An 18-year-old requests a prescription for birth control pills to control severe abdominal cramping and headaches during her menstrual periods. Which should the nurse take first?
a. Determine whether the patient is sexually active.
b. Teach about the side effects of oral contraceptives.
c. Take a personal and family health history from the patient.
d. Suggest nonsteroidal antiinflammatory drugs (NSAIDs) for relief.
ANS: C
Oral contraceptives may be appropriate to control this patient's symptoms, but the patient's health history may indicate contraindications to oral contraceptive use. Because the patient is requesting contraceptives for management of dysmenorrhea, whether she is sexually active is irrelevant. Because the patient is asking for birth control pills, responding that she should try NSAIDs is nontherapeutic. The patient does not need teaching about oral contraceptive side effects at this time.
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