Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a client who desires an intrauterine device (IUD) for contraception.
Which of the following findings is a contraindication for the use of this device?
A. Mennorhagia
Mennorhagia is a contraindication for the use of an intrauterine device (IUD) for contraception because it can cause heavy or prolonged menstrual bleeding.This can lead to anemia, infection, or expulsion of the device.
B. Ovarian cysts
Ovarian cysts are not a contraindication for IUD use.They are usually benign and do not interfere with the placement or function of the device.
C. Fibrocystic breast disease
Fibrocystic breast disease is not a contraindication for IUD use.It is a common condition that causes benign lumps in the breast tissue and does not affect the hormonal balance or the risk of infection.
D. Endometriosis
Endometriosis is not a contraindication for IUD use.In fact, some types of IUDs that release progestin can help reduce the symptoms of endometriosis by thinning the endometrial lining and suppressing ovulation
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Full Explanation
The correct answer is choice A. Mennorhagia is a contraindication for the use of an intrauterine device (IUD) for contraception because it can cause heavy or prolonged menstrual bleeding. This can lead to anemia, infection, or expulsion of the device.
Choice B is wrong because ovarian cysts are not a contraindication for IUD use. They are usually benign and do not interfere with the placement or function of the device.
Choice C is wrong because fibrocystic breast disease is not a contraindication for IUD use. It is a common condition that causes benign lumps in the breast tissue and does not affect the hormonal balance or the risk of infection.
Choice D is wrong because endometriosis is not a contraindication for IUD use. In fact, some types of IUDs that release progestin can help reduce the symptoms of endometriosis by thinning the endometrial lining and suppressing ovulation.
Similar Questions
A nurse is caring for a client who has an intrauterine device (IUD) in place and reports lower abdominal pain and fever for 2 days.
Which of the following actions should the nurse take?
A. Instruct the client to take ibuprofen for pain relief
Ibuprofen may not be enough to relieve the pain and may mask the signs of infection.
B. Advise the client to avoid sexual intercourse until symptoms resolve
Avoiding sexual intercourse will not treat the underlying cause of the symptoms and may delay seeking medical help.
C. Obtain a urine specimen for culture and sensitivity
A urine specimen may not be sufficient to diagnose the problem and may miss other possible causes of lower abdominal pain and fever, such as ectopic pregnancy or appendicitis.
D. Refer the client to a provider for evaluation
Lower abdominal pain and fever for 2 days can indicate a serious complication of IUD use, such as pelvic inflammatory disease (PID) or perforation of the uterus. These conditions require prompt medical attention and possible removal of the IUD.
Full Explanation
The correct answer is choice D. Refer the client to a provider for evaluation. Lower abdominal pain and fever for 2 days can indicate a serious complication of IUD use, such as pelvic inflammatory disease (PID) or perforation of the uterus.
These conditions require prompt medical attention and possible removal of the IUD.
Choice A is wrong because ibuprofen may not be enough to relieve the pain and may mask the signs of infection.
Choice B is wrong because avoiding sexual intercourse will not treat the underlying cause of the symptoms and may delay seeking medical help.
Choice C is wrong because a urine specimen may not be sufficient to diagnose the problem and may miss other possible causes of lower abdominal pain and fever, such as ectopic pregnancy or appendicitis.
A nurse is reinforcing teaching with a client who has an intrauterine device (IUD) in place and asks how it prevents pregnancy.
Which of the following responses should the nurse make?
A. “It releases hormones that thicken cervical mucus and prevent ovulation.”.
B. “It creates a local inflammatory response that impairs implantation.”.
This means that the IUD makes the lining of the uterus less suitable for a fertilized egg to attach to it.
C. “It alters tubal motility and interferes with sperm transport.”.
It describes how tubal ligation works, not IUDs.Tubal ligation is a surgical procedure that blocks or cuts the fallopian tubes, which prevents sperm from reaching an egg.
D. All of the above
It implies that all of the above choices are correct, which they are not.
Full Explanation
The correct answer is choice B. It creates a local inflammatory response that impairs implantation. This means that the IUD makes the lining of the uterus less suitable for a fertilized egg to attach to it.
Choice A is wrong because it describes how hormonal IUDs work, not copper IUDs. Hormonal IUDs release hormones that thicken cervical mucus and prevent ovulation.
Choice C is wrong because it describes how tubal ligation works, not IUDs. Tubal ligation is a surgical procedure that blocks or cuts the fallopian tubes, which prevents sperm from reaching an egg.
Choice D is wrong because it implies that all of the above choices are correct, which they are not.
Only choice B is correct for copper IUDs.
A nurse is caring for a client who has an intrauterine device (IUD) in place and reports missing her menstrual period this month.
Which of the following actions should the nurse take first?
A. Perform a pregnancy test
An IUD is a form of birth control that is inserted into the uterus to prevent pregnancy, but it is not 100% effective.If a client with an IUD misses a menstrual period, the first action the nurse should take is to rule out pregnancy by performing a pregnancy test.This is because pregnancy with an IUD can have serious complications, such as ectopic pregnancy, infection, miscarriage or preterm labor
B. Palpate for uterine enlargement
Palpating for uterine enlargement is not a reliable way to diagnose pregnancy, especially in the early stages.It can also cause discomfort or bleeding for the client.
C. Assess for signs of ectopic pregnancy
Assessing for signs of ectopic pregnancy is not the first action the nurse should take. Ectopic pregnancy is a possible complication of pregnancy with an IUD, but it is not very common.The nurse should first confirm if the client is pregnant before looking for signs of ectopic pregnancy, such as abdominal pain, vaginal bleeding or shoulder pain.
D. Instruct the client to remove the IUD
Instructing the client to remove the IUD is not appropriate or safe. The client should not attempt to remove the IUD by themselves, as this can cause injury or infection.The nurse should refer the client to an OB-GYN if they are pregnant with an IUD or if they want to remove the IUD for any reason.
Full Explanation
The correct answer is choice A. Perform a pregnancy test. An IUD is a form of birth control that is inserted into the uterus to prevent pregnancy, but it is not 100% effective. If a client with an IUD misses a menstrual period, the first action the nurse should take is to rule out pregnancy by performing a pregnancy test. This is because pregnancy with an IUD can have serious complications, such as ectopic pregnancy, infection, miscarriage or preterm labor.
Choice B is wrong because palpating for uterine enlargement is not a reliable way to diagnose pregnancy, especially in the early stages. It can also cause discomfort or bleeding for the client.
Choice C is wrong because assessing for signs of ectopic pregnancy is not the first action the nurse should take.
Ectopic pregnancy is a possible complication of pregnancy with an IUD, but it is not very common. The nurse should first confirm if the client is pregnant before looking for signs of ectopic pregnancy, such as abdominal pain, vaginal bleeding or shoulder pain.
Choice D is wrong because instructing the client to remove the IUD is not appropriate or safe.
The client should not attempt to remove the IUD by themselves, as this can cause injury or infection. The nurse should refer the client to an OB-GYN if they are pregnant with an IUD or if they want to remove the IUD for any reason.