QUESTION: "Which of the following client statements indicates that the nurse's teaching about oral contraceptive agents has been successful? "
CHOICES
( O ) a.) "Despite their effectiveness, about 25% of women stop taking them after 1 year."
( X ) b.) "These agents usually only cause a few minor side effects when you take them."
( X ) c.) "Oral contraceptives inhibit ovulation and change the consistency of cervical mucus."
( X ) d.) "I can make these drugs more effective by monitoring my basal body temperature."
RATIONALE: Oral contraceptive agents inhibit ovulation by suppressing follicle-stimulating hormone and luteinizing hormone. Despite the effectiveness of this method, about 25% of users discontinue this method after 1 year, primarily due to unwanted side effects. Oral contraceptive agents may cause numerous and often bothersome or dangerous side effects including nausea, vomiting, fluid retention, increased vaginal discharge, chloasma, headaches, weight gain, thromboembolic disorders, hepatic adenoma, and possible hypertension. A history of thromboembolic disease is an absolute contraindication to using oral contraceptive agents. Oral contraceptive agents inhibit ovulation by suppressing follicle-stimulating hormone and luteinizing hormone. They have no effect on cervical mucus. It is not necessary to monitor basal body temperature because ovulation does not occur when the medication is taken properly. NURSING PROCESS STEP: Evaluation CLIENT NEEDS CATEGORY: Physiological integrity CLIENT NEEDS SUBCATEGORY: Pharmacological and parenteral therapies
