Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is reinforcing teaching with a client who wants to use an intrauterine device (IUD) for contraception but has concerns about its safety and effectiveness.
Which of the following information should the nurse include in the teaching?
A. The typical failure rate for IUDs is 1% to 3% per year
It only states one piece of information that the nurse should include in the teaching.
B. The risk of pelvic inflammatory disease (PID) is highest in the first 6 weeks after insertion
It only states one piece of information that the nurse should include in the teaching.
C. The IUD can be inserted at any time during the menstrual cycle
It only states one piece of information that the nurse should include in the teaching
D. All of the above
The nurse should include all of the following information in the teaching: The typical failure rate for IUDs is 1% to 3% per year. This means that out of 100 women who use an IUD for a year, one to three may get pregnant. The risk of pelvic inflammatory disease (PID) is highest in the first 6 weeks after insertion. PID is an infection of the reproductive organs that can cause infertility, chronic pain, or ectopic pregnancy. The risk of PID is higher if the woman or her partner has multiple sexual partners or a sexually transmitted infection (STI). The IUD can be inserted at any time during the menstrual cycle. However, some doctors may prefer to insert it during or right after the period, when the cervix is more open and the chance of pregnancy is lower.
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Full Explanation
The nurse should include all of the following information in the teaching:
- The typical failure rate for IUDs is 1% to 3% per year.
- This means that out of 100 women who use an IUD for a year, one to three may get pregnant.
- The risk of pelvic inflammatory disease (PID) is highest in the first 6 weeks after insertion.
- PID is an infection of the reproductive organs that can cause infertility, chronic pain, or ectopic pregnancy.
- The risk of PID is higher if the woman or her partner has multiple sexual partners or a sexually transmitted infection (STI).
- The IUD can be inserted at any time during the menstrual cycle.
- However, some doctors may prefer to insert it during or right after the period, when the cervix is more open and the chance of pregnancy is lower.
Choice A is wrong because it only states one piece of information that the nurse should include in the teaching.
Choice B is wrong because it only states one piece of information that the nurse should include in the teaching.
Choice C is wrong because it only states one piece of information that the nurse should include in the teaching
Similar Questions
A nurse is teaching a client who is considering female sterilization as a contraceptive method.
Which of the following statements by the nurse is appropriate?
A. “You will need to use another form of birth control for 3 months after the procedure.”.
It takes time for the remaining sperm in the reproductive tract to be cleared out after female sterilization. Therefore, another contraceptive method is needed to prevent pregnancy during this period.
B. “You will have a higher risk of developing ovarian cancer after the procedure.”.
Female sterilization does not increase the risk of ovarian cancer.In fact, some studies have suggested that it may lower the risk of ovarian and endometrial cancers.
C. “You will experience changes in your menstrual cycle and sexual function after the procedure.”.
Female sterilization does not affect the menstrual cycle or sexual function.The ovaries still produce hormones and eggs as normal, but the eggs are absorbed by the body instead of travelling to the uterus.
D. “You will be able to have the procedure reversed if you change your mind later.”.
Female sterilization is intended to be a permanent method of contraception and reversal is not guaranteed to be successful.Reversal surgery is also more complicated and expensive than the original procedure.Therefore, women who choose female sterilization should be sure that they do not want any more children in the future.
Full Explanation
The correct answer is choice A. “You will need to use another form of birth control for 3 months after the procedure.” This is because it takes time for the remaining sperm in the reproductive tract to be cleared out after female sterilization.
Therefore, another contraceptive method is needed to prevent pregnancy during this period.
Choice B is wrong because female sterilization does not increase the risk of ovarian cancer. In fact, some studies have suggested that it may lower the risk of ovarian and endometrial cancers.
Choice C is wrong because female sterilization does not affect the menstrual cycle or sexual function. The ovaries still produce hormones and eggs as normal, but the eggs are absorbed by the body instead of travelling to the uterus.
Choice D is wrong because female sterilization is intended to be a permanent method of contraception and reversal is not guaranteed to be successful. Reversal surgery is also more complicated and expensive than the original procedure. Therefore, women who choose female sterilization should be sure that they do not want any more children in the future.
