UNMC PCC 2 Exam 2 g8 g8 g8 g8
A nurse in a health clinic is reviewing contraceptive use with
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a group of adolescent clients. Which of the following statem
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ents by an adolescent reflects an understanding of the teachin
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g?
A. "A water-soluble lubricant should be used with condoms."
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B. "A diaphragm should be removed 2 hours after intercourse
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."
C. "Oral contraceptives can worsen a case of acne."
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D. "A contraceptive patch is replaced once a month." -
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correct answer✔ ✔ A. condoms are used with water-
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soluble lubricants. Petrolium-
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based lubricants may cause condom breakagef
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NOTE:
Diaphragm must stay in place 6 hours after intercourse & re
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moved w/in 24 hours. g8 g8 g8
Oral contraceptives can improve acne.
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Patch is replaced weekly for 3 weeks, no patch 1 week for m
g8 g8 g8 g8 g8 g8 g8 g8 g8 g8 g8 g8
enses.
,A nurse is instructing a client who is taking an oral contrace
g8 g8 g8 g8 g8 g8 g8 g8 g8 g8 g8
ptive about danger signs to report to her provider. The nurse
g8 g8 g8 g8 g8 g8 g8 g8 g8 g8 g8
determines the client understands the teaching when the client
g8 g8 g8 g8 g8 g8 g8 g8
states the need to report which of the following?
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A. Reduced menstrual flow
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B. Breast tenderness
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C. Shortness of breath
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D. Headaches - correct answer✔ ✔
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C. Shortness of breath can indicate pulmonary embolus or
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MI/heart attack - report immediately
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NOTE:
Reduced menstrual flow, Breast tenderness, & Headaches are
g8 g8 g8 g8 g8 g8 g8 g8
all common & may subside after a few months
g8 g8 g8 g8 g8 g8 g8 g8
A nurse in an obstetrical clinic is teaching a client about usin
g8 g8 g8 g8 g8 g8 g8 g8 g8 g8 g8
g an IUD for contraception. Which of the following statemen
g8 g8 g8 g8 g8 g8 g8 g8 g8
ts by the client indicates an understanding of the teaching?
g8 g8 g8 g8 g8 g8 g8 g8 g8
A. "An IUD should be replaced annually during a pelvic exa
g8 g8 g8 g8 g8 g8 g8 g8 g8 g8
m."
B. "I cannot get an IUD until after I've had a child."
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,C. "I should expect intermittent abdominal pain while the IU
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D is in place."
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D. "A change in the string length of my IUD is expected." -
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correct answer✔ ✔
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D Change in string length can indicate expulsion & should
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be reported! - the answer should say "UNexpected"
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NOTE:
IUD replaced every 3, 5, or 10 years depending on type.
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Clients do NOT have to have given birth before IUD.
g8 g8 g8 g8 g8 g8 g8 g8 g8
Intermittent abdominal pain may indicate potential complicati
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on
A nurse is teaching a client about potential adverse effects of
g8 g8 g8 g8 g8 g8 g8 g8 g8 g8 g
implantable progestins. Which of the following adverse effect
8 g8 g8 g8 g8 g8 g8 g8
s should the nurse include? Select ALL that apply.
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A. Tinnitus
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B. Irregular vaginal bleeding
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C. Weight Gain
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D. Breast changes
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E. Gingival hyperplasia - correct answer✔ ✔ BCD
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, NOTE: potential adverse effects of implantable progestins als
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o includes:
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ectopic pregnancy g8
mood changes g8
headache
acne
depression
decreased bone density g8 g8
A nurse in a clinic is teaching a client about her new prescri
g8 g8 g8 g8 g8 g8 g8 g8 g8 g8 g8 g8
ption for medroxyprogesterone. Which of the following infor
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mation should the nurse include in the teaching? Select ALL
g8 g8 g8 g8 g8 g8 g8 g8 g8 g8
that apply.g8
A. "Weight loss can occur."
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B. "You are protected against STIs"
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C. "You should increase your intake of calcium."
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D. "You should avoid taking antibiotics."
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E. "Irregular vaginal spotting can occur." - correct answer✔
g8 g8 g8 g8 g8 g8 g8 g8
✔ CE
A nurse in a health clinic is reviewing contraceptive use with
g8 g8 g8 g8 g8 g8 g8 g8 g8 g8
a group of adolescent clients. Which of the following statem
g8 g8 g8 g8 g8 g8 g8 g8 g8 g8
ents by an adolescent reflects an understanding of the teachin
g8 g8 g8 g8 g8 g8 g8 g8 g8
g?
A. "A water-soluble lubricant should be used with condoms."
g8 g8 g8 g8 g8 g8 g8 g8
B. "A diaphragm should be removed 2 hours after intercourse
g8 g8 g8 g8 g8 g8 g8 g8 g8
."
