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The nurse is caring for a client following the insertion of a Nexplanon rod. Which priority instruction should the nurse provide this client?

A.

Back up methods are required for the first 24-hours following insertion.

B.

Smoking cessation is required to prevent thrombolytic events from occurring.

C.

This implant is associated with weight loss so make sure you consume enough calories.

D.

Prevention rate with Nexplanon is 100%.

Answer and Explanation

The Correct Answer is A

A. Following the insertion of the Nexplanon rod, it is important to inform the client that backup contraception methods are needed for the first 24 hours to ensure pregnancy prevention while the implant becomes effective.  

 

B. While smoking cessation is advised due to the increased risk of thrombotic events with hormonal contraceptives, it is not the priority instruction immediately following the insertion of Nexplanon.  

 

C. The statement regarding weight loss is incorrect; Nexplanon is more commonly associated with weight gain rather than loss, so advising clients on calorie consumption is misleading.  

 

D. Although Nexplanon has a high efficacy rate in preventing pregnancy, stating a prevention rate of 100% is inaccurate and misleading, as no contraceptive method is completely foolproof.


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View Related questions

Correct Answer is B

Explanation

A. Topical ointment has a slower onset as it must be absorbed through the skin before it can exert its effects.

B. Sublingual nitroglycerin provides rapid relief of angina symptoms because it is absorbed quickly into the bloodstream through the mucous membranes in the mouth, allowing for an immediate effect.

C. Transdermal patches release nitroglycerin slowly over time, leading to a delayed onset of action.

D. Sustained-release formulations are designed for prolonged effects rather than rapid onset, making them slower to take effect compared to sublingual administration.

Correct Answer is ["A","B","E"]

Explanation

A. Decongestants are commonly used to relieve nasal congestion in upper respiratory tract infections by constricting blood vessels in the nasal passages.

B. Expectorants help thin mucus and are used in upper respiratory conditions to facilitate coughing up mucus.

C. H2 antagonists are primarily used to reduce stomach acid and are not indicated for upper respiratory conditions.

D. Short-acting beta agonists (SABAs) are primarily used in the management of lower respiratory tract conditions, such as asthma and COPD, rather than upper respiratory conditions.

E. H1 antagonists (antihistamines) are effective for treating allergic reactions and symptoms of upper respiratory infections, such as runny nose and sneezing.

F. Long-acting beta agonists (LABAs) are also used primarily for lower respiratory tract conditions and are not appropriate for treating upper respiratory issues.

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