Question

A nurse has provided education to a client who has been prescribed oral contraception. Which of the following client statements indicates a need for further education?

a. "I will use an alternative form of birth control if I miss three pills."
b. "I will notify my provider if I experience chest pain, shortness of breath or leg pain."
c. "If I miss three pills I will double up each day until back on schedule."
d. "I will have to have follow-up appointments with my provider while taking this medication."

Answer 1

Option C: "If I miss three pills I will double up each day until back on schedule." indicates a need for further education, as doubling up on missed pills is not recommended.

Step-by-step explanation:

Option C: "If I miss three pills I will double up each day until back on schedule." indicates a need for further education.

Doubling up on missed pills is not recommended as a method of catching up and can increase the risk of side effects and contraceptive failure. When a pill is missed, the client should follow the instructions provided with their specific oral contraceptive brand. In most cases, this involves taking the missed pill as soon as they remember and continuing with the rest of the pack as usual. They may need to use an additional form of contraception (e.g., condoms) until they have taken the pills correctly for a specified number of days.

It is important for the client to understand the correct procedures to follow in case of missed pills to ensure the effectiveness of their oral contraception.