The nurse is providing education to a client who will begin birth control pills. Which statements are correct regarding how birth control pills work?(Select all that apply.)
1. They decrease blood flow to the ovaries.
2. They do not allow the egg to mature.
3. They prevent ovulation.
4. They make the lining of the uterus less favorable to receiving an embryo.
5. They cause permanent sterilization.
2, 3, 4
Rationale 1: Decrease blood flow is not a mechanism of action of estrogen and progestin.
Rationale 2: The estrogen–progestin oral contraceptives prevent ovulation, which is required for conception to occur. These hormones act by providing negative feedback to the pituitary that shuts down secretion of LH and FSH. Without these pituitary hormones, the egg cannot mature, and ovulation is prevented. The estrogen–progestin agents also make the lining of the uterus less favorable to receiving an embryo.
Rationale 3: The estrogen–progestin oral contraceptives prevent ovulation, which is required for conception to occur. These hormones act by providing negative feedback to the pituitary that shuts down secretion of LH and FSH. Without these pituitary hormones, the egg cannot mature, and ovulation is prevented. The estrogen–progestin agents also make the lining of the uterus less favorable to receiving an embryo.
Rationale 4: The estrogen–progestin oral contraceptives prevent ovulation, which is required for conception to occur. These hormones act by providing negative feedback to the pituitary that shuts down secretion of LH and FSH. Without these pituitary hormones, the egg cannot mature, and ovulation is prevented. The estrogen–progestin agents also make the lining of the uterus less favorable to receiving an embryo.
Rationale 5:They cause permanent sterilization is incorrect because this is not a mechanism of action for estrogen and progestin.
Global Rationale: The estrogen–progestin oral contraceptives prevent ovulation, which is required for conception to occur. These hormones act by providing negative feedback to the pituitary that shuts down secretion of LH and FSH. Without these pituitary hormones, the egg cannot mature, and ovulation is prevented. The estrogen–progestin agents also make the lining of the uterus less favorable to receiving an embryo.
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The nurse is packing a patient's abdominal wound with sterile, half-inch Iodoform gauze. During the procedure, the nurse drops some of the gauze onto the patient's abdomen 2 inches (5 cm) away from the wound. What should the nurse do?
A) Apply povidone-iodine (Betadine) to that section of the gauze and continue packing the wound. B) Pick up the gauze and continue packing the wound after irrigating the abdominal wound with Betadine solution. C) Continue packing the wound and inform the physician that an antibiotic is needed. D) Discard the gauze packing and repack the wound with new Iodoform gauze.
Which intervention suggested to the client with Raynaud's disease is aimed at preventing complications?
A. "Take oral vasoconstrictive agents when you have symptoms." B. "Wear warm clothing when exposed to cool temperatures." C. "Avoid placing lotion on affected extremities." D. "Check the pulses in your arms and legs daily."
The nurse is reviewing laboratory results for a
patient and notes that the patient has positive results for nasal colonization by methicillin-resistant Staphylococcus aureus (MRSA). The nurse anticipates an order for which medication? a. Acyclovir (Zovirax) b. Mupirocin (Bactroban) c. Clindamycin (Cleocin T) d. Clotrimazole (Lotrimin)
The client who was diagnosed with diabetes mellitus 1 year ago is hospitalized in diabetic ketoacidosis after a religious fast. The client tells the nurse, "I have fasted during this season every year since I became an adult
I am not going to stop now.". The nurse is not knowledgeable about this particular religion. What is the best action for this nurse? 1. Tell the client that it is different now because of the diabetes. 2. Do some research into the meaning of fasting in this religion. 3. Ask family members of the same religion to discuss fasting with the client. 4. Request a consult from a diabetes educator.