A woman who is taking a progestin-only pill has just stopped nursing her 9-month-old infant and tells the primary care NP that she would like to space her children about 2 years apart. The NP should:
a. discontinue the progestin-only pill.
b. prescribe a COCP and a folic acid supplement.
c. prescribe a progestin-only pill for another 6 months.
d. suggest that she use a barrier method of contraception.
B
Serum folate levels may be decreased by oral contraceptives. Women who become pregnant shortly after stopping oral contraceptive use may have a greater chance of birth defects. This woman should become pregnant in about 6 months if she wants to space her children 2 years apart, so she needs an oral contraceptive. Progestin-only pills are used only during lactation.
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A child has been placed on an oral corticosteroid for a rash caused by graft-versus-host disease. The nurse will monitor the child for the common side effects of corticosteroids including:
1. Hyperglycemia. 2. Hepatic toxicity. 3. Seizures. 4. Renal toxicity.
Which of the following services are typically performed by psychiatric nurses employed in managed care organizations? Standard Text: Select all that apply
1. Performing mental health assessments 2. Scheduling appointments for therapy 3. Providing stress management classes 4. Contacting medication prescribers to arrange for changes 5. Triaging initial requests for services
Which of the following instructions should the nurse provide to a client who is being discharged after having undergone appendectomy?
A) Avoid heavy lifting. C) Avoid dairy products. B) Avoid harsh sunlight. D) Avoid purine-rich foods.
A client recovering from a cerebral vascular accident is having difficulty remembering how to chew food. The nurse realizes that which of the following cranial nerves could be affected in this client?
1. IX 2. X 3. XI 4. V