The clinic nurse uses the acronym "PAINS" when teaching a woman about warning signs associated with her intrauterine device (IUD). Warning signs include which of the following? (Select all that apply.)
A.
Breast tenderness
B.
Fever and/or chills
C.
Inability to feel the strings
D.
Spotting
E.
Vaginal discharge
ANS: B, C, E
All IUD patients must understand warning signs ("PAINS") that may indicate infection or ectopic pregnancy: Period late (pregnancy); Abdominal pain; pain with intercourse (infection); Infection exposure or vaginal discharge; Not feeling well, fever, or chills (infection); String missing, shorter, or longer (IUD expelled).
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