A client wants to use the vaginal sponge as a method of contraception. Which of the following statements indicate that she will need further instruction? Select all that apply
1. "I need to use a lubricant prior to insertion."
2. "I need to add spermicidal cream prior to intercourse."
3. "I need to moisten it with water prior to use."
4. "I need to leave it in no longer than 6 hours."
1, 2, 4
Rationale:
1. A lubricant is not needed, as the sponge is moistened with water prior to insertion.
2. Spermicidal cream is not needed, because it is already in the sponge.
3. To activate the spermicide in the vaginal sponge, it must be moistened thoroughly with water.
4. The sponge can remain in place for 24 hours.
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