A client tells the nurse she has had unprotected sexual ...

[Mollykgkg]

A client tells the nurse she has had unprotected sexual intercourse and is worried about becoming pregnant. Which question by the nurse will elicit information most helpful to this client?
 
  1. When was your last period?
  2. Have you ever used emergency contraception before?
  3. How old are you?
  4. Are you aware how dangerous it is to have unprotected sexual intercourse?

Question 2

A client tells the nurse that since using the vaginal ring for birth control, it always feels like there is something in her vagina. What information should the nurse give this client?
 
  1. Some women experience this feeling. If it continues, you might want to try another form of birth control.
  2. You must have inserted it incorrectly. I will go over the directions for using the ring again.
  3. You should remove the ring you are using and put a new ring in, and see if the feeling goes away.
  4. You must remove the ring immediately and be checked by the health care provider.

[livaneabi]

Answer to Question 1

Correct Answer: 1
Rationale 1: The nurse needs to know how close to possible ovulation this client might be; therefore, it is important to know when she had her last period. The nurse will give the client information about emergency contraception no matter when her last period was, but the nurse can give her better information about the probability of pregnancy with that knowledge.
Rationale 2: This information is not necessary for the nurse to give this client information about the use of emergency contraception.
Rationale 3: This information will be helpful when telling the client whether she must have a prescription for emergency contraception or can use OTC Plan B, but the client is worried about the probability of pregnancy.
Rationale 4: This client has had unprotected sexual intercourse and is seeking information about the probability of pregnancy, so discussing the danger of unprotected sex is not appropriate at this time.
Global Rationale: The nurse needs to know how close to possible ovulation this client might be; therefore, it is important to know when she had her last period. The nurse will give the client information about emergency contraception no matter when her last period was, but the nurse can give her better information about the probability of pregnancy with that knowledge. Whether the patient has used emergency contraception before is of no importance in the nurse providing information. Age is not the most important information for this discussion. This client has had unprotected sexual intercourse and is seeking information about the probability of pregnancy, so discussing the danger of unprotected sex is not appropriate at this time.

Answer to Question 2

Correct Answer: 1
Rationale 1: This statement is correct. The feeling of a foreign body in the vagina is experienced by some women, and it might make it unpleasant for this client to use this form of birth control.
Rationale 2: A feeling of a foreign body in the vagina is a local reaction. It might have been inserted incorrectly, but the nurse should not assume that.
Rationale 3: The client should not insert a new ring, because the ring slowly releases the hormones necessary for contraception.
Rationale 4: The client should not remove the ring unless another form of birth control will be used.
Global Rationale: The feeling of a foreign body in the vagina is experienced by some women, and it might make it unpleasant for this client to use this form of birth control. A feeling of a foreign body in the vagina is a local reaction. It might have been inserted incorrectly, but the nurse should not assume that. The client should not insert a new ring, because the ring slowly releases the hormones necessary for contraception. The client should not remove the ring unless another form of birth control will be used.

[Mollykgkg]

TY

[livaneabi]

You're welcome