Health Promotion and Maintenance
99. An 18-year-old client chooses oral contraceptives as her method of birth control. Which instruction should be included in a nurse's teaching regarding oral contraceptives?
. Weight gain should be reported to the physician.
. An alternate method of birth control is needed when taking antibiotics.
. If the client misses one or more pills, two pills should be taken per day for 1 week.
. Nausea or stomach upset should be reported to the physician.
Test-Taking Tip
Eliminate the common side effects of oral contraceptives that do not need to be reported to the physician.
Content Area: Adult Health, Family Planning; Integrated Process: Teaching and Learning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Expected Effects/Outcomes
Health Promotion and Maintenance
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Answer 1 is incorrect because weight gain is a common side effect of oral contraceptives that does not need to be reported to the physician. Answer 2 is correct because an alternate method of birth control is needed when taking antibiotics due to the decreased effectiveness of oral contraceptives when taking antibiotics. Answer 3 is incorrect because, if the client misses one or more pills, two pills should be taken on the day that the client remembers; and two pills the next day if two pills are missed, not two pills for a week. Answer 4 is incorrect because nausea and stomach upset are common side effects of oral contraceptives that do not need to be reported to the physician.