A patient who has been taking an oral contraceptive asks about switching to a contraceptive patch. What finding would cause the nurse to discourage this change?
a. Withdrawal bleeding started earlier in the day.
b. The pill has not caused side effects.
c. The patient weighs more than 200 pounds (90 kg).
d. The patient wants more children in the future.
ANS: C
Women who weigh 200 pounds (90 kg) or more have an increased pregnancy rate.
Withdrawal bleeding, lack of side effects, and the desire for more children are not reasons to discourage a change from an OC to the patch.
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A) Suicidal ideation B) Escalating violence C) Anorexia D) Psychosis
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