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 is
a. "This is a highly effective method, but it has some side effects."
b. "Your current medications will reduce the effectiveness of the pill."
c. "The pill will reduce the effectiveness of your seizure medication."
d. "This is a good choice for a woman of your age and personal history."
B
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A This is a true statement, but it is not the most appropriate response.
B Because the liver metabolizes oral contraceptives, their effectiveness is reduced
when they are taken simultaneously with anticonvulsants.
C The anticonvulsant will reduce the effectiveness of the pill, not the other way
around.
D This statement does not teach the patient that the effectiveness of the pill may be
reduced because of her anticonvulsant therapy.
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