The nurse is giving instructions to a young female at an outpatient clinic regarding combination OCP therapy. What information will the nurse include? (Select all that apply.)
a. Medication should be taken at approximately the same time daily.
b. A backup birth control method should be used for the first 6 months.
c. Medication should be discontinued 1 year before attempting pregnancy.
d. Headaches, dizziness, and chest or abdominal pain should be reported immediately.
e. If a pill is missed, take it immediately and remain on schedule for the next dosage.
ANS: A, D, E
Medications should be taken at approximately the same time daily. Headaches, dizziness, and chest or abdominal pain should be reported immediately to the health care provider because these may be symptoms of a serious adverse effect. If one pill is missed, patients are directed to take it as soon as possible and continue with their normal schedule. If more than one pill is missed and a period is skipped, patients should return to their health care provider for a pregnancy test before restarting contraception. A backup contraceptive method is recommended at any point with OCP therapy. Because of a possibility of birth defects, the pill should be discontinued 3 months before attempting pregnancy.
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