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Pharm 2
Contraceptive therapy
| Question | Answer |
|---|---|
| Which statement accurately describes the pharmacokinetic parameters for levonorgestrel used as emergency contraception? | Levonorgestrel is excreted in both urine and feces. |
| Which hormonal contraceptive has the longest elimination half-life? | Medroxyprogesterone acetate injection (Depo Provera®) |
| Which effects are advantages to the use of nonoral combined hormonal contraceptives (CHCs) over oral CHC? | -Reduced drug interaction potential -Rapidly achieved serum hormone levels -Decreased fluctuations of hormone levels in blood |
| Which advantages are associated with the use of progestin-only products (POPs) compared with combined hormonal contraceptives (CHCs)? | -Relative safety of contraception -Reversibility of contraception, except the depot POP |
| A 29-year-old woman with hypertension had unprotected sexual intercourse about 36 hours ago. Which statement accurately explains whether this patient is a candidate for emergency contraception? | She is a candidate for emergency contraception because it may be taken within 72 hours of unprotected sexual intercourse. |
| Which patients does a nurse determine cannot safely receive treatment with the ethinyl estradiol plus etonogestrel vaginal ring (NuvaRing®)? | -A 36 year old with hepatitis A -A 37 year old with complicated mitral valve prolapse -A 36 year old who smokes one pack of cigarettes per day |
| A female patient has been taking ethinyl estradiol plus norgestimate tablets (Ortho Tri-Cyclen®) for contraception. She was recently prescribed rifampin for the prevention of tuberculosis because her husband was recently diagnosed with the infection. | -- |
| Which nursing interventions would be appropriate to address the reduction in contraception efficacy? | -Switch to another form of contraception. -Increase the estrogen dosage in the combined hormonal contraception (CHC). |
| -- | -Advise her to monitor for breakthrough bleeding, which might indicate lack of CHC effect. -Advise the patient to use a second form of contraception like a condom while receiving rifampin. |
| Which teaching points would a nurse share with a patient newly prescribed the ethinyl estradiol plus etonogestrel vaginal ring (NuvaRing®) who has never received hormonal contraception before? | -If it is expelled during treatment weeks, it may be washed off with warm water and reinserted. -She should vaginally insert the ring between day 1 and day 5 of the menstrual cycle, even if she is bleeding. - The ring should be replaced every 3 weeks, |
| -- | removing for 1 week at the end of this time frame before inserting a new one. -If the ring is expelled for more than 3 hours during week 1 or 2 of use, she should reinsert the ring and use backup contraception for 7 days. |
| Which potential symptoms resulting from treatment with a combined hormonal contraception (CHC) would a nurse teach a patient to report immediately to the health care provider? | -Severe abdominal pain -Chest pain or shortness of breath -Severe leg pain or swelling in the calf or thigh -Severe headaches, dizziness, speech difficulties -Eye disorders such as blurry vision or loss of vision |
| Which statement by the nursing student about the administration of norethindrone tablets (Micronor®) requires correction and further education? | If the postpartum patient is fully breastfeeding, she may begin using norethindrone tablets within 3 weeks of delivery. |
| Which teaching points would a nurse share with a patient newly prescribed the ethinyl estradiol plus norelgestromin patch (Ortho Evra®) who is switching from an oral combined hormonal contraception (CHC)? | -Before applying, the patient should ensure the skin is dry and free from lotions, creams, or oils. -Apply the patch on the first day of the menstrual cycle when bleeding occurs. No backup contraception is needed. -If the patch comes off and has not |
| -- | been off for more than 24 hours, it should be reattached. Backup contraception is not needed. -If the patch comes off and remains off for more than 24 hours, a new cycle should be started with backup contraception needed for 7 days. |
| Which teaching points would a nurse share with a patient who is taking levonorgestrel 0.75 mg PO BID for two doses for emergency contraception? | -Remember to take the second dose within 12 hours of the first dose. -Once implantation occurs, emergency contraception is not effective. -Emergency contraception does not protect against sexually transmitted infections. |
| -- | Nausea, vomiting, and heavier menstruation may occur with emergency contraception. |
Created by:
Lightnning54
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