A client has been prescribed NuvaRing. What medication education ...

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A client has been prescribed NuvaRing. What medication education should the nurse provide to this client?
 
  1. This ring should be inserted into your uterus.
  2. Once inserted, this ring will provide contraception for 6 months.
  3. You should expect to replace the ring every 3 weeks.
  4. Contraceptive protection is provided for 3 weeks.
  5. The ring uses estrogen and progestin to provide contraception.

Question 2

A client has been prescribed Premarin. What medication information should the nurse provide?
 
  1. You may notice a decrease in your libido while on this medication.
  2. If you notice pain in your abdomen that goes through to your back, be certain to notify the clinic.
  3. Do not become pregnant while on this drug.
  4. If you add the herbal black cohosh to this therapy the results will be better.
  5. This medication will help prevent cardiovascular disease.

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Answer to Question 1

Correct Answer: 4,5
Rationale 1: The ring is inserted into the vagina.
Rationale 2: The ring provides 3 weeks of contraception.
Rationale 3: The ring is worn for 3 weeks, removed for 1 week, and replaced at the beginning of the 4th week.
Rationale 4: Contraceptive protection is provided for 3 weeks.
Rationale 5: The active ingredients of NuvaRing are estrogen and progestin.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: Decreased libido is an adverse effect of this drug.
Rationale 2: Acute pancreatitis, whose symptoms are acute epigastric pain going through to the back, is an adverse effect of this therapy.
Rationale 3: Conjugated estrogens are contraindicated in pregnant clients.
Rationale 4: Black cohosh may interfere with estrogen therapy.
Rationale 5: It was once believed that treatment with estrogen protected the client from cardiovascular disease, but this has not been proven to be correct.

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TYSM

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Excellent