A client tells the nurse she has had unprotected sexual intercourse and is worried about becoming pregnant. Which question by the nurse will elicit information most helpful to this client?
1. "When was your last period?"
2. "Have you ever used emergency contraception before?"
3. "How old are you?"
4. "Are you aware how dangerous it is to have unprotected sexual intercourse?"
Correct Answer: 1
Rationale 1: The nurse needs to know how close to possible ovulation this client might be; therefore, it is important to know when she had her last period. The nurse will give the client information about emergency contraception no matter when her last period was, but the nurse can give her better information about the probability of pregnancy with that knowledge.
Rationale 2: This information is not necessary for the nurse to give this client information about the use of emergency contraception.
Rationale 3: This information will be helpful when telling the client whether she must have a prescription for emergency contraception or can use OTC Plan B, but the client is worried about the probability of pregnancy.
Rationale 4: This client has had unprotected sexual intercourse and is seeking information about the probability of pregnancy, so discussing the danger of unprotected sex is not appropriate at this time.
Global Rationale: The nurse needs to know how close to possible ovulation this client might be; therefore, it is important to know when she had her last period. The nurse will give the client information about emergency contraception no matter when her last period was, but the nurse can give her better information about the probability of pregnancy with that knowledge. Whether the patient has used emergency contraception before is of no importance in the nurse providing information. Age is not the most important information for this discussion. This client has had unprotected sexual intercourse and is seeking information about the probability of pregnancy, so discussing the danger of unprotected sex is not appropriate at this time.
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