A nurse is teaching an adolescent female patient about 28-day monophasic combination oral contraceptives. The provider has instructed the patient to begin taking the pills on the first Sun-day after the onset of her next period
What will the nurse tell the patient? a. "If breakthrough spotting occurs, you should begin taking a new pack of pills."
b. "Protection from pregnancy will begin immediately."
c. "Use another form of contraception for the next month."
d. "You may take the pills at different times of day."
C
When beginning oral contraceptives, it is important that the patient use another form of contra-ception for the first month, because protection is not immediate. Breakthrough spotting is com-mon and is not an indication for starting a new cycle. Protection from pregnancy is not imme-diate. It is important to take the pills at the same time each day.
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The nurse plans to use a group approach when conducting a teaching session for adolescents about dealing with stress. A group approach works well with adolescents because:
1. Problem-solving is less focused in groups. 2. Peer support and values are important elements to an adolescent. 3. Confidentiality is not an issue. 4. The nurse therapist is the authority figure for the group.
The LPN administered a medication to a client complaining of pain. When checking the armband and the medication administration record, there were no allergies listed
The client then informs the nurse that he told the admitting nurse that he was allergic to that medication. What documentation on the incident form would be the best option? A) "Medication is administered to client by mouth; states he has an allergy to the medication and causes hives." B) "The admitting nurse failed to document that the client has an allergy to the medication." C) "The client states he is allergic to the medication, but I really don't think so. I didn't see any hives." D) "I should have asked the RN if the client is allergic to any medication."
A patient who has been taking nizatidine (Axid) for the last month has all of the following blood laboratory results. Which result does the nurse report to the prescriber as soon as possible?
a. International normalized ratio (INR) of 0.9 b. Red blood cell count of 2 million/mm3 c. White blood cell count of 8000/mm3 d. Platelet count of 150,000/mm3
A student nurse mutters that it seems entirely unnecessary to have to struggle with understanding the anatomy and physiology of the neurologic system. The mentor would base a response on the understanding that it is:
1. Not necessary for psychiatric nurses who focus primarily on behavioral interven-tion 2. A complex undertaking that nurses seldom use in their practice 3. Important for nursing assessment, but not relevant during treatment 4. Necessary for planning psychiatric care