A woman who began taking a COCP 2 months ago calls the primary care NP to report having nausea every day. She takes a pill at the same time each morning. The NP should tell her to:
a. try taking the pill in the evening each day.
b. come to the clinic for a urine pregnancy test.
c. take the pill on an empty stomach with water.
d. stop taking the pill for 7 days and then restart.
A
If nausea occurs when taking the pill, patients should be instructed to switch to the opposite time of day or to take with food. A urine pregnancy test is not indicated. If nausea occurs, patients should take the pill with food. Patients stop taking pills for 7 days at the end of each 21-day pack.
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