A woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks the nurse about the pill as a contraceptive choice. The nurse's most appropriate response would be:
1. "This is a highly effective method, but it has some side effects.".
2. "Your current medications will decrease the effectiveness of the pill.".
3. "The pill will decrease the effectiveness of your seizure medication.".
4. "This is a good choice for your age and personal history.".
2
1. Incorrect. This is a true statement but is not the most appropriate response.
2. Correct. Because the liver metabolizes oral contraceptives, the effectiveness of oral con-traceptives is decreased when taken simultaneously with anticonvulsants.
3. Incorrect. The anticonvulsant will decrease the effectiveness of the pill, not the other way around.
4. Incorrect. This statement does not teach the patient about the decreased effectiveness of the pill that she may experience due to her anticonvulsant therapy.
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