A woman had unprotected intercourse 36 hours ago and is concerned that she may become pregnant because it is her "fertile" time. She asks the nurse about emergency contraception. The nurse should tell her that:
1. it is too late because she needed to begin treatment within 24 hours after inter-course.
2. Levora (levonorgestrel/ethinyl estradiol), an emergency contraceptive method, is 98% effective in preventing pregnancy.
3. An over-the-counter antiemetic can be taken 1 hour before each contraceptive dose to prevent nausea and vomiting.
4. The most effective approach is to use a progestin-only preparation.
3
1. Incorrect. Emergency contraception is used within 120 hours of unprotected intercourse to prevent pregnancy.
2. Incorrect. Postcoital contraceptive use is between 75% and 89% effective at preventing pregnancy.
3. Correct. To minimize the side effect of nausea that occurs with high doses of estrogen and progestin, the woman can be advised to take an over-the-counter antiemetic 1 hour be-fore each dose.
4. Incorrect. Oral emergency contraceptive regimens may contain progestin-only and estro-gen-progestin pills. Women with contraindications for estrogen use should use progestin-only pills.
You might also like to view...
Define a "wicked" problem and provide an example you have seen in clinical practice. Explain why a rational decision-making process will not be effective for dealing with this type of problem
What will be an ideal response?
A client reports pain as being a 2 on a scale from 0 to 10. Which pain medications should the nurse consider for the client at this time?
1. Acetaminophen (Tylenol) 2. Ibuprofen (Motrin) 3. Naproxen (Naprosyn) 4. Hydrocodone (Vicodin) 5. Methadone (Dolophine)
Which is true about the variance for scores in a data set?
a. A larger variance value usually indicates a smaller dispersion of scores. b. It can be calculated for nominal scores. c. The calculated score has no absolute value. d. The variance indicates the range of scores.
A patient taking stavudine (Zerit) telephones the clinic and reports numbness and tingling in the hands and feet. What should the nurse tell the patient?
a. The numbness is an expected side effect of the medication and will diminish. b. The medication will probably be stopped, and the patient should come into the clinic for further evaluation. c. The dose may be too high, and the patient should cut the tablet in half. d. The patient should take the medication on a full stomach to reduce absorption of the drug.