A client wants to use the vaginal sponge as a method of contraception. Which statements indicate that the client needs further instruction?
Select all that apply.
A) "I need to leave it in no longer than 6 hours."
B) "I need to use a lubricant prior to insertion."
C) "I can insert the sponge no longer than 24 hours prior to having intercourse."
D) "I need to add spermicidal cream prior to intercourse."
E) "I need to moisten it with water prior to use."
Answer: A, B, D
A lubricant is not needed, as the sponge is moistened with water prior to insertion. Spermicidal cream is not needed, because it is already in the sponge. To activate the spermicide in the vaginal sponge, it must be moistened thoroughly with water. The sponge can be inserted and remain in place for 24 hours.
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