A nurse is caring for a client who had a vasectomy 2 days ago.
Which of the following instructions should the nurse include in the discharge teaching?
A. “You should avoid sexual activity for at least 4 weeks after the procedure.”.
The client should avoid sexual activity for at least 1 week, not 4 weeks, after the procedure. The client will not be sterile right away and will need to use another form of birth control until the sperm count is zero.
B. “You should wear scrotal support for at least 48 hours after the procedure.”.
The client should wear scrotal support for at least 48 hours after the procedure to decrease pain and swelling, and protect the wound.
C. “You should apply ice packs to the scrotum for at least 72 hours after the procedure.”.
The client should apply ice packs to the scrotum for at least 2 days, not 72 hours, after the procedure. Ice helps prevent tissue damage and decrease swelling and pain.
D. “You should take aspirin for pain relief as needed after the procedure.”.
The client should not take aspirin for pain relief after the procedure, as it can increase the risk of bleeding. The client can take nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen instead
Full Explanation
The correct answer is choice B. The client should wear scrotal support for at least 48 hours after the procedure to decrease pain and swelling, and protect the wound.
Some possible explanations for the other choices are:
- Choice A is wrong because the client should avoid sexual activity for at least 1 week, not 4 weeks, after the procedure. The client will not be sterile right away and will need to use another form of birth control until the sperm count is zero.
- Choice C is wrong because the client should apply ice packs to the scrotum for at least 2 days, not 72 hours, after the procedure. Ice helps prevent tissue damage and decrease swelling and pain.
- Choice D is wrong because the client should not take aspirin for pain relief after the procedure, as it can increase the risk of bleeding. The client can take nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen instead.
A nurse is reviewing the medical record of a client who is scheduled for a bilateral tubal ligation.
Which of the following findings is a contraindication for this procedure?
A. The client has a history of pelvic inflammatory disease
A history of pelvic inflammatory disease is not a contraindication for bilateral tubal ligation.It may increase the risk of complications from the surgery, such as infection or adhesions, but it does not prevent the procedure from being performed.
B. The client has a positive pregnancy test result
The client has a positive pregnancy test result. This is a contraindication for bilateral tubal ligation because the procedure is a permanent form of contraception and should not be performed on a pregnant woman. The client should be counseled about other options for birth control or termination of pregnancy.
C. The client has a family history of breast cancer
A family history of breast cancer is not a contraindication for bilateral tubal ligation.It may affect the client’s decision to undergo the procedure, as some studies have suggested that tubal ligation may reduce the risk of ovarian cancer, which is associated with breast cancer.
D. The client has a history of endometriosis
A history of endometriosis is not a contraindication for bilateral tubal ligation. It may cause pelvic pain or infertility, but it does not affect the effectiveness or safety of the procedure.In fact, some studies have shown that tubal ligation may improve the symptoms of endometriosis by reducing retrograde menstruation.
Full Explanation
The correct answer is choice B. The client has a positive pregnancy test result.
This is a contraindication for bilateral tubal ligation because the procedure is a permanent form of contraception and should not be performed on a pregnant woman.
The client should be counseled about other options for birth control or termination of pregnancy.
Choice A is wrong because a history of pelvic inflammatory disease is not a contraindication for bilateral tubal ligation. It may increase the risk of complications from the surgery, such as infection or adhesions, but it does not prevent the procedure from being performed.
Choice C is wrong because a family history of breast cancer is not a contraindication for bilateral tubal ligation. It may affect the client’s decision to undergo the procedure, as some studies have suggested that tubal ligation may reduce the risk of ovarian cancer, which is associated with breast cancer.
However, this is not a medical reason to avoid the surgery.
Choice D is wrong because a history of endometriosis is not a contraindication for bilateral tubal ligation.
It may cause pelvic pain or infertility, but it does not affect the effectiveness or safety of the procedure. In fact, some studies have shown that tubal ligation may improve the symptoms of endometriosis by reducing retrograde menstruation.