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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 C

Explanation

A. While maintaining blood pressure within the expected range is important, it does not specifically indicate the effectiveness of sertraline, which is an antidepressant.

B. Weight gain can occur with some antidepressants, but it is not a direct indicator of their effectiveness.

C. An increase in mood is a primary goal of treatment with sertraline, and reporting this improvement suggests that the medication is having a positive effect.

D. The absence of swollen legs is not a relevant indicator for assessing the effectiveness of sertraline, as it does not relate to mood or depression symptoms.

Correct Answer is C

Explanation

A. Grapefruit juice does not have a known interaction with metronidazole and does not need to be avoided.

B. Dairy does not interfere with metronidazole's absorption or effectiveness, so it is not a contraindication.

C. Alcohol should be strictly avoided during and for at least 48 hours after metronidazole treatment, as it can cause a severe reaction, including nausea, vomiting, flushing, and rapid heart rate.

D. Tyramine-based foods do not interact with metronidazole, so they are not a contraindication for this medication.

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