A woman who has been taking a COCP tells the primary care NP ...

[deesands]

A woman who has been taking a COCP tells the primary care NP that, because of frequent changes in her work schedule, she has difficulty remembering to take her pills. The woman and the NP decide to change to a vaginal ring.
 
  The NP will instruct her to insert the ring: a. within 7 days after her last active pill.
  b. and use a backup contraceptive for 7 days.
  c. and continue the COCP for one more cycle.
  d. on the same day she stops taking her COCP.

Question 2

A 50-year-old woman with osteopenia will begin taking raloxifene (Evista). When counseling this patient about this drug regimen, the primary care NP should tell her to:
 
  a. go for walks daily.
  b. take the medication 1 hour before meals.
  c. sit upright for 30 minutes after taking the drug.
  d. avoid using diuretics while taking this medication.

[pami445]

Answer to Question 1

A
Patients should be switched from a COCP to a vaginal ring by insertion within 7 days after the last active pill. No backup method is needed. Patients do not need to continue one more cycle of COCPs. Women taking progestin-only pills insert the ring on the last day of the pill pack.

Answer to Question 2

A
Raloxifene is a selective estrogen receptor modulator, and it carries a risk of venous thromboembolism. Patients should be encouraged to avoid immobilization. The other instructions are part of medication teaching about bisphosphonates.

[deesands]

Excellent

[bassamabas]

Thanks for the timely response, appreciate it