A physician prescribes clomiphene citrate (Clomid, Serophene) for a woman experiencing infertility. She is very concerned about the risk of multiple births. The nurse's most appropriate response is
a. "This is a legitimate concern. Would you like to discuss this further before your
treatment begins?"
b. "No one has ever had more than triplets with Clomid."
c. "Ovulation will be monitored with ultrasound so that this will not happen."
d. "Ten percent is a very low risk, so you don't need to worry too much."
A
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A The incidence of multiple pregnancies with the use of these medications is
increased. The patient's concern is legitimate and should be discussed so that she
can make an informed decision.
B This statement is inaccurate and negates the patient's concerns.
C Ultrasound cannot ensure that a multiple pregnancy will not occur.
D The percentage quoted in this statement is inaccurate. Furthermore, the patient's
concern is discredited with a statement such as "Don't worry."
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