Author Question: A client has been prescribed an estrogen-progestin combination oral contraceptive. How should the ... (Read 88 times)

mydiamond · **on:** Jul 23, 2018

A client has been prescribed an estrogen-progestin combination oral contraceptive. How should the nurse explain the mechanism of action of this pill?

1. This pill will prevent you from ovulating.
2. This pill makes it less likely that an embryo will implant.
3. The spermicide in this pill will kill sperm before fertilization.
4. The progestin in the pill will kill the egg before fertilization.
5. The estrogen-progestin combination causes irritability of the uterine lining so implanted embryos are expelled.

Question 2

A nurse uses the mnemonic ACHES to remember the possible adverse effects of oral contraceptives. Which statements follow this mnemonic?

1. You may experience increased acne while on oral contraceptives.
2. If you experience chest pain, call the clinic immediately.
3. If you begin to lose more hair than is normal your dose may need to be adjusted.
4. Any blurry vision or loss of vision should be reported immediately.
5. If you notice swelling in your feet, hands, or face, notify the clinic.

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

Answer to Question 1

Correct Answer: 1,2
Rationale 1: The estrogen-progestin combination contraceptive prevents ovulation.
Rationale 2: The estrogen-progestin drugs make the uterine endometrium less favorable to receive an embryo.
Rationale 3: There is no spermicide in these pills.
Rationale 4: The progestin does not kill the egg.
Rationale 5: These drugs do not cause implanted embryos to be expelled.

Answer to Question 2

Correct Answer: 2,4,5
Rationale 1: The A in ACHES stands for abdominal pain.
Rationale 2: The C in ACHES stands for chest pain.
Rationale 3: The H in ACHES stands for headache, not hair.
Rationale 4: The E in ACHES stands for eye problems.
Rationale 5: The S in ACHES stands for swelling.