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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 D

Explanation

A. Epinephrine is primarily used for anaphylaxis and severe asthma attacks; it is not effective in reversing opioid overdose.

B. Protamine is an antidote for heparin, not for opioid overdose.

C. Flumazenil is a benzodiazepine antagonist and is not indicated for opioid overdose; it can potentially precipitate seizures in patients with mixed drug overdoses.

D. Naloxone is an opioid antagonist specifically indicated for reversing the effects of opioid overdose, including respiratory depression, making it the appropriate choice in this scenario.

Correct Answer is A

Explanation

A. Asthma is a contraindication for cholinergic medications because these drugs can cause bronchoconstriction and may exacerbate respiratory conditions. Careful assessment is necessary before administration to ensure safety.

B. Hypertension is not a direct contraindication for cholinergic medications; they may not significantly affect blood pressure in most cases.

C. Alzheimer's disease is not a contraindication for cholinergic medications; in fact, cholinergic agents may be used to improve cognitive function in some patients with dementia.

D. Diarrhea is not a contraindication for cholinergic medications but may indicate excessive cholinergic activity; it should be monitored, but it does not prevent administration.

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