Difficulty: Medium
Average Score: 88%
Simulated
A nurse is reinforcing teaching with a client who has a new prescription for an estrogen-progestin combination contraceptive. Which of the following instructions should the nurse include in the teaching?
Correct answer
B
Rationale
Correct Answer: B. If a pill is missed, take the missed dose along with the next dose.
Rationale: The correct answer is to instruct the client to take the missed pill immediately when remembered, even if it means taking two pills in one day. This is crucial to maintain contraceptive effectiveness and prevent breakthrough ovulation. Missing a pill can decrease the contraceptive efficacy, hence taking the missed dose promptly is important.
Incorrect choices:
A: Protection does not begin with the first dose. It takes at least 7 days of continuous use for the contraceptive to become effective.
C: Increasing the dosage for breakthrough bleeding is not recommended. It is important to follow the prescribed dosage.
D: Taking the medication on an empty stomach is not necessary for this type of contraceptive. It can be taken with or without food.
Rationale: The correct answer is to instruct the client to take the missed pill immediately when remembered, even if it means taking two pills in one day. This is crucial to maintain contraceptive effectiveness and prevent breakthrough ovulation. Missing a pill can decrease the contraceptive efficacy, hence taking the missed dose promptly is important.
Incorrect choices:
A: Protection does not begin with the first dose. It takes at least 7 days of continuous use for the contraceptive to become effective.
C: Increasing the dosage for breakthrough bleeding is not recommended. It is important to follow the prescribed dosage.
D: Taking the medication on an empty stomach is not necessary for this type of contraceptive. It can be taken with or without food.