A client has been prescribed an estrogen-progestin combination oral contraceptive. How should the nurse explain the mechanism of action of this pill?
1. "This pill will prevent you from ovulating."
2. "This pill makes it less likely that an embryo will implant."
3. "The spermicide in this pill will kill sperm before fertilization."
4. "The progestin in the pill will kill the egg before fertilization."
5. The estrogen-progestin combination causes irritability of the uterine lining so implanted embryos are expelled.
Correct Answer: 1,2
Rationale 1: The estrogen-progestin combination contraceptive prevents ovulation.
Rationale 2: The estrogen-progestin drugs make the uterine endometrium less favorable to receive an embryo.
Rationale 3: There is no spermicide in these pills.
Rationale 4: The progestin does not kill the egg.
Rationale 5: These drugs do not cause implanted embryos to be expelled.
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The nurse writing a discharge summary for a patient should include achievements as well as
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A) OU. B) OS. C) OD. D) OX.
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a. The client's palms and soles of the feet b. The client's nail beds c. The client's earlobes d. The client's tongue