C. "Oral contraceptives can worsen a case of acne."
g8 g8 g8 g8 g8 g8 g8 g8
D. "A contraceptive patch is replaced once a month." -
g8 g8 g8 g8 g8 g8 g8 g8 g8
correct answer✔ ✔ A. condoms are used with water-
g8 g8 g8 g8 g8 g8 g8
soluble lubricants. Petrolium-
g8 g8
based lubricants may cause condom breakagef
g8 g8 g8 g8 g8
NOTE:
Diaphragm must stay in place 6 hours after intercourse & re
g8 g8 g8 g8 g8 g8 g8 g8 g8 g8
moved w/in 24 hours. g8 g8 g8
Oral contraceptives can improve acne.
g8 g8 g8 g8
Patch is replaced weekly for 3 weeks, no patch 1 week for m
g8 g8 g8 g8 g8 g8 g8 g8 g8 g8 g8 g8
enses.
,A nurse is instructing a client who is taking an oral contrace
g8 g8 g8 g8 g8 g8 g8 g8 g8 g8 g8
ptive about danger signs to report to her provider. The nurse
g8 g8 g8 g8 g8 g8 g8 g8 g8 g8 g8
determines the client understands the teaching when the client
g8 g8 g8 g8 g8 g8 g8 g8
states the need to report which of the following?
g8 g8 g8 g8 g8 g8 g8 g8 g8
A. Reduced menstrual flow
g8 g8 g8
B. Breast tenderness
g8 g8
C. Shortness of breath
g8 g8 g8
D. Headaches - correct answer✔ ✔
g8 g8 g8 g8
C. Shortness of breath can indicate pulmonary embolus or
g8 g8 g8 g8 g8 g8 g8 g8 g8
MI/heart attack - report immediately
g8 g8 g8 g8
NOTE:
Reduced menstrual flow, Breast tenderness, & Headaches are
g8 g8 g8 g8 g8 g8 g8 g8
all common & may subside after a few months
g8 g8 g8 g8 g8 g8 g8 g8
A nurse in an obstetrical clinic is teaching a client about usin
g8 g8 g8 g8 g8 g8 g8 g8 g8 g8 g8
g an IUD for contraception. Which of the following statemen
g8 g8 g8 g8 g8 g8 g8 g8 g8
ts by the client indicates an understanding of the teaching?
g8 g8 g8 g8 g8 g8 g8 g8 g8
A. "An IUD should be replaced annually during a pelvic exa
g8 g8 g8 g8 g8 g8 g8 g8 g8 g8
m."
B. "I cannot get an IUD until after I've had a child."
g8 g8 g8 g8 g8 g8 g8 g8 g8 g8 g8
,C. "I should expect intermittent abdominal pain while the IU
g8 g8 g8 g8 g8 g8 g8 g8 g8
D is in place."
g8 g8 g8
D. "A change in the string length of my IUD is expected." -
g8 g8 g8 g8 g8 g8 g8 g8 g8 g8 g8 g8
correct answer✔ ✔
g8 g8
D Change in string length can indicate expulsion & should
g8 g8 g8 g8 g8 g8 g8 g8 g8 g8
be reported! - the answer should say "UNexpected"
g8 g8 g8 g8 g8 g8 g8
NOTE:
IUD replaced every 3, 5, or 10 years depending on type.
g8 g8 g8 g8 g8 g8 g8 g8 g8 g8
Clients do NOT have to have given birth before IUD.
g8 g8 g8 g8 g8 g8 g8 g8 g8
Intermittent abdominal pain may indicate potential complicati
g8 g8 g8 g8 g8 g8
on
A nurse is teaching a client about potential adverse effects of
g8 g8 g8 g8 g8 g8 g8 g8 g8 g8 g
implantable progestins. Which of the following adverse effect
8 g8 g8 g8 g8 g8 g8 g8
s should the nurse include? Select ALL that apply.
g8 g8 g8 g8 g8 g8 g8 g8
A. Tinnitus
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B. Irregular vaginal bleeding
g8 g8 g8
C. Weight Gain
g8 g8
D. Breast changes
g8 g8
E. Gingival hyperplasia - correct answer✔ ✔ BCD
g8 g8 g8 g8 g8
, NOTE: potential adverse effects of implantable progestins als
g8 g8 g8 g8 g8 g8 g8
o includes:
g8
ectopic pregnancy g8
mood changes g8
headache
acne
depression
decreased bone density g8 g8
A nurse in a clinic is teaching a client about her new prescri
g8 g8 g8 g8 g8 g8 g8 g8 g8 g8 g8 g8
ption for medroxyprogesterone. Which of the following infor
g8 g8 g8 g8 g8 g8 g8
mation should the nurse include in the teaching? Select ALL
g8 g8 g8 g8 g8 g8 g8 g8 g8 g8
that apply.g8
A. "Weight loss can occur."
g8 g8 g8 g8
B. "You are protected against STIs"
g8 g8 g8 g8 g8
C. "You should increase your intake of calcium."
g8 g8 g8 g8 g8 g8 g8
D. "You should avoid taking antibiotics."
g8 g8 g8 g8 g8
E. "Irregular vaginal spotting can occur." - correct answer✔
g8 g8 g8 g8 g8 g8 g8 g8
✔ CE