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A nurse is reinforcing teaching with a client who has a new prescription for ethinyl estradiol/norethindrone, an oral contraceptive. Which of the following client statements should indicate to the nurse an understanding of the teaching?

A) "I should expect my menstrual flow to increase"
B) "I should monitor my blood pressure for hypotension while taking this medication"
C) "I will take the medication at the same time each day"
D) "This type of medication is the most effective because it only contains estrogen"

1 Answer

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Final Answer:

"I will take the medication at the same time each day," reflects understanding because consistency in daily administration is crucial for the efficacy of ethinyl estradiol/norethindrone in preventing pregnancy. Maintaining a steady hormonal level through consistent timing is essential for the contraceptive's effectiveness. This response aligns with the key adherence principle for oral contraceptives.Therefore the correct answer is C) "I will take the medication at the same time each day."

Step-by-step explanation:

The correct answer is C, as the statement "I will take the medication at the same time each day" demonstrates an understanding of the importance of consistency in taking oral contraceptives. Consistency in timing is crucial to ensure the effectiveness of the medication in preventing pregnancy.

Ethinyl estradiol/norethindrone is a combination oral contraceptive that contains both estrogen (ethinyl estradiol) and progestin (norethindrone). These hormones work together to prevent ovulation, alter the cervical mucus, and inhibit the implantation of a fertilized egg. Taking the medication at the same time each day helps maintain a steady level of hormones in the body, enhancing its contraceptive effectiveness.

The other options are incorrect. Option A is not expected, as oral contraceptives typically lead to a decrease in menstrual flow. Option B is not a common side effect, and monitoring for hypotension is not necessary.

Option D is inaccurate; while the medication contains both estrogen and progestin, it is not the most effective type, and different formulations suit different individuals. Therefore, the best indicator of understanding the teaching is the commitment to consistent daily administration as mentioned in option C.

Therefore the correct answer is C) "I will take the medication at the same time each day."

User Joshua Sullivan
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