3 a woman who has a seizure disorder and takes

3.
A woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks
the nurse about the pill as a contraceptive choice. What is the nurse’s best response?
a. “
Oral contraceptives are a highly effective method, but they have some side effects.”
b. “
Your current medications will reduce the effectiveness of the pill.”
c. “
Oral contraceptives will reduce the effectiveness of your seizure medication.”
d. “
The pill is a good choice for a woman of your age and with your personal history.”
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ANS: B
Because the liver metabolizes oral contraceptives, their effectiveness is reduced when they are
simultaneously taken with anticonvulsants. Stating that the pill is an effective birth control
method with side effects is a true statement, but this response is not the most appropriate. The
anticonvulsant reduces the effectiveness of the pill, not the other way around. Stating that the pill
is a good choice for a woman of her age and personal history does not teach the client that the
effectiveness of the pill may be reduced because of her anticonvulsant therapy.
DIF: Cognitive Level: Apply REF: p. 184 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
4.
A woman who has just undergone a first-trimester abortion will be using oral contraceptives.
To protect against pregnancy, the client should be advised to do what?
DIF: Cognitive Level: Apply REF: p. 193 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance