NCLEX Question for teaching a client about contraception

NCLEX Question
When teaching a client about contraception. Which of the following would the nurse include as the most effective method for preventing sexually transmitted infections?
a.    Spermicides
b.    Diaphragm
c.    Condoms
d.    Vasectomy


Correct Answer: C.

Rationale: Condoms, when used correctly and consistently, are the most effective contraceptive method or barrier against bacterial and viral sexually transmitted infections. Although spermicides kill sperm, they do not provide reliable protection against the spread of sexually transmitted infections, especially intracellular organisms such as HIV. Insertion and removal of the diaphragm along with the use of the spermicides may cause vaginal irritations, which could place the client at risk for infection transmission. Male sterilization eliminates spermatozoa from the ejaculate, but it does not eliminate bacterial and/or viral microorganisms that can cause sexually transmitted infections.

NCLEX Question for Client who is using oral contraceptive

NCLEX Question

For the client who is using oral contraceptives, the nurse informs the client about the need to take the pill at the same time each day to accomplish which of the following?

1. Decrease the incidence of nausea
2. Maintain hormonal levels
3. Reduce side effects
4. Prevent drug interactions

Correct Answer: B.
Rationale: Regular timely ingestion of oral contraceptives is necessary to maintain hormonal levels of the drugs to suppress the action of the hypothalamus and anterior pituitary leading to inappropriate secretion of FSH and LH. Therefore, follicles do not mature, ovulation is inhibited, and pregnancy is prevented. The estrogen content of the oral site contraceptive may cause the nausea, regardless of when the pill is taken. Side effects and drug interactions may occur with oral contraceptives regardless of the time the pill is taken.