NGN ATI LEADERSHIP RN GRADED A+

1. A nurse in a health clinic is reviewing contraceptive use with a group of adolescent clients. Which of the following statements by an adolescent requires clarification? • "A water-soluble lubricant should be used with condoms." • "Spermicide is applied once when using a diaphragm." • "Oral contraceptives can improve a case of acne." • "A contraceptive patch is worn for a week." 1a B. CORRECT: Spermicide should be applied with each act of coitus. 1b 2. A nurse is instructing a client who has been prescribed oral contraceptives about danger signs. The nurse evaluates that the client understands the teaching regarding side effects when she states the need to report A. reduced menstrual flow or amenorrhea. B. weight gain or breast tenderness. C. chest pain or shortness of breath. D. mild hypertension or headaches. 2a C. CORRECT: Chest pain or shortness of breath may indicate a pulmonary embolus or myocardial infarction. 2b 4. A nurse in a clinic is teaching a client about her new prescription for medroxyprogesterone (Depo-Provera). Which of the following should be included in the teaching? A. "Weight loss can occur." B. "You are protected against STIs." C. "You should be taking calcium also." D. "You should avoid taking antibiotics when using this contraceptive." 3a C. CORRECT: Clients should take calcium and vitamin D to prevent loss of bone density, which can occur when taking Depo-Provera. 3b • Which of the following should the nurse include when teaching a client about the potential disadvantages of the minipill? (Select all that apply.) • Amenorrhea • Irregular vaginal bleeding • Increased appetite • Decreased libido • Ovarian cysts 4a B. CORRECT: Irregular vaginal bleeding is a disadvantage of the minipill. C. CORRECT: Increased appetite is a disadvantage of the minipill. D. CORRECT: Decreased libido is a disadvantage of the minipill. E. CORRECT: The incre