2

ANS: A
Most gonadal hormones are prescribed to patients for prolonged self-administration. Therefore, planning should stress patient education specific to the type of gonadal hormone prescribed and its intended actions, including monitoring of adverse effects to expect and report. Cost, storage, and route of administration are lesser concerns. There are few, if any, interactions between gonadal hormones and food or other drugs. Follow-up appointments and lab studies are lesser concerns.