Author Question: A client has been taking estradiol and norethindrone (Ortho-Novum) for birth control for the last 3 ... (Read 58 times)

JGIBBSON · **on:** Jul 23, 2018

A client has been taking estradiol and norethindrone (Ortho-Novum) for birth control for the last 3 years. Which condition might require the client to change to another form of birth control?

1. Complaints of fatigue
2. Gallbladder disease
3. Increased photosensitivity
4. Weight gain of 7 pounds

Question 2

A client has decided to use the depot injection delivery method of contraception. What information is most important for the nurse to share with this client to ensure consistent contraception?

1. You must keep your 3-month appointment for your next injection.
2. You will need to rest for 12 hours after receiving the injection.
3. Do not rub the injection site immediately after you receive the injection.
4. You must use sanitary pads instead of tampons when you have your period.

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

Answer to Question 1

Correct Answer: 2
Rationale 1: Complaints of fatigue should be investigated, but by themselves would not usually necessitate a change in birth control.
Rationale 2: Clients who develop gallbladder disease will need to change forms of birth control to avoid aggravating the condition.
Rationale 3: Clients who experience increased photosensitivity will be advised to use caution when exposed to the sun. It should not necessitate changing forms of birth control.
Rationale 4: Weight gain is unpleasant, but rarely necessitates a change of birth control.
Global Rationale: Clients who develop gallbladder disease will need to change forms of birth control to avoid aggravating the condition. Complaints of fatigue should be investigated, but by themselves would not usually necessitate a change in birth control. Clients who experience increased photosensitivity will be advised to use caution when exposed to the sun. It should not necessitate changing forms of birth control. Weight gain is unpleasant, but rarely necessitates a change of birth control.

Answer to Question 2

Correct Answer: 1
Rationale 1: The client must receive an injection every 3 months to maintain contraception.
Rationale 2: Rest is not required after a depot injection.
Rationale 3: Rubbing the injection site will not affect the contraceptive effect of the medication.
Rationale 4: The client may use tampons or sanitary pads. Neither will affect the contraceptive effect of the medication.
Global Rationale: The client must receive an injection every 3 months to maintain contraception. Rest is not required after a depot injection. Rubbing the injection site will not affect the contraceptive effect of the medication. The client may use tampons or sanitary pads. Neither will affect the contraceptive effect of the medication.