A client calls the clinic and reports that her contraceptive ...

[washai]

A client calls the clinic and reports that her contraceptive transdermal patch (Ortho-Evra) fell off while she was swimming in the ocean, and she is unable to find it. What advice should the nurse give to this client?
 
  1. Put a new patch on as soon as possible.
  2. You don't need to worry. The medication will remain in your system until it is time for you to put on a new patch.
  3. Use another form of birth control until it is time for you to put your next new patch on.
  4. Cut a new patch in half and put it on your shoulder.

Question 2

A client with four children is asking about options for permanent birth control. Which option would provide the most reliable means of long-term pregnancy prevention for this client?
 
  1. Transdermal delivery method (Ortho-Evra)
  2. Mirena IUD
  3. Sterilization
  4. Vaginal delivery method (NuvaRing)

[frejo]

Answer to Question 1

Correct Answer: 3
Rationale 1: The client should not put on a new patch, because each patch contains a full dosage of hormones.
Rationale 2: After a patch is removed, hormone levels return to normal in 3 days.
Rationale 3: The client should use another form of birth control until it is time for a new patch.
Rationale 4: The patches should never be cut or changed in any way.
Global Rationale: The client should use another form of birth control until it is time for a new patch. The client should not put on a new patch, because each patch contains a full dosage of hormones. After a patch is removed, hormone levels return to normal in 3 days. The patches should never be cut or changed in any way.

Answer to Question 2

Correct Answer: 3
Rationale 1: The transdermal delivery method requires the client to change the patch every 7 days and is not considered a permanent form of birth control.
Rationale 2: The Mirena IUD provides up to 5 years of birth control and would need to be replaced.
Rationale 3: When the desire to have children in the future no longer exists, sterilization of either the male or female is the most common and effective option for birth control.
Rationale 4: The vaginal delivery method requires removing the ring every 3 weeks and reinserting a new ring a week later. It is effective but not permanent.
Global Rationale: When the desire to have children in the future no longer exists, sterilization of either the male or female is the most common and effective option for birth control. The transdermal delivery method requires the client to change the patch every 7 days and is not considered a permanent form of birth control. The vaginal delivery method requires removing the ring every 3 weeks and reinserting a new ring a week later. It is effective but not permanent. The Mirena IUD provides up to 5 years of birth control and would need to be replaced.

[washai]

Both answers were spot on, thank you once again

[frejo]

Great! Please up vote