A client calls the clinic and tells the nurse that she has missed taking several of her contraceptive pills during the current cycle. What is the best instruction for the nurse to give the client?
1. "Please come into the clinic immediately to have a pregnancy test done."
2. "You might consider another form of birth control if you keep missing your pills."
3. "If you have missed fewer than three of your pills, you do not need to worry."
4. "You should use an alternative form of birth control for the rest of this cycle."
4
Rationale 1: There is no reason for the client to have a pregnancy test done at this time.
Rationale 2: If the client is unable to remember to take her contraceptive pills, then the nurse should educate her on alternative forms of birth control, but this is not the most immediate issue.
Rationale 3: The client could become pregnant if she misses fewer than three of her pills, so this incorrect advice.
Rationale 4: If more than one pill is missed, the medication will not be effective and conception could occur, so the client must use an alternative form of birth control for the rest of her current cycle.
Global Rationale: If more than one pill is missed, the medication will not be effective and conception could occur, so the client must use an alternative form of birth control for the rest of her current cycle. There is no reason for the client to have a pregnancy test done at this time. If the client is unable to remember to take her contraceptive pills, then the nurse should educate her on alternative forms of birth control, but this is not the most immediate issue. The client could become pregnant if she misses fewer than three of her pills.
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